Quality of life of patients with chronic stable angina before and four years after coronary revascularisation compared with a normal population
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Objective: To assess the impact of coronary revascularisation on the health related quality of life (HRQOL) of patients with chronic stable angina compared with data from “community” norms four years following revascularisation. Design: Prospective survey and review of medical records. Setting: Seven of the eight public Swedish heart centres that performed coronary artery interventions. Subjects: 827 patients aged 55–79 years with chronic stable angina who underwent coronary artery revascularisation in 1994 or 1995 and completed the four year HRQOL survey. Main outcome measures: Five components of the Swedish quality of life survey. Results: Compared with age and sex adjusted population norms, patients at baseline had significantly lower mean scores on all five functioning and wellbeing scales (p < 0.001). Four years after revascularisation, the mean levels of functioning and wellbeing were similar to those in the normative population (p > 0.05) except for quality of sleep (p < 0.001). The improvements were the same across age groups and for men and women. However, 36% of men and 55% of women were not completely free from angina by four years (p < 0.001). Men without angina after four years had better HRQOL than their community norms (p < 0.001) on all dimensions except quality of sleep (p > 0.05). Women without angina had less pain (p < 0.01) and better general health perception (p < 0.05) but similar physical functioning, quality of sleep, and emotional wellbeing compared with their community counterparts. Both men and women who had suffered at least one anginal attack during the preceding four weeks had significantly worse HRQOL by four years than their community norms (p < 0.01). Conclusions: By four years following revascularisation, three fifths of patients with chronic stable angina were free of angina and their HRQOL was the same as or better than that of the general Swedish population. However, fewer than half of all women and two thirds of men who underwent revascularisation were angina-free after four years. Among patients with new or persistent angina, the HRQOL was worse than that in community norms.
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Increasing burden of chronic angina affects patients' quality of life.
“Increasing burden of chronic angina not only affects patients’ quality of life”
From Clinical management of stable coronary artery disease in patients with type 2 diabetes mellitus: a scientific statement from the American Heart Association (2020) · cites this paper as [235]
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- Authors
- Brorsson, B., Bernstein, S. J., Brook, R. H., & Werkö, L.
- Affiliations
- SBU - Swedish Agency for Health Technology Assessment and Assessment of Social Services (SE)
- University of Michigan (US)
- RAND Corporation (US)
- Corresponding author
- Brorsson, B
- Venue
- Heart
- Publisher
- BMJ
- Published
- 2002-02
- Volume
- 87
- Issue
- 2
- Pages
- 140-145
- ISSN
- 1355-6037 (ISSN-L)
- 1468-201X
- PMC
- PMC1766984
- OpenAlex
- W2011104990
- Cited by
- 136
- References
- 28
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 6 · 2023: 2 · 2021: 8 · 2020: 6 · 2019: 10 · 2018: 3 · 2017: 3 · 2016: 9 · 2015: 11 · 2014: 8 · 2013: 10 · 2012: 10
- FWCI
- 4.13
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Heart (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Lunds Universitet
- Linköpings Universitet
- Akademiska Sjukhuset
- Sahlgrenska Universitetssjukhuset
- Uppsala Universitet
- Dirección General de Enseñanza Superior e Investigación Científica
- Medical Research Council
- Topics
- Health Sciences › Medicine › Surgery › Coronary Interventions and Diagnostics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Surgery › Cardiac and Coronary Surgery Techniques
- Keywords
- stable angina, coronary revascularization, health-related quality of life, coronary artery bypass grafting, percutaneous coronary intervention, sex differences, community norms, sleep quality
- MeSH terms
- Aged, Aged, 80 and over, Angina Pectoris, Chronic Disease, Female, Health Surveys, Humans, Male, Middle Aged, Myocardial Revascularization, Postoperative Period, Preoperative Care, Prognosis, Quality of Life, Retrospective Studies, Sweden, Time Factors, Chi-Square Distribution, Age Distribution, Sex Distribution
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