title: Quality of life after surgical myocardial revascularization, angioplasty or medical treatment.
abstract: BACKGROUND
  Although the clinical benefits of coronary interventions seem to be confirmed, their effects on quality of life (QoL) are still scarcely studied.
  
  
  OBJECTIVE
  To assess the QoL in multivessel coronary disease in patients randomly undergoing surgery, angioplasty or medical treatment.
  
  
  METHODS
  The Short-Form Health Survey (SF-36) questionnaire was answered by 483 patients. Of these, 161 underwent surgical revascularization, 166 underwent angioplasty, and 153 were medically treated.
  
  
  RESULTS
  At baseline, 86% of the patients referred angina, 34% referred infarction, and 32% were smokers. Medical Treatment: 12 patients (7.7%) had AMI, 24 (15.3%) underwent surgery, and 19 (12.1%) died. In addition, 5 (3.2%) had stroke, and 40 (25.6%) had angina. As regards the mental component, 64.1% and 30.8% had their condition improved and worsened, respectively. As regards the physical component, 70.5% and 27.6% had their condition improved and worsened, respectively.
  
  
  METHODS
  13 patients (8.1%) had AMI, 2 (1.2%) underwent surgery, and 12(7.4%) died. Also, 9 (5.6%) had stroke and 30 (18.6%) had angina. As regards the mental component, 72.7 % and 25.5% had their condition improved and worsened, respectively. As regards the physical component, 82.6% and 16.1% had their condition improved and worsened, respectively. Angioplasty: 18 patients (10.9%) had AMI, 51 (30.7%) underwent interventions, and 18 (19.9%) died. Additionally, six (3.6%) presented stroke and 35 (21%) reported angina. As regards the mental component, 66.9% and 26.5% had their condition improved and worsened, respectively. As regards the physical component, 77.1% and 20.5% had their condition improved and worsened, respectively.
  
  
  CONCLUSIONS
  Improvement was observed in all domains and in the three therapeutic modalities. Comparatively, surgery had provided a better quality of life after a four-year follow-up.
authors.affiliation: Instituto do Coração, Hospital das Clínicas, FM, USP, São Paulo, SP, Brazil.
authors.forename: Myrthes Emy
authors.initials: ME
authors.lastname: Takiuti
authors.forename: Whady
authors.initials: W
authors.lastname: Hueb
authors.forename: Shirley Borghetti
authors.initials: SB
authors.lastname: Hiscock
authors.forename: Célia Regina Simões da Rocha
authors.initials: CR
authors.lastname: Nogueira
authors.forename: Priscyla
authors.initials: P
authors.lastname: Girardi
authors.forename: Fabio
authors.initials: F
authors.lastname: Fernandes
authors.forename: Desiderio
authors.initials: D
authors.lastname: Favarato
authors.forename: Neuza
authors.initials: N
authors.lastname: Lopes
authors.forename: Jorge Chiquie
authors.initials: JC
authors.lastname: Borges
authors.forename: Aécio Flávio Teixeira
authors.initials: AF
authors.lastname: de Góis
authors.forename: José Antonio Franchini
authors.initials: JA
authors.lastname: Ramires
mesh_terms: D000800:Angioplasty, Balloon; D003324:Coronary Artery Disease / Q000401:mortality / Q000523:psychology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009204:Myocardial Revascularization; D011788:Quality of Life; D011795:Surveys and Questionnaires; D016019:Survival Analysis; D016896:Treatment Outcome