Quality of life ten years after surgery for acute coronary syndrome or stable angina.
OBJECTIVE
To investigate health-related quality of life (QOL) late after coronary artery bypass grafting (CABG) due to acute coronary syndrome (ACS) or stable angina, and also to compare QOL in these two groups to matched samples from the general Swedish population.


METHODS
One-hundred patients with ACS and 100 with stable angina undergoing CABG were included. A Short Form-36 (SF-36) QOL survey was sent to all patients alive in April, 2008 (n = 142). The primary outcome measures were the SF-36 physical component summary (PCS) and mental component summary (MCS) scores.


RESULTS
Response rate was 80%. There was no significant difference in the PCS (39.3 vs. 42.0; p = 0.24) or MCS (47.7 vs. 48.3; p = 0.77) scores between patients with ACS or stable angina after 10.3 years. There was no clinical significant difference in QOL after CABG for ACS or stable angina, and the age- and gender-matched reference population.


CONCLUSIONS
Surgical revascularization offers excellent long term QOL, comparable to that of a matched control population. No difference was found between patients with ACS or stable angina pectoris.
Bjessmo
Staffan
S
Department of Cardiothoracic Surgery and Anesthesiology, Karolinska University Hospital, and Department of Molecular Medicine and Surgery, Karolinska Institutet Stockholm, Sweden. staffan.bjessmo@karolinska.se
Sartipy
Ulrik
U
D054058:Acute Coronary Syndrome / Q000401:mortality / Q000523:psychology / Q000601:surgery*; D000368:Aged; D000787:Angina Pectoris / Q000401:mortality / Q000523:psychology / Q000601:surgery*; D016022:Case-Control Studies; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000401:mortality; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D011795:Surveys and Questionnaires; D013548:Sweden; D013997:Time Factors; D016896:Treatment Outcome