Quality of life at six months after primary percutaneous coronary intervention performed at a predominantly rural population

Abstract

Background: HRQL is important in improving the quality of patient care. However, there is a paucity of data from low-income and middle-income countries (LMIC). Differences in socio-demographics and socio-cultural contexts may influence HRQOL. Therefore, this research was designed with the aim to explore the HRQOL in patients after Percutaneous Coronary Intervention (PCI).Objective: The goal of the study was to evaluate the quality of life after six months of Percutaneous Coronary Intervention using HeartQol questionnaire at a tertiary care hospital in Pakistan.Method: This was a Cross-sectional, descriptive study. Patients between the ages of 20-60 years who underwent primary Percutaneous Coronary Intervention at least 6 months ago were inducted in the study. Coronary angiography was performed mostly through radial as preferred route. Data was collected using a structured questionnaire covering demographic characteristics, predisposing risk factors, procedural details, and quality of life. Heart related Quality of life was assessed using HeartQol questionnaire. Collected data was analyzed using SPSS v.21.Results: A total of 241 patients participated in the study. Mean age of the patients was 53.37±11.07 years. On analysis of quality of life at six months, the median (IQR) HeartQol score was 31 (37-23) with majority of the patients, 84.22% (203) fall under the excellent score (>20).Conclusion: It is of enormous prognostic importance that the quality of life of patient is assessed on a regular basis after PCI. Our study shows that the majority of patients had improved quality of life at six months of PCI. Majority of patients were not bothered by mild symptoms. Further investigation needs to be done to validate these results.

The Relationships between Physical and Emotional Symptoms and Health-Related Quality of Life of Patients after Percutaneous Coronary Intervention

“…The findings of this investigation were confirmed with those of earlier studies. Previous studies also showed that female patients scored lower HRQoL than men (Jankowska-Polańska et al, 2016;Mujtaba et al, 2019). Males showed a positive trend for improvement in the majority of HRQoL categories, whereas females improved only in the Physical Component Summary and social functioning domains (Jankowska-Polańska et al, 2016).…”

“…Older patients reported higher levels of angina scores one year after acute MI than younger patients (<50 years) (Arnold et al, 2014). Patients commonly experience recurrent angina after PCI, particularly patients with diffuse coronary artery disease involving more than one artery (Mujtaba et al, 2019). However, PCI significantly improved angina stability, frequency, and physical limitation (Ybarra et al, 2017).…”

Effectiveness of Cardiac Rehabilitation in Myocardial Infarction Patients After Percutaneous Coronary Intervention

“…In the last four decades, cardiac rehabilitation (CR) has come to be considered an essential part of the management of patients suffering from CAD. While studies are abundant globally, in the regional context, there are very few studies from South Asia exploring the mortality and morbidity of cardiac patients adhering to rehabilitation programs along with medical and surgical management [4][5][6][7][8].…”

“…PCI has demonstrated a tremendous reduction in mortality and has allowed for early discharges [ 3 ]. Furthermore, it also improved the quality of life in patients with myocardial infarction [ 4 ]. Reintegration into society and return to pre-disease health status nevertheless continues to be a public health problem.…”

“…To improve the healthcare and social outcomes of patients following an intervention, the development of a rehabilitation program has been an enduring area of research [ 4 ]. In the last four decades, cardiac rehabilitation (CR) has come to be considered an essential part of the management of patients suffering from CAD.…”