<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec id="j_sjph-2022-0005_s_006">
<h3>Introduction</h3>
<p>Acute myocardial infarction (AMI) affects patients’ health-related quality of life (HRQOL). AMI may decrease HRQOL, thus negatively affecting QOL. However, the improvements in interventional treatment and early rehabilitation after AMI may have a positive effect on HRQOL.</p></sec>
<sec id="j_sjph-2022-0005_s_007">
<h3>Aim</h3>
<p>We evaluated HRQOL in patients after the first AMI treated in a reference cardiology centre in Poland and assessed which clinical variables affect HRQOL after AMI.</p></sec>
<sec id="j_sjph-2022-0005_s_008">
<h3>Material and methods</h3>
<p>We prospectively evaluated HRQOL in 60 consecutive patients suffering after their first AMI during the index hospitalisation and again after 6 months, using: (i) MacNew, (ii) World Health Organization Quality of Life (WHOQOL) BREF, and (iii) Short Form (SF) 36.</p></sec>
<sec id="j_sjph-2022-0005_s_088">
<h3>Results</h3>
<p>As measured by the MacNew questionnaire, global, social, and physical functioning did not change (p≥0.063), whereas emotional functioning improved 6 months after AMI, compared to index hospitalisation (p=0.002). As measured by WHOQOL BREF, physical health, psychological health, and environmental functioning did not change (p≥0.321), whereas social relationships improved 6 months after AMI (p=0.042). As assessed by SF-36, the global HRQOL improved after AMI (p=0.044). Patients with improved HRQOL in SF-36 often had a higher baseline body mass index (p=0.046), dyslipidaemia (p=0.046), and lower left ventricle ejection fraction (LVEF; p=0.013). LVEF&lt;50% was the only variable associated with improved HRQOL in multivariate analysis (OR 4.463, 95% CI 1.045 - 19.059, p=0.043).</p></sec>
<sec id="j_sjph-2022-0005_s_010">
<h3>Conclusions</h3>
<p>HRQOL increased 6 months after the first AMI, especially in terms of emotional functioning and social relationships. Patients with LVEF&lt;50% were likely to have improved HRQOL.</p></sec>
</abstract>

Introduction
Acute myocardial infarction (AMI) affects patients’ health-related quality of life (HRQOL). AMI may decrease HRQOL, thus negatively affecting QOL. However, the improvements in interventional treatment and early rehabilitation after AMI may have a positive effect on HRQOL.

Aim
We evaluated HRQOL in patients after the first AMI treated in a reference cardiology centre in Poland and assessed which clinical variables affect HRQOL after AMI.

Material and methods
We prospectively evaluated HRQOL in 60 consecutive patients suffering after their first AMI during the index hospitalisation and again after 6 months, using: (i) MacNew, (ii) World Health Organization Quality of Life (WHOQOL) BREF, and (iii) Short Form (SF) 36.

Results
As measured by the MacNew questionnaire, global, social, and physical functioning did not change (p≥0.063), whereas emotional functioning improved 6 months after AMI, compared to index hospitalisation (p=0.002). As measured by WHOQOL BREF, physical health, psychological health, and environmental functioning did not change (p≥0.321), whereas social relationships improved 6 months after AMI (p=0.042). As assessed by SF-36, the global HRQOL improved after AMI (p=0.044). Patients with improved HRQOL in SF-36 often had a higher baseline body mass index (p=0.046), dyslipidaemia (p=0.046), and lower left ventricle ejection fraction (LVEF; p=0.013). LVEF<50% was the only variable associated with improved HRQOL in multivariate analysis (OR 4.463, 95% CI 1.045 - 19.059, p=0.043).

Conclusions
HRQOL increased 6 months after the first AMI, especially in terms of emotional functioning and social relationships. Patients with LVEF<50% were likely to have improved HRQOL.

Health-related quality of life increases after first-time acute myocardial infarction: A population-based study

Slovenian Journal of Public Health

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Izboljšanje z zdravjem povezane kakovosti življenja po prvem akutnem miokardnem infarktu: Populacijska študija

Introduction
Acute myocardial infarction (AMI) affects patients’ health-related quality of life (HRQOL). AMI may decrease HRQOL, thus negatively affecting QOL....

Health-related quality of life increases after first-time acute myocardial infarction: A population-based study

Article Category: Original scientific article

Publié en ligne: 03 janv. 2022

Pages: 24 - 31

Reçu: 06 janv. 2021

Accepté: 04 nov. 2021

DOI: https://doi.org/10.2478/sjph-2022-0005

Mots clés
acute myocardial infarction, quality of life, SF-36, WHOQOL BREF, MacNew, emotional health, mental health

© 2022 National Institute of Public Health, Slovenia, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Health-related quality of life increases after first-time acute myocardial infarction: A population-based study

Article Category: Original scientific article

Publié en ligne: 03 janv. 2022

Pages: 24 - 31

Reçu: 06 janv. 2021

Accepté: 04 nov. 2021

DOI: https://doi.org/10.2478/sjph-2022-0005

Mots clésacute myocardial infarction, quality of life, SF-36, WHOQOL BREF, MacNew, emotional health, mental health

© 2022 National Institute of Public Health, Slovenia, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Mots clés
acute myocardial infarction, quality of life, SF-36, WHOQOL BREF, MacNew, emotional health, mental health