Health-Related Quality of Life among Patients with Coronary Artery Disease: A Post-Treatment Follow-Up Study in Iran

Abstract

Objective. To examine the changes in health-related quality of life (HRQoL) in patients with coronary artery disease (CAD) in terms of age, gender, and treatment strategy in Iran. Methods and Materials. Forty-nine patients responded to the Iranian version of the 36-item short form (SF-36) questionnaire to evaluate the HRQoL at first and third year after treatment. The paired and independent Wilcoxon rank-sum tests were used for within and between comparisons, respectively. Multivariate regression analysis was used to analyze the predictors of changes at HRQoL. Results. In general, during followup, the mental component summary scale improved, and the physical component summary scale declined. The results of multiple regression showed that the score at the first year post-treatment was the main predictor of HRQoL at follow up. Moreover, after adjusting for other covariates, receiving PTCA and being at older age were related to lower scores at followup, but these were not statistically significant in most cases. Conclusion. The HRQoL significantly changed from one to three years after treatment in patients with CAD. While, the physical health deteriorated during two-year follow up, mental health improved at the same time period. Generally, there were no significant differences at changes of HRQoL in terms of treatment, age, and gender.

Examining the Health-Related Quality of Life after Coronary Artery Bypass Grafting and Percutaneous Coronary Intervention in Iran via SF-36 and SAQ

“…However, it is in contrast to the results reported by Taheri, revealing a relationship between QoL, and sex and marital status (18). On the other hand, Tofighi et al reported no significant relationships between the score of QoL and intervention type, which is on the contrary to the findings of the current research that indicated intervention type as the only effective factor in changing the CAD patients' QoL (14). The results of the present research disclosed that the patients' QoL was significantly different before and after the intervention via CABG and PCI, and significantly increased after the intervention.…”

“…This implies that there were no significant relationships between demographic variables and change in the score of QoL (Tables 1 and 2). This finding is consistent with that of the study by Tofighi et al, which indicated no significant relationships between changes in the score of QoL, and age and sex (14). However, it is in contrast to the results reported by Taheri, revealing a relationship between QoL, and sex and marital status (18).…”

“…On the other hand, the lowest score was related to role limitations due to physical health in PCI and to physical functioning in CABG (Table 6). In Tofighi's study, the highest score of QoL belonged to role limitations due to emotional problems and the lowest score was related to general health (14). The difference between the results of the two studies might be attributed to the fact that in Tofighi's study, patients were examined during three years and, consequently, time turned up as an influential factor.…”

Health Related Quality of Life among the Coronary Heart Disease Patients

“…Tofighi et al showed a study in Iran hospital that disturbed HRQOL of CHD was increased with older age, was reduced with higher levels of education and income, and was elevated among women than men. 7 In this study we found that service holders and businessmen were always in sedentary life style, taken high cholesterol diet with reduced physical exercise, so they were more affected by CHD whereas day laborer, farmer were hard worker. Also housewives were hard worker, so they were less affected.…”

Coronary Bypass Surgery Versus Percutaneous Coronary Intervention: Cost-Effectiveness in Iran: A Study in Patients With Multivessel Coronary Artery Disease

“…In a study by Tofighi et al (15), health status of CAD patients after CABG and PCI has been reported with a 3 years follow-up. The MacNew consists of twenty-seven questions that inquire about symptoms like: angina/chest pain, shortness of breath, fatigue, dizziness, and aching legs and finally summarized into three main domains, emotional, physical, and social well-being.…”