Quality of Life Research

, Volume 14, Issue 3, pp 769–778 | Cite as

Quality of life before and after heart valve surgery is influenced by gender and type of valve

  • Marie-Christine Taillefer
  • Gilles Dupuis
  • Jean-François Hardy
  • Sylvie LeMay


Background: Quality of life (QoL) in valvular surgery may differ according to the underlying pathology and surgical technique used. Method: 82 adults undergoing their first elective surgery for valve repair (VP; n=9) or valve replacement (VR) with a mechanical valve (MVR; n=57) or bioprosthesis (BVR; n=16) were assessed before surgery and three months afterwards. Dependent variables: Δ scores (postoperative – preoperative) on QoL measures (Quality of Life Systemic Inventory (QLSI) and SF-36). Analyses: Paired t tests and ANCOVAs with age and preoperative QoL scores as covariates. Results: QoL improves after surgery according to most subscales. According to group comparisons, patients with an MVR improve more than those with a BVR on the mental health subscale. In physical roles, patients with an MVR improve while those with a BVR deteriorate. In emotional roles, patients with a VR improve while those with a VP deteriorate. However, they are similar on all other subscales. Women improve more than men on leisure, affectivity and social functioning while the opposite holds true for mental health. Conclusion: QoL improves after surgery. However, significant differences between groups are small because of a lack of statistical power.


Cardiac surgery Gender Heart valve prosthesis Quality of life 



analysis of covariance




coronary artery bypass graft


mechanical valve replacement


Quality of Life Systemic Inventory


quality of life


Medical Outcome Study Short-Form 36


valve repair


valve replacement


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Copyright information

© Springer 2005

Authors and Affiliations

  • Marie-Christine Taillefer
    • 1
  • Gilles Dupuis
    • 2
  • Jean-François Hardy
    • 3
  • Sylvie LeMay
    • 4
  1. 1.Department of Psychology (currently Department of AnesthesiologyMontreal Heart InstituteCanada
  2. 2.Department of Psychology, Department of Psychosomatic MedicineMontreal Heart InstituteQuebecCanada
  3. 3.Faculty of Medicine, Department of AnesthesiologyUniversité de MontréalCanada
  4. 4.Faculty of NursingUniversité de MontréalQuebecCanada

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