Lifestyle and Quality of Life in Patients with Coronary Artery Disease: A Propensity-Matched Comparison with a Healthy Control Group

Background: The aim of cardiac rehabilitation (CR) is not only physical improvement but also increased quality of life (QoL). A CR programme based upon problem based learning (PBL) philosophy was developed, to achieve and apply new knowledge related to coronary artery disease (CAD). The aim of this paper was to evaluate the impact of the PBL programme on QoL. Methods: 207 consecutive patients < 70 years of age with a recent event of CAD were randomised to a PBL group ( n = 104) or a control group ( n = 103). In addition to standard treatment, the PBL patients participated in 13 group sessions during 1 year, where individual learning needs and behavioural changes were focused upon. QoL was measured by the Ladder of Life, Self-Rated Health (SRH), SF 36, and Cardiac Health Profile (CHP). Results: Significant differences between the groups, favouring the PBL patients, were found by global instruments: more optimistic expectations of the future QoL and a better general condition. No differences were found by SRH, SF 36 or subscales of CHP, but QoL increased in both groups during the year. Conclusions: The main outcome was that QoL improved in both groups with some effects favouring the PBL programme.

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Faculty of 1000 evaluation for Quality of life after PCI vs CABG among patients with diabetes and multivessel coronary artery disease: a randomized clinical trial.

F1000 - Post-publication peer review of the biomedical literature ◽

10.3410/f.718145542.793488343 ◽

2013 ◽

Author(s):

Claudia Martinez

Keyword(s):

Quality Of Life ◽

Coronary Artery Disease ◽

Clinical Trial ◽

Coronary Artery ◽

Randomized Clinical Trial ◽

Multivessel Coronary Artery Disease ◽

Patients With Diabetes ◽

Artery Disease

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A Comparison of the Costs of and Quality of Life After Coronary Angioplasty or Coronary Surgery for Multivessel Coronary Artery Disease

Circulation ◽

10.1161/01.cir.92.10.2831 ◽

1995 ◽

Vol 92 (10) ◽

pp. 2831-2840 ◽

Cited By ~ 93

Author(s):

William S. Weintraub ◽

Patrick D. Mauldin ◽

Edmund Becker ◽

Andrzej S. Kosinski ◽

Spencer B. King

Keyword(s):

Quality Of Life ◽

Coronary Artery Disease ◽

Coronary Artery ◽

Coronary Angioplasty ◽

Coronary Surgery ◽

Multivessel Coronary Artery Disease ◽

Artery Disease

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Assessment of the quality of life in the treatment approaches of patients with the comorbid course of arterial hypertension and metabolic disorders aimed at reducing cardiovascular risk

European Journal of Preventive Cardiology ◽

10.1093/eurjpc/zwab061.211 ◽

2021 ◽

Vol 28 (Supplement_1) ◽

Author(s):

V Zlatkina ◽

V Shkapo ◽

A Nesen ◽

T Starchenko

Keyword(s):

Quality Of Life ◽

Coronary Artery Disease ◽

Coronary Artery ◽

Arterial Hypertension ◽

Metabolic Disorders ◽

Clinical Signs ◽

Blood Analysis ◽

Sf 36 ◽

Artery Disease

Abstract Funding Acknowledgements Type of funding sources: None. Introduction. Cardiovascular diseases (CVD) remain the leading cause of premature death worldwide. According to epidemiological studies CVD prevention is highly effective. A 50% reduction in mortality from coronary artery disease (CAD) is associated with exposure to risk factors and only 40% with improved treatment. Purpose. To assess the quality of life (QOL) in patients with arterial hypertension (AH) and metabolic disorders, to establish its impact on therapy effectiveness. We examined 280 patients with AH and comorbidity - 171 women and 109 men aged 45-75 years. Along with AH, all patients had comorbidities: 72.6 % suffered from coronary artery disease (CAD), 10.5% after myocardial infarction (MI), 35 % had clinical signs of heart failure (HF), 22, 1% - type 2 diabetes mellitus (t2DM), 27.4% - chronic kidney disease (CKD). Methods. Anthropometry, blood pressure (BP) measurement, immunoassay (C-reactive protein), biochemical blood analysis (lipid, carbohydrate metabolism parameters, QOL determination (questionnaire Sf-36). Results. In patients with comorbidity of pathologies (presence of AH, t2DM, CKD, CAD, obesity), there was a decrease in assessments in almost all indicators of QOL, and especially significant limitations in the performance of daily activities due to both physical and mental state. Conclusion. The degree of AH in patients with t2DM decreased QOL of physical activity, role-physical functioning, pain and general health, reflecting physical health, as well as mental health, including vitality, social activity, role emotional functioning. T2DM in patients with AH significantly worsens QOL of this category of patients as in physical component summary and mental component summary. The indicators of QOL are significantly affected by the duration of t2DM, as well as the degree of compensation. Achievement of the target BP levels in patients with AH with t2DM shows an improvement in a number of QOL parameters and makes it possible to recommend the Sf-36 questionnaire as a criterion for the effectiveness of the therapy.

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Epidemiology and prognostic implications of panic disorder and generalized anxiety disorder in patients with coronary artery disease: rationale and design for a longitudinal cohort study

BMC Cardiovascular Disorders ◽

10.1186/s12872-021-01848-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Guillaume Foldes-Busque ◽

Clermont E. Dionne ◽

Stéphane Turcotte ◽

Phillip J. Tully ◽

Marie-Andrée Tremblay ◽

...

Keyword(s):

Quality Of Life ◽

Coronary Artery Disease ◽

Cohort Study ◽

Coronary Artery ◽

Anxiety Disorder ◽

Generalized Anxiety ◽

Cardiac Events ◽

Adverse Cardiac Events ◽

Artery Disease

Abstract Background Anxiety is associated with poorer prognosis in patients with coronary artery disease (CAD). Due to their severity and chronic course, anxiety disorders, particularly generalized anxiety disorder (GAD) and panic disorder (PD), are of considerable interest and clinical importance in this population. This study has two main objectives: (1) to estimate the prevalence and incidence of GAD and PD in patients with CAD over a 2-year period and (2) to prospectively assess the association between PD or GAD and adverse cardiac events, treatment adherence, CAD-related health behaviors, quality of life and psychological distress. Design/Method This is a longitudinal cohort study in which 3610 participants will be recruited following a CAD-related revascularization procedure. They will complete an interview and questionnaires at 5 time points over a 2-year period (baseline and follow-ups after 3, 6, 12 and 24 months). The presence of PD or GAD, adherence to recommended treatments, health behaviors, quality of life and psychological distress will be assessed at each time point. Data regarding mortality and adverse cardiac events will be collected with a combination of interviews and review of medical files. Discussion This study will provide essential information on the prevalence and incidence of anxiety disorders in patients with CAD and on the consequences of these comorbidities. Such data is necessary in order to develop clear clinical recommendations for the management of PD and GAD in patients with CAD. This will help improve the prognosis of patients suffering from both conditions.

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Exercise tolerance and quality of life in patients with known or suspected coronary artery disease

Quality of Life Research ◽

10.1007/s11136-021-02844-y ◽

2021 ◽

Author(s):

Vasiliki Katsi ◽

Georgios Georgiopoulos ◽

Panagiota Mitropoulou ◽

Konstantinos Kontoangelos ◽

Zoi Kollia ◽

...

Keyword(s):

Quality Of Life ◽

Coronary Artery Disease ◽

Coronary Artery ◽

Exercise Tolerance ◽

Suspected Coronary Artery Disease ◽

Artery Disease

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The argument of the ORBITA study: angioplasty is useless

European Heart Journal Supplements ◽

10.1093/eurheartj/suaa055 ◽

2020 ◽

Vol 22 (Supplement_E) ◽

pp. E34-E36

Author(s):

Leonardo Bolognese

Keyword(s):

Quality Of Life ◽

Coronary Artery Disease ◽

Coronary Artery ◽

Functional Capacity ◽

Coronary Angioplasty ◽

Stable Coronary Artery Disease ◽

Artery Disease ◽

Revascularization Procedures ◽

Vessel Coronary Artery

Abstract The goal of treatment in stable coronary artery disease is to improve prognosis and quality of life of the patients. International Guidelines support revascularization procedures for symptomatic patients unresponsive to optimal medical treatment. Previous studies demonstrated, in fact, the therapeutic efficacy of coronary angioplasty in reducing angina and improving the functional capacity of these patients. The ORBITA study, recently published, challenged these assertions by demonstrating the lack of benefit of angioplasty over placebo in terms of effort tolerance in a population of patients with single-vessel coronary artery disease. What lesson could we learn from the ORBITA study?

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