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Titolo:
Indicators of myocardial dysfunction and quality of life, one year after acute infarction
Autore:
Ecochard, R; Colin, C; Rabilloud, M; de Gevigney, G; Cao, D; Ducreux, C; Delahaye, F;
Indirizzi:
Hospices Civils Lyon, Dept Med Informat, Unite Biostat, F-69424 Lyon 03, France Hospices Civils Lyon Lyon France 03 ite Biostat, F-69424 Lyon 03, France Hospices Civils Lyon, Hop Cardiol, Serv Cardiol, Lyon, France Hospices Civils Lyon Lyon France op Cardiol, Serv Cardiol, Lyon, France
Titolo Testata:
EUROPEAN JOURNAL OF HEART FAILURE
fascicolo: 5, volume: 3, anno: 2001,
pagine: 561 - 568
SICI:
1388-9842(200110)3:5<561:IOMDAQ>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
NOTTINGHAM-HEALTH-PROFILE; CORONARY-ARTERY DISEASE; OF-LIFE; BYPASS-SURGERY; HEART-FAILURE; FOLLOW-UP; FUNCTIONAL STATUS; ANGINA; TRIAL; REVASCULARIZATION;
Keywords:
heart failure; myocardial dysfunction; quality of life; acute myocardial infarction; coronary angiography; Nottingham Health Profile;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Ecochard, R Hospices Civils Lyon, Dept Med Informat, Unite Biostat, 162 Ave Lacassagne, F-69424 Lyon 03, France Hospices Civils Lyon 162 Ave Lacassagne Lyon France 03 France
Citazione:
R. Ecochard et al., "Indicators of myocardial dysfunction and quality of life, one year after acute infarction", EUR J HE FA, 3(5), 2001, pp. 561-568

Abstract

Background: There remains controversy concerning the association between myocardial dysfunction diagnosed soon after acute myocardial infarction (AMD, and subsequent quality of life. Aims: We searched for a correlation between criteria of myocardial dysfunction assessed within the first month afterAMI, and quality of life perceived 1 year later. Methods: Six hundred and seventy-one patients were followed up and quality of life was assessed using the Nottingham Health Profile. Spearman correlation was used for univariate analyses. A logistic regression identified independent predictors of impaired quality of life. Results: Patients perceiving inferior quality of life were 61% for energy, 61% for sleep, 49% for physical mobility, 49% for pain, 63% for emotional reactions, and 28% for social isolation. Impaired quality of life was not associated with the initial Killip class. A low ejection fraction was associated with impaired physical mobility (OR = 1.21, 95% CI = 1.05-1.39). Presence of abnormally contracting myocardial segments wasassociated with impaired mobility (1.40, 1.09-1.80) and with increased pain (1.30, 1.02-1.66). The presence of diseased coronary vessels was associated with pain (1.25, 1.06-1.46). Conclusion: Myocardial dysfunction was generally associated with impaired quality of life. This has to be considered when assessing improvement of quality of life after medical or surgical treatment of AMI. (C) 2001 European Society of Cardiology. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 18:49:33