Health-Related Quality-of-Life after Percutaneous Coronary Intervention in Patients with UA/NSTEMI and STEMI: the Korean Multicenter Registry.
10.3346/jkms.2013.28.6.848
- Author:
Mi Jeong KIM
1
;
Doo Soo JEON
;
Hyeon Cheol GWON
;
Soo Joong KIM
;
Kiyuk CHANG
;
Hyo Soo KIM
;
Seung Jea TAHK
Author Information
1. Cardiovascular Center, Incheon St. Mary's Hospital, The Catholic University of Korea, Incheon, Korea. coronary@catholic.ac.kr
- Publication Type:Original Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
- Keywords:
Quality of Life;
Acute Coronary Syndrome;
Health Status;
Myocardial Infarction;
Angioplasty, Balloon, Coronary
- MeSH:
Aged;
Angina, Unstable/physiopathology/*therapy;
Asian Continental Ancestry Group;
Female;
Health Status;
Humans;
Male;
Middle Aged;
Myocardial Infarction/physiopathology/*therapy;
Odds Ratio;
*Percutaneous Coronary Intervention;
*Quality of Life;
Registries;
Republic of Korea
- From:Journal of Korean Medical Science
2013;28(6):848-854
- CountryRepublic of Korea
- Language:English
-
Abstract:
Compared with ST elevation myocardial infarction (STEMI), long-term outcomes are known to be worse in patients with unstable angina/non-STEMI (UA/NSTEMI), which might be related to the worse health status of patients with UA/STEMI. In patients with UA/NSTEMI and STEMI underwent percutaneous coronary intervention (PCI), angina-specific and general health-related quality-of-life (HRQOL) was investigated at baseline and at 30 days after PCI. Patients with UA/NSTEMI were older and had higher frequencies in female, diabetes and hypertension. After PCI, both angina-specific and general HRQOL scores were improved, but improvement was much more frequent in angina-related HRQOL of patients with UA/NSTEMI than those with STEMI (44.2% vs 36.8%, P < 0.001). Improvement was less common in general HRQOL. At 30-days after PCI, angina-specific HRQOL of the patients with UA/NSTEMI was comparable to those with STEMI (56.1 +/- 18.6 vs 56.6 +/- 18.7, P = 0.521), but general HRQOL was significantly lower (0.86 +/- 0.21 vs 0.89 +/- 0.17, P = 0.001) after adjusting baseline characteristics (P < 0.001). In conclusion, the general health status of those with UA/NSTEMI was not good even after optimal PCI. In addition to angina-specific therapy, comprehensive supportive care would be needed to improve the general health status of acute coronary syndrome survivors.
