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

  • R. Coelho
  • J. Prata
Reference work entry

Abstract:

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.

Keywords

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:

ACS

acute coronary syndromes

AMI

acute myocardial infarction

CABG

coronary artery bypass surgery

CAD

coronary artery disease

CHF

congestive heart failure

CLASP

cardiovascular limitations and symptoms profile

CVD

cardiovascular disorders

HRQOL

health-related quality of life

MDD

major depressive disorder

MIDAS

myocardial infarction dimensional assessment scale

NHNA

Nottingham health needs assessment

NHYA

New York Heart Association Classification

PCI

percutaneous coronary intervention

QLMI

quality of life after myocardial infarction

QOL

quality of life

QUALY

quality-adjusted life years

SAQ

Seattle Angina questionnaire

SF-36

medical outcomes study short form 36

SIP

sickness impact profile

References

  1. Achar SA, Kundu S, Norcross WA. (2005). Am Fam Physician. 72: 119–126.PubMedGoogle Scholar
  2. Albert SM. (1997). J Mental Health Aging. 3: 101.Google Scholar
  3. Asadi-Lari M, Packham C, Gray D. (2003). Health Qual Life Outcomes. 1: 50.PubMedCrossRefGoogle Scholar
  4. Beck CA, Joseph L, Bélisle P, Pilote L. (2001). Am Heart J. 142: 271–279.PubMedCrossRefGoogle Scholar
  5. Bhattacharyya MR, Perkins-Porras L, Whitehead DL, Steptoe A. (2007). Eur Heart J. 28: 160–165.PubMedCrossRefGoogle Scholar
  6. Carney RM, Blumenthal JA, Stein PK, Watkins L, Catellier D, Berkman LF, Czajkowski SM, O’Connor C, Stone PH, Freedland KE. (2001). Circulation. 104: 2024–2028.PubMedCrossRefGoogle Scholar
  7. Chan DSK, Chau JPC, Chang AM. (2005). J Adv Nurs. 49: 591–599.PubMedCrossRefGoogle Scholar
  8. Coelho R, Ramos E, Prata J, Maciel J, Barros H. (1999). J Cardiovasc Risk. 6: 157–162.PubMedGoogle Scholar
  9. Dempster M, Donnelly M. (2000). Heart. 83: 641–644.PubMedCrossRefGoogle Scholar
  10. Dias CC, Mateus P, Santos L, Mateus C, Sampaio F, Adão L, Bettencourt N, Ribeiro J, Teixeira M, Fonseca C, Simões L, Coelho R, Ferreira PL, Ribeiro VG. (2005). Rev Port Cardiol. 24: 819–831.PubMedGoogle Scholar
  11. Dixon T, Lim LLY, Heller RF. (2001). J Clin Epidemiol. 54: 952–960.PubMedCrossRefGoogle Scholar
  12. Elis JJ, Eagle KA, Kline-Rogrs EM, Erickson SR. (2005). Int J Cardiol. 99: 443–447.CrossRefGoogle Scholar
  13. Emery CF, Frid DJ, Engebretson TO, Alonzo AA, Fish A, Ferketich AK, Reynolds NR, Dujardin J-PL, Homan JE, Stern SL. (2004). Psychosom Med. 66: 190–197.PubMedCrossRefGoogle Scholar
  14. European guidelines on cardiovascular disease prevention in clinical practice. (2003). Eur J Cardiovasc Prev Rehabil. 10: S1–S78.Google Scholar
  15. Fava G. (1990). Psychother Psychosom. 54: 70–76.PubMedCrossRefGoogle Scholar
  16. Garratt AM, Hutchinson A, Russell I. (2001). J Clin Epidemiol. 54: 907–915.PubMedCrossRefGoogle Scholar
  17. Glassman Ah, Bigger JT, Gaffney M, Shapiro PA, Swenson R. (2006). Arch Gen Psychiatry. 63: 283–288.PubMedCrossRefGoogle Scholar
  18. Guyatt GH. (1993). J Am Coll Cardiol. 22: 185A–191A.PubMedCrossRefGoogle Scholar
  19. Heller RF, Lim L, Valenti L, Knapp J. (1997). Int J Cardiol. 59: 161–166.PubMedCrossRefGoogle Scholar
  20. Kaul P, Lytle BL, Spertus JA, DeLong ER, Peterson ED. (2005). Circulation. 111: 1284–1290.PubMedCrossRefGoogle Scholar
  21. Kim J, Henderson RA, Pocock SJ, Clayton T, Sculpher MJ, Fox KAA. (2005). J Am Coll Cardiol. 45: 221–228.PubMedCrossRefGoogle Scholar
  22. Lacey EA, Walters SJ. (2003). J Epidemiol Community Health. 57: 622–627.PubMedCrossRefGoogle Scholar
  23. Leal A, Paiva C, Hofer S, Amado J, Gomes L, Oldridge N. (2005). Qual Life Res. 14: 2335–2341.PubMedCrossRefGoogle Scholar
  24. Le Grande MR, Elliott PC, Murphy BM, Worcester MUC, Higgins RO, Ernest CS, Goble AJ. (2006). Health Qual Life Outcomes. 4: 49.PubMedCrossRefGoogle Scholar
  25. Norris CM, Ghali WA, Galbraith PD, Graham MM, Jensen LA, Knudtson ML. (2004). Health Qual Life Outcomes. 2: 21.PubMedCrossRefGoogle Scholar
  26. Pederson SS, Denollet J. (2003). Eur J Cardiovasc Prev Rehabil. 10: 241–248.CrossRefGoogle Scholar
  27. Peterson PN, Spertus JA, Magid DJ, Masoudi FA, Reid K, Hamman RF, Rumsfeld JS. (2006). BMC Cardiovasc Disord. 6: 41.PubMedCrossRefGoogle Scholar
  28. Rozanski A, Blumenthal JA, Kaplan J. (1999). Circulation. 99: 2192–2217.PubMedGoogle Scholar
  29. Rumsfeld JS, Magid DJ, Plomondon ME, O’Brien MM, Spertus JA, Evry NR, Sales AE. (2001). Am J Cardiol. 88: 781–784.PubMedCrossRefGoogle Scholar
  30. Rumsfeld JS, Magid DJ, Plomondon ME, Sales AE, Grunwald GK, Every NR, Spertus JA. (2003). Am Heart J. 143: 493–499.CrossRefGoogle Scholar
  31. Ruo B, Rumsfeld JS, Hlatky MA, Liu H, Browner WS, Whooley MA. (2003). JAMA. 290: 215–221.PubMedCrossRefGoogle Scholar
  32. Schipper H, Clinch JJ, Olweny CLM. (1996). In: Spiker B (ed.) Quality of Life and Pharmacoeconomics in Clinical Trials. Lippincott-Raven, Philadelphia, PA, pp. 11–23.Google Scholar
  33. Shephard RJ, Franklin B. (2001). J Cardiopul Rehabil. 21: 189–200.CrossRefGoogle Scholar
  34. Siegrist J, Junge A. (1990). Psychother Psychosom. 54: 90–98.PubMedCrossRefGoogle Scholar
  35. Spertus JA, Dewhurst TA, Dougherty CM, Nichol P, McDonell M, Bliven B, Fihn SD. (2002). Am Heart J. 143: 145–150.PubMedCrossRefGoogle Scholar
  36. Spertus JA, McDonell M, Woodman C, Fihn SD. (2000). Am Heart J. 140: 105–110.PubMedCrossRefGoogle Scholar
  37. Spertus J, Safley D, Garg M, Jones P, Peterson ED. (2005). J Am Coll Cardiol. 46: 1838–1844.PubMedCrossRefGoogle Scholar
  38. Steptoe A, Strike PC, Perkins-Porras L, McEwan JR, Whitehead DL. (2006). Biol Psychiatry. 60: 837–842.PubMedCrossRefGoogle Scholar
  39. Strik JJ, Honig A, Maes M. (2001). Prog Neuropsychopharmacol Biol Psychiatry. 25: 879–892.PubMedCrossRefGoogle Scholar
  40. Strike PC, Steptoe A. (2002). Heart. 88: 441–443.PubMedCrossRefGoogle Scholar
  41. Swenson JR, Clinch JJ. (2000). J Psychosom Res. 48: 405–415.PubMedCrossRefGoogle Scholar
  42. Swenson JR, O’Connor CM, Barton D, Van Zyl LT, Swedberg K, Forman LM, Gaffney M, Glassman AH. (2003). Am J Cardiol. 92: 1271–1276.PubMedCrossRefGoogle Scholar
  43. Szygula-Jurkiewicz B, Zembala M, Wilczek K, Wojnicz R, Polonski L. (2005). Eur J Cardiothorac Surg. 27: 882–886.PubMedCrossRefGoogle Scholar
  44. Thompson DR, Yu CM. (2003). Health Qual Life Outcomes. 1: 42.PubMedCrossRefGoogle Scholar
  45. Vaccarino V, Lin Zq, Kasl SV, Mattara JA, Abramson JL, Krumhlz HM. (2003). Circulation. 108: 2642–2647.PubMedCrossRefGoogle Scholar
  46. van Jaarsveld CH, Sanderman R, Ranchor AV, Ormel J, van Veldhuisen DJ, Kempen GI. (2002). J Clin Epidemiol. 55: 1105–1112.PubMedCrossRefGoogle Scholar
  47. Veenstra M, Petterson KI, Rolag A, Stavem K. (2004). Health Qual Life Outcomes. 2: 56.PubMedCrossRefGoogle Scholar
  48. Vingerhoets G. (1998). Psychosomatics. 39: 30–37.PubMedGoogle Scholar
  49. Yuval R, Halon DA, Lewis BS. (2007). Eur J Cardiovasc Nurs. 6: 287–292.PubMedCrossRefGoogle Scholar
  50. Zellweger MJ, Osterwalder RH, Langewitz W, Pfisterer ME. (2004). Eur Heart J. 25: 3–9.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • R. Coelho
  • J. Prata

There are no affiliations available

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