Age and angina as predictors of quality of life after myocardial infarction: a prospective comparative study

Scand Cardiovasc J. 2001 Sep;35(4):252-8. doi: 10.1080/14017430152581369.

Abstract

Objectives: The objectives were to compare quality of life (QoL) after first myocardial infarction with an age- and sex-adjusted normative population and to test whether the 1-month QoL had predictive properties.

Design: QoL was assessed by self-administered questionnaires (SF-36 and Cardiac Health Profile) 1, 3 and 6 months after index-event. Participants were 60 consecutive patients (20% women) with a mean age of 58 +/- 7.4 years.

Results: Patients > or =59 years improved in Physical (PCS) and Mental Component Summary (MCS), scoring comparable to community norms at 6 months. However, patients <59 years improved in PCS but not in MCS. and scored significantly below community norms in both PCS (x = 44.7, CI 40.6-48.7 vs x = 50.3, CI 49.3-51.4) and MCS (x = 45.9, Cl 41.8-49.9 vs. x = 51.3, CI 50.3-52.4) at 6 months. Predictors for MCS were age (p = 0.025) and Vitality (p = 0.020) both positively related to QoL. Predictors for PCS were Physical Function (p = 0.003) and CCS score (p < 0.001) where angina grade was negatively related to QoL.

Conclusion: Because of impaired mental recovery in younger post-infarction patients, their need of special attention in the rehabilitation process must not be overlooked.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Angina Pectoris / complications*
  • Angina Pectoris / psychology*
  • Angioplasty, Balloon, Coronary
  • Coronary Artery Bypass
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / complications*
  • Myocardial Infarction / psychology*
  • Myocardial Infarction / therapy
  • Predictive Value of Tests
  • Prospective Studies
  • Quality of Life / psychology*
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Sweden / epidemiology