| Title |
Ligonių, sergančių išemine kardiomiopatija, gyvenimo kokybės ir fizinio pajėgumo palyginimas / |
| Translation of Title |
Comparison of quality of life and physical condition of heart failure. |
| Authors |
Treideris, Julius ; Karalius, Rimantas ; Širmenis, Raimondas ; Lukšaitė, Gražina ; Lastas, Vytautas ; Kosinskas, Eugenijus ; Pranckietis, Arnoldas ; Sirvydis, Vytautas-Jonas |
| DOI |
10.15388/LietChirur.2007.3.2207 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija. 2007, t. 5, Nr. 3, p. 359-365.. ISSN 1392-0995 |
| Keywords [eng] |
heart failure ; ischemic cardiomyopathy ; quality of life |
| Abstract [eng] |
Background / objective: The survival of patients and recovery of the left ventricle function after coronary artery by-pass grafting and percutaneous transluminar angioplasty are widely analysed; however, changes in the quality of life and physical condition are given less attention. The aim of the study was to evaluate the quality of life and physical condition after coronary artery by-pass grafting and percutaneous transluminar angioplasty in patients with a decreased left ventricle ejection fraction suffering from heart failure. Patiens and methods: The study involved 40 patients with viable myocardium, who showed occlusion of the anterior interventricular artery and a decreased left ventricle ejection fraction on coronarography. Group 1 of patients included 13 subjects (mean age, 67.6 ± 3.97 years, female/male ratio 28.6% vs 71.4%) after coronary artery by-pass grafting; group 2 included 7 patients after percutaneous transluminar angioplasty (mean age, 65.7 ± 2.06 years, female/male ratio 23.1% vs 76.6%), and group 3 consisted of 20 patients who were treated conservatively (mean age, 67.6 ± 4.11 years, female/male ratio 65% vs 35%). The patients were evaluated using the Minnesota University Living with Heart Questionnaire, they underwent a six-minute walking, echocardioscopy, veloergometry, natriuretic peptide tests. Results: A comparison of data in these groups after 24 weeks showed a greater improvement of quality of life, echoscopic findings of the left ventricle, and physical condition in groups 1 and 2. The 6-minute walking distance after 24 weeks in groups 1 and 2 were 442.6 ± 1.68 and 498.6 ± 1.58 m, respectively, corresponding to NYHA functional class I; the walking distance in group 3 was 375.6 ± 174 meters (NYHA functional class II). Patients in groups 1 and 2 after 24 weeks showed a marked decrease of natriuretic peptide plasma levels (NT-proBNP 146.6 ± 3.2 and 138.5 ± 3.13 pg/ml, respectively) in comparison with that of group 3 (NT-proBNP 298.6 ± 3.12 pg/ml) (p < 0.004). This indicates a marked decrease of heart failure in groups 1 and 2. The left ventricle ejection fraction (LVEF) after 24 weeks increased markedly in groups 1 and 2 (48.2 ± 2.41% 49.1 ± 2.53%); it was significantly higher in comparison with that of group 3 (34.8 ± 2.91%) (p < 0.0036). The diastolic diameter after 24 weeks markedly decreased in groups... |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2007 |
| CC license |
|
