Poor health-related quality of life is a predictor of early, but not late, cardiac events after percutaneous coronary intervention.
Poor health-related quality of life (HRQL) is associated with mortality in cardiac patients. Patients (N=667) with poor HRQL after percutaneous coronary intervention had a higher incidence of early (< or =6 months) major adverse cardiac events (MACE) than did patients with good HRQL, whereas there was no difference for late (>6 months) MACE over a 2-year follow-up period. Poor HRQL remained an independent predictor of early, but not late MACE, adjusting for other risk factors. The same pattern was found for early and late death/non-fatal myocardial infarction. However, further research is warranted before recommending the use of HRQL measures as screening tools in clinical practice.
Pedersen
Susanne S
SS
Department of Medical Psychology, Room P503a, Tilburg University, Warandelaan 2, PO Box 90153, 5000 LE Tilburg, The Netherlands. s.s.pedersen@uvt.nl
Martens
Elisabeth J
EJ
Denollet
Johan
J
Appels
Ad
A
D015906:Angioplasty, Balloon, Coronary / Q000523:psychology* / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality*; D011788:Quality of Life / Q000523:psychology*; D011795:Surveys and Questionnaires; D013997:Time Factors