Copyright © 1989 by the European Society of Cardiology.
© 1989 The European Society of Cardiology
Quality of life five years after myocardial infarction
*Department of Medicine Östra Hospital Gothenburg Sweden
**Department of Medicine I Sahlgrenska Hospital Gothenburg Sweden
Received 16 November 1987; revised 21 October 1988; .
Address for correspondence: Ingela Wiklund, M Sc, Ph D, Department of Medicine, Plan 2, CK, Ösira Hospital, S-416 85 Gothenburg, Sweden.
Abstract
In 539 patients 5 years after myocardial infarction (MI), quality of life and factors influencing life quality were studied. All patients originally participated in an early intervention trial with metoprolol.
A cardiac follow-up questionnaire and the Nottingham Health Profile were answered by 82%. In the former, information about subjective symptoms, smoking, work and current medication was obtained; the latter described health-related quality of life in terms of energy, sleep, emotions, mobility, pain and social isolation. The rate of and the reasons for rehospitalization were registered in the patients' records.
The MI patients reported a comparatively high quality of life. Compared with ‘normal’ population, a decrease was noted in energy, sleep and mobility, and in sex life, hobby-activity and holiday activity. A non-parametric multivariate analysis disclosed that dyspnoea, angina pectoris and anxiety were closely associated with decreased quality of life.
In conclusion, 5 years after MI most patients seemed well-adjusted. Impaired quality of life was reported by patients suffering from angina pectoris, dyspnoea and emotional distress. No relationship was found between health-related quality of life and the beta blocker, metoprolol, which was the most frequently used drug.
Key Words: Myocardial infarction • quality of life • follow-up
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