Cited by 136Coronary Interventions and DiagnosticsCardiac Health and Mental HealthCardiac and Coronary Surgery Techniques

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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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Brorsson, B, Bernstein, S J, Brook, R H, Werkö, L·2002·Heart

DOI 10.1136/heart.87.2.140PMC PMC1766984

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Abstract

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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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
ORCID: Bernstein, S J
Brook, R H
Venue: Heart
Publisher: BMJ
Published: 2002-02
Volume: 87
Issue: 2
Pages: 140-145
ISSN: 1355-6037 (ISSN-L)
1468-201X
DOI: 10.1136/heart.87.2.140
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 › Cardiology and Cardiovascular Medicine › 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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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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