Improving Symptoms and Quality of Life in Stable Coronary Artery Disease: An Evolving Paradigm

Patel, Krishna

doi:10.1161/circulationaha.122.059482

Cited by 4 publications

(3 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Основна мета лікування СтСт -зменшення клінічних проявів, розширення фізичної складової, що сприятиме поліпшенню ЯЖ пацієнта. Потребує вивчення рівень ЯЖ, його залежність саме від лікувальної тактики, зокрема чи є відмінності ЯЖ пацієнтів, яким здійснюють інвазивні чи медикаментозні втручання, оскільки висновки низки досліджень доволі суперечливі [8,9].…”

Section: обговоренняunclassified

“…Дослідження якості життя (ЯЖ) у пацієнтів зі стабільною стенокардією (СтСт) залишаються актуальними [1,5,8]. Обґрунтовано вікову залежність, вплив клінічних проявів, лікувальної тактики [2,9] на ЯЖ, але потребують вивчення морфофункціональні зміни, гендерні характеристики цієї когорти пацієнтів щодо зв'язку з рівнем ЯЖ; їх вивчення дасть змогу ефективно впливати на добробут хворих.…”

unclassified

See 1 more Smart Citation

Gender, age and morphofunctional characteristics of the quality of life of patients with stable angina

Tashchuk¹,

Amelina²,

Іванчук³

et al. 2023

ZMJ

View full text Add to dashboard Cite

Aim of the work is to investigate the quality of life (QoL) of patients with stable angina pectoris (SA) depending on gender, age distribution and severity of angina pectoris. Materials and methods. 78 patients with an objective diagnosis of functional classes (FC) II–III SA were examined, who formed two clinical groups: the 1st – patients with an increase in QoL (57.69 % of cases), the 2nd – patients with the absence of any changes in QoL (42.31 % of cases). All patients underwent clinical, laboratory, instrumental examinations and determination of QoL using the SF-36 questionnaire. Results. The study of the QoL in men revealed that the mental component (MHC) of health was significantly higher due to such indicators as vitality (VT) (P < 0.001), mental health (MH) (P < 0.001), social functioning (SF) (Р = 0.028), general health status (GHS) (Р < 0.001). Younger age was characterized by a higher physical component of health (PHC) due to significantly higher indicators such as physical functioning (PF) and role-based physical functioning (RBPF) (in both cases P < 0.001). In the subgroup of younger women, the PHC was higher due to significantly higher levels of PF and RBPF (P = 0.048 and P = 0.011, respectively), that could be compared with the indicators of younger men, where the PHC was also higher due to GHS (Р = 0.009), RBPF (P = 0.028) and PF (P = 0.050). In men of younger age, the indicator of VT was significantly higher (Р = 0.031). Patients with higher FC of SA were expected to have a significant limitation of QoL in the form of a lower PHC (GHS (P = 0.023), PF (P < 0.001), RBPF (P < 0.001) and pain intensity (PI) (P < 0.001)). With the progression of heart failure (HF), GHS (P = 0.003), PF (P < 0.001), RBPF (P < 0.001) and PI (P < 0.001) significantly worsened. It was confirmed that the increase of QoL did not depend on gender (women P = 0.204, men P = 0.226) and age (P = 0.143). The presence of excess body weight was characterized by limitation of physical (significantly lower indicators of PF (P = 0.010) and PI (P = 0.008)) and mental (significantly decreased indicator – P = 0.053) health. Conclusions. Positive dynamics of the quality of life is associated with a lower functional class of stable angina pectoris, lower severity of heart failure, favorable shifts in the lipid spectrum, an increase in the left ventricular ejection fraction and the threshold load of cycle ergometry. The physical component of health is decisive in the quality of life of patients with stable angina pectoris.

show abstract

Section: обговоренняunclassified

unclassified

Gender, age and morphofunctional characteristics of the quality of life of patients with stable angina

Tashchuk¹,

Amelina²,

Іванчук³

et al. 2023

ZMJ

View full text Add to dashboard Cite

show abstract

“…[6][7][8]. К основным задачам лечения ИБС относят улучшение кардиального прогноза и качества повседневной жизни пациентов [9,10].…”

Section: Introductionunclassified

Factors associated with quality of life in patients with coronary artery disease before coronary artery bypass surgery

Asadullin,

Kamenskikh,

Philippov

et al. 2024

SJCEM

View full text Add to dashboard Cite

Relevance. The outcomes of coronary artery bypass surgery (CABG) for coronary artery disease (CAD) depend on different factors, including patient’s quality of life (QoL) before CABG.Aim: To study QoL and associated factors in CAD patients before CABG.Material and Methods. A single-center observational study involved CAD patients who were admitted for elective CABG. All patients completed generic quality of life questionnaire SF-36 and specific questionnaire SAQ. Statistical methods included parametric and non-parametric comparisons and multiple regression analysis.Results. The study included 240 CAD patients (median age 65 years, males – 69%). More than half of the patients had poor physical and psychological health before CABG. Physical limitations and perception of the disease as well as role functioning were most impaired. QoL was worse in women, older patients, with obesity, comorbidity, long-lasting CAD, non-workers and living in sparsely populated areas (p < 0.05). Predictors of poor QoL – female gender (OR 2.574, 95% CI 1.335–4.961; p = 0.005), obesity (OR 1.984, 95% CI 1.075–3.663; p = 0.028) and long–term CAD (OR 1.006, 95% CI 1.002‒0.010; p = 0.006). Predictors of poor physical health – age ≥ 65 (OR 0,823, 95% CI 0.430–1.576; p = 0.001), obesity (OR 2,050, 95% CI 1.041–4.039; p = 0.038) and long–term CAD (OR 1.005, 95% CI 1.001–1.010; p = 0.027). Predictors of poor mental health – age ≥ 65 (OR 1.973, 95% CI 1.050–3.706; p = 0.035) and living in sparsely populated areas (OR 2.213, 95% CI 1.236–3.962; p = 0.008).Conclusion. Predictors of poor QoL before CABG are female gender, elderly age, obesity, long-term CAD and living in sparsely populated areas.

show abstract

Management des chronischen Koronarsyndroms

Sechtem

Seitz

Ong

et al. 2022

Herz

View full text Add to dashboard Cite

Improving Symptoms and Quality of Life in Stable Coronary Artery Disease: An Evolving Paradigm

Cited by 4 publications

References 17 publications

Gender, age and morphofunctional characteristics of the quality of life of patients with stable angina

Gender, age and morphofunctional characteristics of the quality of life of patients with stable angina

Factors associated with quality of life in patients with coronary artery disease before coronary artery bypass surgery

Management des chronischen Koronarsyndroms

Contact Info

Product

Resources

About