eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Contact Instructions for authors Publication charge Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
3/2006
vol. 3
 
Share:
Share:
abstract:

Kardiochirurgia dorosłych
Influence of hypertension on health-related quality of life in patients with acute coronary syndromes without ST-segment elevation assigned to coronary artery bypass graft surgery. Two-year follow-up

Bożena Szyguła-Jurkiewicz
,
Przemysław Trzeciak
,
Alicja Michalak
,
Tomasz Styn
,
Roman Przybylski
,
Jerzy Pacholewicz
,
Bogusław Ryfiński
,
Jerzy Foremny
,
Marian Zembala
,
Lech Poloński

Kardiochir Torakochir Pol 2006; 3 (3): 275–280
Online publish date: 2006/09/15
View full text Get citation
 

Aim: The aim of the study was to compare 2-year health-related quality of life in patients with hypertension (group A) versus patients with normal blood pressure (group B) among 261 patients with acute coronary syndromes without ST-segment elevation who underwent early invasive strategy and coronary artery bypass grafting (CABG).
Material and methods: The study group comprised patients with an episode of rest angina within 24 hours prior to admission who additionally fulfilled at least one of the following criteria: 1) ST-segment depression (≥0.5 mm) in at least 2 contiguous leads, 2) transient (<20 min) ST-segment elevation or T-wave inversion (≥1mm) in at least 2 contiguous leads, 3) positive serum cardiac markers: troponin T (>0.1 ng/ml) or CK-MB (>5 ng/ml). All patients were sent Short Form (SF-36) health surveys 2 years after hospitalization. 240 (92%) completed the questionnaire. Group A comprised 157 patients whereas group B comprised 83 patients. Mental Component Summary Score (MCS) and Physical Component Summary Score (PCS) were compared between groups.
Results: During the 2-year follow-up patients in group A more often required hospitalization (23 vs 10%, p <0.01), but percutaneous coronary interventions were less frequent in this group (0 vs 5%, p=0.03). The rate of unstable angina during follow-up was similar in both groups (5 vs 5%, NS). We found worse health-related quality of life in patients in group A regarding both Physical (41.51±10.61 vs 42.58±6.74, p<0.004) and Mental Component Summary (45.54±12.35 vs 48.95±9.9, p<0.03).
Conclusion: The perception of mental and physical health obtained on the basis of patients’ subjective opinion 2 years after CABG surgery is worse in patients with concomitant hypertension.
keywords:

health-related quality of life, SF-36, acute coronary syndromes without ST-segment elevation, coronary artery bypass grafting, early invasive strategy

Quick links
© 2024 Termedia Sp. z o.o.
Developed by Bentus.