title: Quality of life of patients after an acute coronary event: hospital discharge.
abstract: BACKGROUND
  The acute coronary syndrome (ACS) has a high morbi-mortality rate, including physical deficiencies and functional limitations with impact on quality of life. Cardiovascular rehabilitation 1 (CVR1) should begin as early as possible, to enable improvement in functional capacity and quality of life. Previous studies have shown association of cardiovascular diseases with quality of life, in which depression and anxiety are the domains most altered. The aim of the study is to verify the impact of an acute coronary event on quality of life at the moment of hospital discharge.
  
  
  METHODS
  This was a cross-sectional study, with ACS patients hospitalized in ICU of a private hospital in the city of Salvador, Brazil, submitted to CVR1. The quality of life questionnaire Euroqol-5D was applied on discharge from hospital. Patients included in the study were those with ACV, who had medical permission to walk, had not been submitted to acute surgical treatment, were time and space oriented, and over the age of 18 years. Patients excluded from the study were those with cognitive, orthopedic and neurological problems, who used orthesis on a lower limb, and were in any condition of risk at the time of beginning with CVR1. Data were collected by a previously trained ICU team.
  
  
  RESULTS
  Data were collected of 63 patients who revealed compromise in the domains of pain/feeling ill (20.63%) and anxiety/depression (38.09%). Statistical significance was observed in the association between sex and pain/feeling ill (P < 0.01), sex and anxiety/depression (P < 0.01), diabetes and mobility (P < 0.01), hereditary factors and anxiety/depression (p < 0.01), BMI and pain/feeling ill (P < 0.01).
  
  
  CONCLUSIONS
  In this sample of patients, on discharge from hospital after ACS, the pain/feeling ill and anxiety/depression domains were shown to be compromised.
authors.affiliation: Bahiana School of Medicine, Salvador, Bahia, Brazil ; Hospital Alianca, Salvador, Bahia, Brazil ; ASSOBRAFIR, Salvador, Bahia, Brazil.
authors.forename: Cristiane Maria Carvalho Costa
authors.initials: CM
authors.lastname: Dias
authors.affiliation: Bahiana School of Medicine, Salvador, Bahia, Brazil ; ASSOBRAFIR, Salvador, Bahia, Brazil ; State University of Bahia, Salvador, Bahia, Brazil.
authors.forename: Luciana Bilitario
authors.initials: LB
authors.lastname: Macedo
authors.affiliation: Bahiana School of Medicine, Salvador, Bahia, Brazil.
authors.forename: Lilian Tapioca Jones Cunha
authors.initials: LT
authors.lastname: Gomes
authors.affiliation: Bahiana School of Medicine, Salvador, Bahia, Brazil.
authors.forename: Paula Luzia Seixas Pereira
authors.initials: PL
authors.lastname: de Oliveira
authors.affiliation: Bahiana School of Medicine, Salvador, Bahia, Brazil.
authors.forename: Iana Verena Santana
authors.initials: IV
authors.lastname: Albuquerque
authors.affiliation: Bahiana School of Medicine, Salvador, Bahia, Brazil.
authors.forename: Amanda Queiroz
authors.initials: AQ
authors.lastname: Lemos
authors.affiliation: Bahiana School of Medicine, Salvador, Bahia, Brazil.
authors.forename: Cristina Aires
authors.initials: CA
authors.lastname: Brasil
authors.affiliation: Hospital Alianca, Salvador, Bahia, Brazil ; Hospital Cardio Pulmonar, Salvador, Bahia, Brazil.
authors.forename: Eloisa Pires Ferreira
authors.initials: EP
authors.lastname: Prado
authors.affiliation: Hospital Cardio Pulmonar, Salvador, Bahia, Brazil.
authors.forename: Pedro Santiago
authors.initials: PS
authors.lastname: Macedo
authors.affiliation: Hospital Alianca, Salvador, Bahia, Brazil ; ASSOBRAFIR, Salvador, Bahia, Brazil ; Hospital Santa Izabel, Salvador, Bahia, Brazil.
authors.forename: Francisco Tiago Oliveira
authors.initials: FT
authors.lastname: de Oliveira
authors.affiliation: Bahiana School of Medicine, Salvador, Bahia, Brazil ; Federal University of Bahia, Brazil ; Hospital Geral do Estado, Brazil.
authors.forename: Helena Franca Correia
authors.initials: HF
authors.lastname: Dos Reis
authors.affiliation: Hospital Cardio Pulmonar, Salvador, Bahia, Brazil.
authors.forename: Eduardo Sahade
authors.initials: ES
authors.lastname: Darze
authors.affiliation: Bahiana School of Medicine, Salvador, Bahia, Brazil.
authors.forename: Armenio Costa
authors.initials: AC
authors.lastname: Guimaraes
keywords: Acute coronary syndrome; Cardiovascular rehabilitation 1; Life quality
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