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Echocardiographic Parameters as Life Quality Predictors in Patients After Myocardial Infarction Treated with
Alen Dzubur1, Mevludin Mekic1, Senad Pesto2
1Clinic for Heart Diseases, Blood Vessels and Rheumatism, University Clinical Center of Sarajevo University, Sarajevo, Bosnia and Herzegovina.
Insights
Ejection fraction significantly impacts quality of life after myocardial infarction. Higher ejection fraction correlates with better quality of life in patients, irrespective of treatment type.
Area of Science:
- Cardiology
- Clinical Epidemiology
Background:
- Cardiovascular diseases are a leading global cause of mortality.
- Myocardial infarction (MI) significantly affects patient quality of life (QoL).
- Understanding QoL post-MI is crucial for patient management.
Purpose of the Study:
- To assess QoL in patients one year after myocardial infarction.
- To identify differences in QoL based on treatment modality.
- To explore the relationship between QoL and echocardiographic parameters post-MI.
Main Methods:
- Prospective, clinical, epidemiological study of 160 MI patients.
- Patients categorized into four groups based on treatment: MI, Percutaneous Coronary Intervention (PCI), and Coronary Artery Bypass Grafting (CABG).
- Quality of life assessed using the SF-36 questionnaire one year post-event/procedure.
Main Results:
- Patients undergoing PCI (Group II) reported the highest QoL scores (67.3±15.2).
- Ejection fraction (EF) positively correlated with QoL across all subscales and treatment groups.
- Mitral regurgitation showed significant effects only on the mental health scale in specific groups.
Conclusions:
- Ejection fraction is the primary determinant of QoL in post-MI patients.
- Treatment modality influences QoL, with PCI showing favorable outcomes.
- Echocardiographic parameters, particularly EF, are vital indicators of QoL post-myocardial infarction.
Introduction:
Cardiovascular diseases are the leading cause of death in most countries. The aim was to examine the quality of life and to determine the differences in the quality of life in patients one year after myocardial infarction and the relationship between quality of life and echocardiographic parameters in these patients.
Material And Methods:
The research was a prospective, clinical, epidemiological study and was conducted at the Clinic of Cardiology, University Clinical Center Sarajevo (UCCS). The research was conducted on a sample of 160 patients who had acute myocardial infarction, which are based on the therapeutic procedures divided into four groups. The average age in the total sample was 54.9±8.8 years (range 37-76 years). The research was conducted one year after myocardial infarction (I group of subjects) or 12 months after PCI therapeutic procedures (II and III group of respondents) or coronary artery bypass surgery (IV group of respondents).
Results:
Comparison of the mean scores of scales in SF-36 questionnaire showed that the highest total score had patients in the group II 67.3±15.2, and the lowest in the group I 57.8±21.4. The increase in ejection fraction leads to a statistically significant increase in quality of life scores at all subscales, in all groups, so that EF has the greatest impact on the quality of life in all respondents. Statistically significant differences in the effects of mitral regurgitation in particular groups have been recorded only in the case of the mental health scale.
Conclusions:
Ejection fraction has the greatest impact on the quality of life in all patients, regardless of the type of medical treatment.
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