Direction of the Relationship Between Acceptance of Illness and Health-Related Quality of Life in Chronic Heart Failure Patients

Abstract Objective: To determine the effect of Ivabradine in lowering heart rate and quality of life in chronic heart failure patients. Methods: The observational study was conducted in the out-patient department of the National Institute of Cardiovascular Disease, Karachi, from December 2016 to June 2017, and comprised chronic heart failure patients aged 30-70 years who were on 5mg Ivabradine for 8-weeks. Heart rate was evaluated through electrocardiogram, and health-related quality of life was measured using the validated questionnaire. Baseline demographics and clinical characteristics were recorded, with follow-ups at week-4 and week-8. Safety and tolerability were assessed by adverse drug reactions monitoring. Data was analysed using SPSS 21. Results: Of the 50 patients, 34(68%) were males. The overall mean age was 54.8±9.17 years. Baseline mean heart rate significantly reduced at first and second follow-up visit (p< 0.001). Mobility problems declined significantly as well (p<0.05). Health-related quality of life significantly improved on follow-up visits (p<0.001). Conclusion: There was significant control of heart rate in chronic heart failure patients with improvement in all parameters of quality of life. Key Words: Heart failure, Ivabradine, Heart rate, Continuous...

Download Full-text

Health Related Quality of Life Among Heart Failure Patients Attending an Outpatient Clinic at University of Gondar Comprehensive Specialized Hospital Northwest Ethiopia 2020: Structural Equation Modeling Approach

10.21203/rs.3.rs-60569/v1 ◽

2020 ◽

Author(s):

Gebrekidan Ewnetu Tarekegn ◽

Lemma Derseh Gezie ◽

Tilahun Yemanu Birhan

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Chronic Heart Failure ◽

Equation Modeling ◽

Health Related Quality ◽

Heart Failure Patients ◽

Specialized Hospital ◽

Related Quality ◽

Health Related

Abstract Background: Chronic heart failure (CHF) is one of the most important public health concerns in the industrialized and developing world having increasing incidence and prevalence. Measuring quality of life using rigorous statistical method may be helpful to provide input for decision makers, policy makers and development of guidelines for the Ethiopia. The aim of this study was to determine health-related quality of life and its associated factors among heart failure patients attending University of Gondar comprehensive specialized hospital.Methods: A cross-sectional study design was employed to select 469 heart failure patients who has follow up at the University of Gondar comprehensive specialized hospital consecutively from March 1 to 30, 2020. Data were entered to Epi-info7 and exported to STATA 14 and Amos for further analysis. The four Quality of life domains were measured with Standardized World Health Organization Quality of Life BREF. Structural equation modeling was employed to estimate the relationships among exogenous, mediating, and endogenous variables simultaneously. Results: Chronic heart failure patients had a significant lower mean score in all domains of health-related quality of life (p-value< 0.0001). Age had a direct positive effect on all domains of health-related quality of life and a positive total effect on overall health related quality of life. Residency also had a direct negative effect on both physical and environmental health related quality of life domain. Duration of chronic heart failure had a direct negative effect on psychological health. There was strong correlation among the four domains of health-related quality of life.ConclusionPoor health related quality of life in the physical dimension, moderately poor overall health related quality of life and a moderate health related quality of life in the psychological health domain. Developing and providing intervention programs to enhance social support can lead to improved quality of life for patients, because of the long-term and chronic illness of the patient.

Download Full-text

Effect of Iron deficiency on health-related quality of life in chronic heart failure patients regardless of anaemia status

QJM ◽

10.1093/qjmed/hcab090.004 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Ahmed Alaa Eldin Fawzy ◽

Viola William Keddas ◽

Wael Mahmoud Elkelany

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Chronic Heart Failure ◽

P Value ◽

Health Related Quality ◽

Heart Failure Patients ◽

Heart Failure Questionnaire ◽

Related Quality ◽

Health Related

Abstract Background Chronic Heart Failure (CHF) patients have marked functional limitations causing a significant impact on Health Related Quality of Life (HRQoL) in these patients. Iron Defeciency is very common in Heart Failure patients & it is suggested that it affects HRQoL in CHF patients regardless of the Anemia status . Objective To evaluate the impact of iron deficiency (ID) on health-related quality of life (HRQoL) in chronic heart failure (CHF) patients using Minnesota Living with Heart Failure questionnaire (MLHFQ) in patients with normal hemoglobin levels . Methods From October 2018 to August 2019 ,100 patients with CHF from out- patient clinics in ASU university hospitals were subjected to history taking , examination , Echocardiography , measurement of Iron status using serum ferritin, Assessment of Health Related Quality of Life (HRQoL) using Minnesota Living with Heart Failure Questionnaire (MLHFQ) . Patients then were divided into 2 equal groups depending on their serum ferritin level & comparison of MLHFQ score between the 2 groups was done . Results The study population was divided into 2 groups: Iron Defecient (ID) (n = 50) & non Iron Defecient (non ID) (n = 50) , 61 patients were males & 39 were females. The MLHFQ scores were 66.9 ± 9.1 among ID patients vs 46.9 ± 7.3 in non ID patients (p value < 0.001) indicating worse HRQoL in ID group . The physical domain (p value < 0.001) was markedly affected than the emotional domain (p value 0.006) of the MLHFQ score . Conclusion In CHF patients , HRQoL was markedly affected among ID patients than non ID patients with physical factors more affected than the emotional factors .

Download Full-text