scholarly journals Left ventricle reconstruction in patients with ejection fraction less than 30% and left ventricle aneurysm of the 2 and 3 type according to L. Menicanti classification improves the quality of life

2019 ◽  
Vol 10 (4) ◽  
pp. 17-22
Author(s):  
Vladlen V. Bazylev ◽  
Dmitrij S. Tungusov ◽  
Artur I. Mikulyak ◽  
Il'giz Ya. Senzhapov

Aim. To assess the quality of life (QOL) in patients with left ventricular reconstructions with an ejection fraction of less than 30%and left ventricle (LV) aneurysm of type 2 and 3 according to L. Menicanti. Materials and methods. The retrospective one-center study included 72 patients with left and right ventricular aneurysms of the second and third types according to the classification of L. Menicanti and an extremely reduced ejection fraction (less than 30%). The observation period was up to 33 months. The study included 61 (84%) men and 11 (16%) women, whose average age at the time of surgery was 58.2±9.2 years. All patients underwent LV reconstruction under CPB. Patients independently filled in the questionnaire before surgery. Repeated questionnaires were conducted no earlier than a year after the operation, in order to exc-lude the influence of possible complications associated with surgical access on the physical and mental health components. QOL was assessed using a standard SF-36 questionnaire. Results. According to the analysis, it was found that during the observation period of up to 33 months in patients, the "physical functioning" parameter is significantly lower than the initial value ( p =0.001). Also at a fairly high level the value of the indicator "body pain" is maintained, which is higher than the initial value ( p =0.001). According to other indicators, in patients with a low ejection fraction after reconstruction of the LV, an improvement in the QOL parameters was revealed. The mental and physical health of patients after reconstruction of the LV is significantly higher than the values before surgery. Results. Reconstruction of the LV in patients with LV aneurysm of type 2 and 3 according to L. Menicanti significantly improves the QOL of patients in such parameters as role-playing activity, general health, vitality, social functioning, emotional condition and mental health. A decrease in the indexed value of stroke volume of less than 23% is a predictor of a decrease in both physical and mental components of health.

2017 ◽  
Vol 8 (1) ◽  
pp. 71-77
Author(s):  
A V Zholkovskiy ◽  
F V Sklyarov ◽  
G V Chudinov ◽  
A V Ponomarev ◽  
N A Peskov ◽  
...  

Analysing the example of unusual case of a successful direct constant His bundle pacing, we would like to draw specialist’s attention to details of procedure and some important electrophysiological particularities we have come across during operation. Long-term (7 years) results ( pacing options, ECG data, changes of left ventricle ejection fraction and patient’s quality of life) were considered too.


2015 ◽  
Vol 21 (3) ◽  
pp. 205-212
Author(s):  
سید علیرضا توکلی خورمیزی ◽  
محمدرضا حامدی نیا ◽  
طیبه امیری پارسا ◽  
میترا خادم الشریعه ◽  
مرضیه السادات آذرنیوه ◽  
...  

2021 ◽  
Vol 14 (3) ◽  
pp. 330-336
Author(s):  
Franco León-Jiménez ◽  
Daysi Barreto-Pérez ◽  
Lida Altamirano-Cardozo ◽  
Blanca Loayza-Enríquez ◽  
Juanita Farfán-García

Objetive: To describe illness related knowledge features, mental health, adherence to therapy and quality of life on type 2 diabetes patients from two hospitals from northern Peru. Material and Methods: Cross sectional descriptive study. A cense was made. Descriptive statistics and exploratory analysis were employed. Results: there were 382 diabetes patients: 289 in Lambayeque and 93 in Piura:112 people were interviewed. The mean age was 59.5 +/- 11.6 years, 58% were women, 59% were from Piura, 43.8% only had primary school and 41.5% referred 2 to 4 outpatient evaluations in the last two years; 28.6% reported to have been infected by COVID-19: 35,5% in Lambayeque and 23.8% in Piura; 17.8% had poor knowledge about the disease. About mental health, 91.9% had Depression, 75% Anxiety and 72.8%, both; 50.6% had adequate adherence to therapy. The median of quality of life was 161.5 (IQR=127.1-215) and 24.1% had poor quality of life. In descending order, the more affected dimensions of quality of life were: “control of diabetes”, “energy and mobility”, “social burden”, “anxiety” and “sexual performance”. In the exploratory multivariate analysis, depression was associated with high quality of life. Conclusion: disease related-knowledge features, mental health, adherence to therapy and quality of life were poor on type 2 diabetics from these two northern cities of Peru. There were no association between sociodemographic characteristics, mental health, knowledge, adherence, with quality of life.


2021 ◽  
Author(s):  
Franco León-Jiménez ◽  
Daysi Barreto-Pérez ◽  
Lida Altamirano-Cardozo ◽  
Blanca Loayza-Enríquez ◽  
Juanita Farfán-García

Abstract Objective: To describe illness related knowledge features, mental health, adherence to therapy and quality of life on type 2 diabetics from two northern hospitals from Peru. Material and methods: Cross sectional descriptive study. A cense was made. Descriptive statistics and exploratory analysis were employed. Results: there were 382 diabetic patients: 289 in Lambayeque and 93 in Piura:112 people were interviewed. The mean age was 59.5 +/- 11.6 years, 58% were women, 59% were from Piura, 43.8% only had primary school and 41.5% reffered 2 to 4 outpatient evaluation in the last two years; 28,6% referred to have been infected by COVID-19: 35,5% in Lambayeque and 23,8% in Piura; 17.8% had poor illness related knowledge’s. About mental health, 62.5% had Depression, 93.8% Anxiety (severe in 80.3%) and 57.1%, both; 50.6% had adequate adherence to therapy. The median of quality of life was 161.5 (IQR=127.1-215) and 24.1% had poor quality of life. In descending order, the more affected dimensions of quality of life were: “control of diabetes”, “Energy and mobility”, “Social charge”, “anxiety” and “sexual performance”. In the exploratory multivariate analysis only anxiety was associated with poor quality of life. Conclusion: illness related knowledge features, mental health, adherence to therapy and quality of life were poor on type 2 diabetics from these two northern cities of Peru. Diabetic anxiety patients had poor quality of life. Source: MeSH


Author(s):  
Fazel Dehvan ◽  
Dler Mohammed Saeed ◽  
Ali Hasanpour Dehkordi ◽  
Reza Ghanei Gheshlagh

Background & Aim: Diabetes is one of the most common chronic metabolic disorders, and one of the essential health-related challenges in today’s world. In addition to different kind of disabilities, diabetes complications can severely impact the quality of life of patients. The present systematic review and meta-analysis are aimed at examining the quality of life of Iranian patients who have type 2 diabetes based on the World Health Organization Quality of Life-BREF. Methods & Materials: A total of 16 articles published in Persian and English were reviewed without any time limitation. The search was conducted in Iranian databases, including Scientific Information Database, Magiran, and IranMedex; and international databases, including Google Scholar, Web of Science, Pub Med, and Scopus. The data was examined using the meta-analysis method and the random-effects model. Heterogeneity was assessed using the I2 statistic. The analyses were conducted in Stata, version 11. Results: The mean quality of life score for patients with type 2 diabetes was 61.90 (95% confidence interval: 54.40-69.40). The highest and lowest quality of life scores were for social support (49.19) and mental health (42.96) dimensions, respectively. No significant association was found between the mean quality of life score and year of publication, methodological quality, and mean age of participants (P>0.05). Conclusion: Given that patients with type 2 diabetes have a lower quality of life, especially in terms of mental health, it seems necessary to better understand psychological problems common in this group of patients and design strategies to overcome them.


2019 ◽  
Vol 25 (1) ◽  
pp. 25-31
Author(s):  
M.R. Gzhegotsky ◽  
O.V. Tymoschuk ◽  
V.G. Cherkasov ◽  
S.V. Dmytrenko ◽  
O.M. Shapoval

Recently, while conducting scientific research in the field of theoretical and preventive medicine, biomedical preventive anthropology and statistical processing of their results, one of the leading places is the cluster analysis procedure, which involves the search for the patterns of grouping as research objects and their leading features in separate local plural and subset, that is, in separate clusters. Researches that provided for determining the leading characteristics of the quality of life and the peculiarities of the course of psychological adaptation processes based on the use of commonly accepted psychohygienic practices of personal questionnaires were conducted on the basis of educational institutions in Ivano-Frankivsk. Statistical analysis of the obtained data provided for the use of descriptive statistics and cluster analysis procedures using the licensed standardized application package of the multivariate statistical analysis “Statistica 6.1 for Windows” (license number ВXXR901E245722FA). The results of the conducted research indicate the existence of an extremely stable structure of the identified groups, among which in all investigated cases, it necessary to note the cluster associated with the leading indicators of quality of life, which united in its structure characteristics of quality of life on the scales Bodily Pain (BP, scale (Physical Functioning), Mental Health (MH, Mental Health Scale), General Health (GH, General Health Scale), Vitality (VT, Viability Scale), and Social Functioning (SF, scale of social functioning), neuro-psychical cluster combining personal and situational anxiety, depressive and asthenic states, as well as an integral cluster that included in its structure the characteristics of quality of life on the scale of Role-Emotional (RE, role-playing role scale) and Role-Physical (RP, scale of role-physical functioning) and indicators of subjective control in health and disease and neuroticism. The obtained data should further find a proper place in the structure of diagnostic and preventive approaches to assess the state of health and functional state of the body of pupils and students.


PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e10903
Author(s):  
Min Tang ◽  
Song-Hao Wang ◽  
Hui-Lin Li ◽  
Han Chen ◽  
Xin-Yi Sun ◽  
...  

Background Coronary heart disease (CHD) is the leading cause of morbidity and mortality among elderly individuals. Patients with CHD are at high risk for mental health disorders, and psychological issues may affect the quality of life (QoL) of these patients. Nevertheless, there is little evidence regarding the psychological issues and QoL of patients with CHD among the elderly population. This study aimed to investigate the relationship between comorbidities and mental status as well as QoL among elderly patients with CHD. Methods Overall, 216 patients were included in this cross-sectional, observational, single-center study. The demographics and clinical manifestations of the patients were collected from electronic medical records. All patients were interviewed using the Chinese version of Symptom Checklist 90 (SCL-90) to assess the mental health status and the World Health Organization Quality of Life-BREF questionnaire (WHOQOL-BREF) to assess the QoL. Results In total, 96 men and 120 women, with a mean age of 71.69 ±  8.30 years, were included. When controlling for the patients’ sex, marital status and stroke, multiple stepwise linear regression analyses suggested that for CHD patients, comorbid type 2 diabetes mellitus had the significant influence on average positive factors (Coef., 5.809; 95% CI [2.467–9.152] p = 0.001); when controlling for the patients’ sex, marital status and type 2 diabetes mellitus, multiple stepwise linear regression analyses suggested that for CHD patients, comorbid stroke had the significant influence on average positive factors (Coef., 8.680; 95% CI [4.826–12.534]; p < 0.001); when controlling for the patients’ sex, marital status, type 2 diabetes mellitus and stroke, multiple stepwise linear regression analyses suggested that for CHD patients, comorbid primary hypertension had the significant influence on phobic anxiety (Coef., 0.178; 95% CI [0.010–0.347]; p = 0.038). Conclusions For elderly CHD patients, comorbid type 2 diabetes mellitus and stroke were at risk for psychological problems and lower QoL. Our findings may guide patients and clinicians to make better decisions and achieve better outcomes.


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