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. 2016 Apr 1;12(2):326-33.
doi: 10.5114/aoms.2014.47881. Epub 2015 Jan 14.

Quality of life in patients with coronary heart disease after myocardial infarction and with ischemic heart failure

Joanna M Moryś  1 , Jerzy Bellwon  2 , Stefan Höfer  3 , Andrzej Rynkiewicz  4 , Marcin Gruchała  2
Affiliations

Quality of life in patients with coronary heart disease after myocardial infarction and with ischemic heart failure

Joanna M Moryś et al. Arch Med Sci. .

Abstract

Introduction: Quality of life measures are useful when interventions or treatments are indicated for several reasons such as improvement of physical functioning, pain relief, to estimate the effectiveness of therapies or to predict mortality. The aim of the current study was to describe quality of life in patients with stable coronary artery disease, myocardial infarction and heart failure and to evaluate the relationship between depression and health-related quality of life.

Material and methods: Patients after STEMI, with stable coronary artery disease, and heart failure (n = 332) completed the MacNew Heart Disease Health-related Quality of Life Questionnaire and the Hospital Anxiety and Depression Scale.

Results: Patients with myocardial infarction had significantly higher scores than patients with stable coronary artery disease or heart failure on the MacNew global scale (p < 0.001) and the physical (p < 0.001), emotional (p < 0.001) and social (p < 0.001) subscales. The anxiety scores were significantly higher in the group of patients with stable coronary artery disease than in patients with myocardial infarction (p < 0.05). The depression scores were significantly higher in patients with heart failure (p < 0.01).

Conclusions: In patients with stable CAD, anxiety correlated mainly with symptoms, i.e. angina, than with the history of MI. Patients with symptoms of angina react to the illness with anxiety more than depression, whereas patients with heart failure with dyspnea react to the illness with depressive symptoms more than anxiety. In patients after MI and with stable CAD, cognitive-behavioral techniques could be useful to quickly reduce the level of anxiety, while patients with heart failure require long-term support therapy to reduce the risk of depressive symptoms.

Keywords: angina; health-related quality of life; heart failure; myocardial infarction.

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Figures

Figure 1
Figure 1
Patients’ quality of life (global, as well as physical, emotional and social aspects) and depression level. Mean MacNew and HADS scores in the total group and the subgroups of patients with stable coronary artery disease (stable CAD), myocardial infarction (MI) or heart failure (HF)
Figure 2
Figure 2
Prevalence of depression and anxiety symptoms in the total group and the subgroups of patients with stable coronary artery disease (Stable CAD), myocardial infarction (MI) or heart failure (HF)
See this image and copyright information in PMC

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