Quality of life of patients with myocardial infarction
Keywords:
Acute myocardial infarction, Anxiety, Depression, Psychosocial factorsAbstract
The information about how different factors impact on quality of life of patients with AMI remains unclear. The aim of this study was to analyze how different factors impact over the quality of life of patients who had suffered an AMI. Methods: We conducted a survey of quality of life (EQ5D questionnaire and the EQ VAS scale) and follow-up of a cohort of patients who had suffered an AMI and compared them with a control group. Results: There were no differences in relation to motility disorders, personal care, daily activities or pain; although 69% of patients in the AMI group had some problems in quality of life compared to 39% in the control group (p <0.001). Overall the EQ VAS scale represented an average of 80.3 in the AMI group and 88.7 in the control group (p = 0.001). The EQ5D index was lower in the AMI group (0.8861) than in the control group (0.9317) (p=0.03). These differences were found in
relation to the question about anxiety and depression: 48% of patients in the AMI group reported developing anxiety / depression against only 11% in the control group (p <0.0001). Similarly, patients who reported being anxious / depressed had a higher percentage of cardiovascular events in the follow-up (38% vs 26% p <0.005). Conclusions: In patients who had an AMI, factors such as anxiety / depression were more frequent and had a negative impact on quality of life.