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Indicators of myocardial dysfunction and quality of life, one year after acute infarction
Author(s) -
Ecochard René,
Colin Cyrille,
Rabilloud Muriel,
Gevigney Guy,
Cao Danièle,
Ducreux Corinne,
Delahaye François
Publication year - 2001
Publication title -
european journal of heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.149
H-Index - 133
eISSN - 1879-0844
pISSN - 1388-9842
DOI - 10.1016/s1388-9842(01)00171-4
Subject(s) - medicine , quality of life (healthcare) , myocardial infarction , heart failure , nottingham health profile , univariate analysis , ejection fraction , logistic regression , cardiology , physical therapy , multivariate analysis , pathology , alternative medicine , nursing
Background: There remains controversy concerning the association between myocardial dysfunction diagnosed soon after acute myocardial infarction (AMI), and subsequent quality of life. Aims: We searched for a correlation between criteria of myocardial dysfunction assessed within the first month after AMI, 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 was associated 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.