Quality of life after acute myocardial infarction among patients treated at sites with and without on-site availability of angiography.

Content Provider	Semantic Scholar
Author	Pilote, Louise Lauzon, Claude Huynh, Thao Dion, Danielle Roux, René Racine, Normand Carignan, Suzanne Diodati, Jean G. Levesque, Claude Charbonneau, François Pouliot, Joël Joseph, Lawrence Eisenberg, Mark J.
Copyright Year	2002
Abstract	BACKGROUND Previous studies have compared the treatment and outcome of patients with acute myocardial infarction (AMI) admitted at sites with and without availability of angiography. Although mortality rates do not differ, it is unknown if quality of life (QOL) and functional status differ. METHODS We measured QOL and functional status in patients with AMI treated within Québec at 5 sites with (n = 253) and 5 sites without (n = 334) angiography. RESULTS At admission, clinical characteristics, complication rates, and baseline measures of QOL and functional status were similar at sites with and without angiography. During hospitalization, patients treated at sites with angiography were more likely to undergo an invasive cardiac procedure than patients admitted at sites without angiography (angiography, 63% vs 26%; percutaneous transluminal coronary angioplasty, 33% vs 13%; and coronary artery bypass graft, 12% vs 5%). At 30 days and 6 months after AMI, QOL was slightly superior at sites with angiography, but by 1 year, most measures of QOL were back to baseline at both types of sites and were similar between the 2 groups. At 6 months, most standard health-related QOL components were similar; only physical and emotional role limitations were higher at sites with angiography. Return to work occurred earlier (at 30 days, 23% vs 12%), and a lower proportion of patients was readmitted for angina (within 1 year after AMI, 12% vs 18%) at sites with angiography. CONCLUSIONS In the early post-AMI period, the QOL of patients admitted at sites with angiography was higher than that of patients admitted at sites without angiography. However, by 1 year, the QOL and functional status of patients was similar in both groups. Differences in QOL were greatest when differences in treatment were greatest, lending support to a positive albeit small association between an early invasive approach to post-AMI care and improved QOL.
Starting Page	948
Ending Page	948
Page Count	1
File Format	PDF HTM / HTML
Alternate Webpage(s)	https://archinte.jamanetwork.com/journals/InteMed/articlepdf/211308/ioi10194.pdf
PubMed reference number	11871923v1
Volume Number	162
Issue Number	5
Journal	Archives of internal medicine
Language	English
Access Restriction	Open
Subject Keyword	Acute myocardial infarction Angina Pectoris Angioplasty, Balloon, Coronary Coronary Artery Bypass Surgery Hospital admission Hospitalization Patients Perceived quality of life Percutaneous Transluminal Coronary Angioplasty angiogram
Content Type	Text
Resource Type	Article