Quality of life after surgical myocardial revascularization, angioplasty or medical treatment
Although the clinical benefits of coronary interventions seem to be confirmed, their effects on quality of life (QoL) are still scarcely studied. To assess the QoL in multivessel coronary disease in patients randomly undergoing surgery, angioplasty or medical treatment. The Short-Form Health Survey...
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| Veröffentlicht in: | Arquivos brasileiros de cardiologia 2007-05, Vol.88 (5), p.537-544 |
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| creator | Takiuti, Myrthes Emy Hueb, Whady Hiscock, Shirley Borghetti Nogueira, Célia Regina Simões da Rocha Girardi, Priscyla Fernandes, Fabio Favarato, Desiderio Lopes, Neuza Borges, Jorge Chiquie de Góis, Aécio Flávio Teixeira Ramires, José Antonio Franchini |
| description | Although the clinical benefits of coronary interventions seem to be confirmed, their effects on quality of life (QoL) are still scarcely studied.
To assess the QoL in multivessel coronary disease in patients randomly undergoing surgery, angioplasty or medical treatment.
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.
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.
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.
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. |
| format | Article |
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To assess the QoL in multivessel coronary disease in patients randomly undergoing surgery, angioplasty or medical treatment.
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.
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.
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.
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.</description><identifier>EISSN: 1678-4170</identifier><identifier>PMID: 17589628</identifier><language>eng ; por</language><publisher>Brazil</publisher><subject>Angioplasty, Balloon ; Coronary Artery Disease - mortality ; Coronary Artery Disease - psychology ; Coronary Artery Disease - therapy ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Myocardial Revascularization ; Quality of Life ; Surveys and Questionnaires ; Survival Analysis ; Treatment Outcome</subject><ispartof>Arquivos brasileiros de cardiologia, 2007-05, Vol.88 (5), p.537-544</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17589628$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takiuti, Myrthes Emy</creatorcontrib><creatorcontrib>Hueb, Whady</creatorcontrib><creatorcontrib>Hiscock, Shirley Borghetti</creatorcontrib><creatorcontrib>Nogueira, Célia Regina Simões da Rocha</creatorcontrib><creatorcontrib>Girardi, Priscyla</creatorcontrib><creatorcontrib>Fernandes, Fabio</creatorcontrib><creatorcontrib>Favarato, Desiderio</creatorcontrib><creatorcontrib>Lopes, Neuza</creatorcontrib><creatorcontrib>Borges, Jorge Chiquie</creatorcontrib><creatorcontrib>de Góis, Aécio Flávio Teixeira</creatorcontrib><creatorcontrib>Ramires, José Antonio Franchini</creatorcontrib><title>Quality of life after surgical myocardial revascularization, angioplasty or medical treatment</title><title>Arquivos brasileiros de cardiologia</title><addtitle>Arq Bras Cardiol</addtitle><description>Although the clinical benefits of coronary interventions seem to be confirmed, their effects on quality of life (QoL) are still scarcely studied.
To assess the QoL in multivessel coronary disease in patients randomly undergoing surgery, angioplasty or medical treatment.
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.
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.
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.
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.</description><subject>Angioplasty, Balloon</subject><subject>Coronary Artery Disease - mortality</subject><subject>Coronary Artery Disease - psychology</subject><subject>Coronary Artery Disease - therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myocardial Revascularization</subject><subject>Quality of Life</subject><subject>Surveys and Questionnaires</subject><subject>Survival Analysis</subject><subject>Treatment Outcome</subject><issn>1678-4170</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kE1LAzEYhIMgtn78BcnJkwvJJrtJjlL8goIIepTlbfKmRLIfJlmh_nqr1tPMYeZhmCOy5K3SleSKLchpzu-M1bUSzQlZcNVo09Z6Sd6eZ4ih7OjoaQweKfiCieY5bYOFSPvdaCG5sLcJPyHbOUIKX1DCOFxTGLZhnCLkH0CiPbrfUkkIpcehnJNjDzHjxUHPyOvd7cvqoVo_3T-ubtbVVDNTqpZ7JwwIxazlDl1jhbHeWCm5tLZ1WjaoNfOt8s5oBmi95oByIwQ0zghxRq7-uFMaP2bMpetDthgjDDjOuVOslcYotg9eHoLzZr-2m1LoIe26_0PEN3C1Xko</recordid><startdate>20070501</startdate><enddate>20070501</enddate><creator>Takiuti, Myrthes Emy</creator><creator>Hueb, Whady</creator><creator>Hiscock, Shirley Borghetti</creator><creator>Nogueira, Célia Regina Simões da Rocha</creator><creator>Girardi, Priscyla</creator><creator>Fernandes, Fabio</creator><creator>Favarato, Desiderio</creator><creator>Lopes, Neuza</creator><creator>Borges, Jorge Chiquie</creator><creator>de Góis, Aécio Flávio Teixeira</creator><creator>Ramires, José Antonio Franchini</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20070501</creationdate><title>Quality of life after surgical myocardial revascularization, angioplasty or medical treatment</title><author>Takiuti, Myrthes Emy ; Hueb, Whady ; Hiscock, Shirley Borghetti ; Nogueira, Célia Regina Simões da Rocha ; Girardi, Priscyla ; Fernandes, Fabio ; Favarato, Desiderio ; Lopes, Neuza ; Borges, Jorge Chiquie ; de Góis, Aécio Flávio Teixeira ; Ramires, José Antonio Franchini</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p209t-61fd39a370cc1ded5c39cf9c4414cc6d845e880f67fd980aecf81ae4b33a5d933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; por</language><creationdate>2007</creationdate><topic>Angioplasty, Balloon</topic><topic>Coronary Artery Disease - mortality</topic><topic>Coronary Artery Disease - psychology</topic><topic>Coronary Artery Disease - therapy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myocardial Revascularization</topic><topic>Quality of Life</topic><topic>Surveys and Questionnaires</topic><topic>Survival Analysis</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takiuti, Myrthes Emy</creatorcontrib><creatorcontrib>Hueb, Whady</creatorcontrib><creatorcontrib>Hiscock, Shirley Borghetti</creatorcontrib><creatorcontrib>Nogueira, Célia Regina Simões da Rocha</creatorcontrib><creatorcontrib>Girardi, Priscyla</creatorcontrib><creatorcontrib>Fernandes, Fabio</creatorcontrib><creatorcontrib>Favarato, Desiderio</creatorcontrib><creatorcontrib>Lopes, Neuza</creatorcontrib><creatorcontrib>Borges, Jorge Chiquie</creatorcontrib><creatorcontrib>de Góis, Aécio Flávio Teixeira</creatorcontrib><creatorcontrib>Ramires, José Antonio Franchini</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Arquivos brasileiros de cardiologia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takiuti, Myrthes Emy</au><au>Hueb, Whady</au><au>Hiscock, Shirley Borghetti</au><au>Nogueira, Célia Regina Simões da Rocha</au><au>Girardi, Priscyla</au><au>Fernandes, Fabio</au><au>Favarato, Desiderio</au><au>Lopes, Neuza</au><au>Borges, Jorge Chiquie</au><au>de Góis, Aécio Flávio Teixeira</au><au>Ramires, José Antonio Franchini</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of life after surgical myocardial revascularization, angioplasty or medical treatment</atitle><jtitle>Arquivos brasileiros de cardiologia</jtitle><addtitle>Arq Bras Cardiol</addtitle><date>2007-05-01</date><risdate>2007</risdate><volume>88</volume><issue>5</issue><spage>537</spage><epage>544</epage><pages>537-544</pages><eissn>1678-4170</eissn><abstract>Although the clinical benefits of coronary interventions seem to be confirmed, their effects on quality of life (QoL) are still scarcely studied.
To assess the QoL in multivessel coronary disease in patients randomly undergoing surgery, angioplasty or medical treatment.
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.
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.
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.
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.</abstract><cop>Brazil</cop><pmid>17589628</pmid><tpages>8</tpages></addata></record> |
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| ispartof | Arquivos brasileiros de cardiologia, 2007-05, Vol.88 (5), p.537-544 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Angioplasty, Balloon Coronary Artery Disease - mortality Coronary Artery Disease - psychology Coronary Artery Disease - therapy Female Follow-Up Studies Humans Male Middle Aged Myocardial Revascularization Quality of Life Surveys and Questionnaires Survival Analysis Treatment Outcome |
| title | Quality of life after surgical myocardial revascularization, angioplasty or medical treatment |
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