Lasting impact on health-related quality of life after a first myocardial infarction.

Bengtsson, Inger M.,1944Gothenburg University,Göteborgs universitet,Hjärt-kärlinstitutionen,Cardiovascular Institute (författare)

AIMS: To investigate if the previously reported lack of recovery in Health-Related Quality of Life (HRQOL), in myocardial infarction, patients, would be long lasting. METHODS: Of 72 consecutive patients (19% women) with a mean age of 59 years, 65 consented to participate in a follow-up 1 and 2 years after their first myocardial infarction. HRQOL was assessed by self-administered questionnaires (SF-36, Cardiac Health Profile and Zung Depression Inventory). RESULTS: For the age group <59 years, there was no statistically significant recovery in SF-36 Mental Component Summary scores over time. There were improvements in Physical Component Summary scores, from baseline to 12 and to 24 months (p=0.006 and p<0.001, respectively) and from 6 to 24 months (p=0.044). This group reached community norms in Physical Component Summary scores after 2 years but scored significantly below norms in Mental Component Summary scores throughout with an effect size of -0.5 (CI -0.88 to -0.14) at 2 years. In patients > or =59 years, no changes took place after 6 months. At 2 years, factors Emotional and Social Functioning in the Cardiac Health Profile showed statistically significant differences between groups (p=0.03 and p=0.05, respectively) demonstrating poorer quality of life in the age group <59 years. CONCLUSIONS: In younger patients, a clinically important poorer effect on Health-Related Quality of life is still present 2 years after an acute myocardial infarction.

Hagman, Marianne (författare)
Währborg, Peter,1951Gothenburg University,Göteborgs universitet,Hjärt-kärlinstitutionen,Cardiovascular Institute(Swepub:gu)xwahpe (författare)
Wedel, Hans (författare)
Göteborgs universitetHjärt-kärlinstitutionen (creator_code:org_t)

Ingår i:International journal of cardiology: Elsevier BV97:3, s. 509-160167-5273

Av författaren/redakt...: Bengtsson, Inger ...; Hagman, Marianne; Währborg, Peter, ...; Wedel, Hans

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