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. 2007 Mar;3(1):66-76.
doi: 10.1177/1742395307079192.

The impact of angina and cardiac history on health-related quality of life and depression in coronary heart disease patients

Shannon Gravely-Witte  1 , Véronique De Gucht, Willem Heiser, Sherry L Grace, Thérèse Van Elderen
Affiliations

The impact of angina and cardiac history on health-related quality of life and depression in coronary heart disease patients

Shannon Gravely-Witte et al. Chronic Illn. 2007 Mar.

Abstract

Objective: To prospectively examine the contribution of angina and cardiac history to health-related quality of life (HRQoL) and depression in cardiac patients, over 6 months post-hospitalization.

Methods: Participants were myocardial infarction (MI), percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) outpatients under the age of 70 years. One hundred and seventy-one patients consented to participate, with 121 patients being retained 6 months later (71% response rate). The impact of the patient's cardiac history and the presence of angina on physical, social and emotional HRQoL and depression was examined.

Results: At baseline, cardiac history was not significantly related to any of the dimensions of HRQoL or depression. At 6-month follow-up, cardiac history significantly predicted a higher level of depression, and angina was predictive of a significantly worse emotional, physical and social HRQoL and a higher level of depression.

Discussion: The presence of a cardiac history is associated with depression 6 months post-cardiac event, and angina is associated with both an adverse HRQoL and higher levels of depression. As past research has demonstrated that depression is a risk factor for mortality in patients with established heart disease, it is important from both a clinical and a research perspective to address these issues.

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Figures

Figure 1
Figure 1. Presence Versus Absence of Previous Cardiac Events Give Rise to Distinct Trajectories of Recovery on Depression Mean Subscale Scores.
Depression at 6 Months stratified by Previous Cardiac History* * Linear Regression. A higher score indicates higher depression levels.
See this image and copyright information in PMC

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