Original article                                       UDC: 616.127-005.8:616.12-009.72-036                                                                                                             doi:10.5633/amm.2015.0101

 

 

 

The influence of angina pectoris on the quality of life of patients one month and twelve months after myocardial infaRCtion

 

Rančić Nataša^1,2, Kocić Biljana^1,2, Mirko Ilić¹

                   University of Niš, Faculty of Medicine, Niš, Serbia¹
                                     Center for Control and Prevention of Diseases, Public Health Institute Niš, Serbia²

 

Rančić Nataša
Public Health institue, Niš, Serbia
Blvd. Dr Zorana Đinđića 50
e-mail: natasa.rancic@medfak.ni.ac.rs

 

The appearance of angina pectoris in patients after myocardial infarction has got a negative influence on their quality of life. The aim of the paper was to assess the influence of angina pectoris on the quality of life of patients one month and twelve months after myocardial infarction.  Prospective cohort study involved 240 patients from the city of Niš, aged 30–79 years, who suffered from the first myocardial infarction in 2007. The quality of life was assessed with the Serbian version of these questionnaires: EuroQuol5Dimension and EuroQuolVAS. Angina pectoris was ranked according to the classification of Canadian Cardiovascular Society. Multivariate logistic regression analysis was used. A total of 240 patients (160 males and 80 females) filled in the questionnaires one month after the myocardial infarction. They were aged 61.37±8.87 years on average. All the patients had the significantly lower average scores in EuroQuolVAS compared with the scores twelve months after the myocardial infarction (60.50±12.03 vs 69.83±12.06, p<0.001). The average grades of all the examened dimensions in EuroQuol 5 Dimension questionnaire were significantly higher after twelve months after myocardial infarction 1.41±0.26 vs 1.53±0.26, p<0.001 compared with the values obtained  one month after the myocardial infarction. The average range of angina pectoris twelve months after the MI was significantly lower compared with the value one month after the MI (0.78±0.51 vs 0.91±0.44, p<0.001). The presence of angina pectoris in patients who survived myocardial infarction is associated  with their lower HRQoL. Twelve months after myocardial infarction patients assessed their health condition significantly better compared with the condition one month after the myocardial infarction. As past research has demonstrated that angina pectoris is a risk factor for mortality in patients with established heart disease, it is important to evaluate its impact on the patient’s quality of life. Acta Medica Medianae 2015;54(1):7-11.

 

Key words: angina pectoris, myocardial infarction, quality of life