Health related quality of life after conservative or invasive treatment of inducible postinfarction ischaemia

O. S. Mortensen, J. K. Madsen, T. Haghfelt, P. Grande, K. Saunamaki, S. Haunso, E. Hjelms, H. Arendrup

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    Objectives - To assess health related quality of life in patients with inducible postinfarction ischaemia. Design - A questionnaire based follow up study on patients randomised to conservative or invasive treatment because of postinfarction ischaemia. Setting - Seven county hospitals in eastern Denmark and the Heart Centre, National University Hospital, Copenhagen, Denmark. Patients - 113 patients with inducible postinfarction ischaemia: 51 were randomised to conservative treatment and 62 to invasive treatment. Average follow up time was three years (19-57 months). Main outcome measures - SF-36, Rose angina and dyspnoea questionnaire, drug use, lifestyle, and cognitive function. ResultsInvasively treated patients scored better on the SF-36 scales of physical functioning (p = 0.03) and on role-physical (p = 0.04) and physical component scales (p = 0.05) and took significantly less anti-ischaemic drug treatment. Angina occurred in 18% of the invasively treated patients and 31% of the conservatively treated patients (p = 0.09). However, more invasively treated patients suffered from concentration difficulties (18% v 4%; p = 0.04). ConclusionsPatients who were treated invasively had better health related quality of life scores in the physical variables compared with conservatively treated patients. However, a larger proportion of invasively treated patients had concentration difficulties.

    Sider (fra-til)535-540
    Antal sider6
    Udgave nummer5
    StatusUdgivet - 20 nov. 2000

    Fingeraftryk Udforsk hvilke forskningsemner 'Health related quality of life after conservative or invasive treatment of inducible postinfarction ischaemia' indeholder.