Quality of Life Measures in Acute Coronary Syndromes: The Evaluation of Predictors in this Field of Research

  • R. Coelho
  • J. Prata
Reference work entry


Cardiovascular disease (CVD) is the main cause of premature death in most European countries and is an important source of disability and loss of productivity in populations in general. Traditional cardiovascular risk factors are nowadays clearly identified and part of risk stratification strategies. Psychosocial factors contribute independently to the risk of coronary artery disease (CAD) by increasing the risk of a first acute event, worsen prognosis in CAD, and difficult the effort to improve lifestyle and promote health and wellbeing in patients.

Health-related quality of life ( HRQOL) represents one component of general quality of life and focuses on the effects of health limitations on functioning and well-being. HRQOL measurement has become particularly important in the evaluation of cardiac patients. Generic instruments provide a broad assessment of health status and allow comparisons between patients with different medical conditions while specific instruments focus on problems associated with a specific disease and tend to be more sensitive in discriminating the range of impairment in HRQOL.

In the present chapter, the authors focus on the evaluation of HRQOL in cardiac patients and resume some of the relevant work regarding  predictors of HRQOL in acute coronary syndromes. Predictors of HRQOL can be grouped into physiological/biological factors (e.g., prior cardiovascular events, congestive heart failure, diabetes), symptoms (emotional and cognitive variables such as depression and anxiety), individual characteristics (e.g., age and gender) and environmental characteristics (e.g., optimization of medical treatment and  cardiac rehabilitation programs). Major difficulties in this field of research are also considered and challenges for future research are set.


Acute Coronary Syndrome Coronary Artery Bypass Graft Acute Myocardial Infarction Coronary Artery Bypass Graft Surgery Psychosocial Risk Factor 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of Abbreviations:


acute coronary syndromes


acute myocardial infarction


coronary artery bypass surgery


coronary artery disease


congestive heart failure


cardiovascular limitations and symptoms profile


cardiovascular disorders


health-related quality of life


major depressive disorder


myocardial infarction dimensional assessment scale


Nottingham health needs assessment


New York Heart Association Classification


percutaneous coronary intervention


quality of life after myocardial infarction


quality of life


quality-adjusted life years


Seattle Angina questionnaire


medical outcomes study short form 36


sickness impact profile


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© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • R. Coelho
  • J. Prata

There are no affiliations available

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