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Patients with ischemic heart disease: quality of life predicts long-term mortality

L Westin1, T Nilstun, R Carlsson

  • 1Department of Medical Ethics, University of Lund, Sweden.

Scandinavian Cardiovascular Journal : SCJ
|August 16, 2005
PubMed

Insights

Patients' perceived quality of life significantly impacts long-term survival after a cardiac event. Monitoring subjective health, including self-esteem and physical symptoms, is crucial for patient care and prognosis.

Area of Science:

  • Cardiology
  • Psychosomatic Medicine
  • Public Health

Background:

  • Cardiac events significantly impact patient survival and quality of life.
  • Assessing long-term prognosis after cardiac events requires understanding various patient-related factors.

Purpose of the Study:

  • To investigate the prognostic value of perceived quality of life on long-term mortality following a cardiac event.
  • To determine which specific quality of life dimensions predict survival after myocardial infarction, coronary artery bypass grafting, or percutaneous coronary intervention.

Main Methods:

  • A cohort of 413 patients (316 male, 97 female) assessed quality of life one year post-cardiac event (1989-1991).
  • Mortality data were analyzed up to ten years post-assessment using Cox regression, with nine quality of life dimensions as covariates.

Main Results:

  • Subjective general health (RR=3.15), perceived arrhythmia (RR=1.72), sexual life experience (RR=1.55), perceived breathlessness (RR=1.50), and self-esteem (RR=1.48) were significant predictors of mortality.
  • These quality of life dimensions demonstrated a significant relationship with death within the follow-up period.

Conclusions:

  • Patient-perceived quality of life is a significant prognostic indicator for long-term mortality after cardiac events.
  • Clinicians should integrate monitoring of perceived quality of life into patient care for improved outcomes.
Abstract

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