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Chronic Illn. 2007 Mar;3(1):66-76.

The impact of angina and cardiac history on health-related quality of life and depression in coronary heart disease patients.

Author information

  • 1University Health Network Women's Health Program, Toronto General Hospital, EN7-235, 200 Elizabeth St, Toronto, ON M5G 2C4, Canada. sgravely@uhnresearch.ca

Abstract

OBJECTIVE:

To prospectively examine the contribution of angina and cardiac history to health-related quality of life (HRQoL) and depression in cardiac patients, over 6 months post-hospitalization.

METHODS:

Participants were myocardial infarction (MI), percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) outpatients under the age of 70 years. One hundred and seventy-one patients consented to participate, with 121 patients being retained 6 months later (71% response rate). The impact of the patient's cardiac history and the presence of angina on physical, social and emotional HRQoL and depression was examined.

RESULTS:

At baseline, cardiac history was not significantly related to any of the dimensions of HRQoL or depression. At 6-month follow-up, cardiac history significantly predicted a higher level of depression, and angina was predictive of a significantly worse emotional, physical and social HRQoL and a higher level of depression.

DISCUSSION:

The presence of a cardiac history is associated with depression 6 months post-cardiac event, and angina is associated with both an adverse HRQoL and higher levels of depression. As past research has demonstrated that depression is a risk factor for mortality in patients with established heart disease, it is important from both a clinical and a research perspective to address these issues.

PMID:
18072698
PMCID:
PMC2924368
DOI:
10.1177/1742395307079192
[PubMed - indexed for MEDLINE]
Free PMC Article
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