This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Gravely-Witte, S. Articles by Van Elderen, T. Search for Related Content PubMed PubMed Citation Social Bookmarking                   What's this?

The impact of angina and cardiac history on health-related quality of life and depression in coronary heart disease patients

University Health Network Women's Health Program, Toronto General Hospital, EN7-235, 200 Elizabeth St, Toronto, ON M5G 2C4, Canada, sgravely{at}uhnresearch.ca, Department of Health Psychology, Leiden University, KLIG, 2300 RB Leiden, The Netherlands

Véronique De Gucht

Department of Health Psychology, Leiden University, KLIG, 2300 RB Leiden, The Netherlands

Willem Heiser

Department of Health Psychology, Leiden University, KLIG, 2300 RB Leiden, The Netherlands

Sherry L. Grace

University Health Network Women's Health Program, Toronto General Hospital, EN7-235, 200 Elizabeth St, Toronto, ON M5G 2C4, Canada, Department of Kinesiology and Health Science, York University, Faculty of Health, TGRI Behavioural Sciences Bethune, 4700 Keele St, Toronto, ON M3J 1P3, Canada

Thérèse Van Elderen

Department of Health Psychology, Leiden University, KLIG, 2300 RB Leiden, The Netherlands

Objective: To prospectively examine the contribution of angina and cardiac history to health-related quality of life (HRQoL) and depression in cardiac patients, over 6 months post-hospitalization.

Methods: Participants were myocardial infarction (MI), percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) outpatients under the age of 70 years. One hundred and seventy-one patients consented to participate, with 121 patients being retained 6 months later (71% response rate). The impact of the patient's cardiac history and the presence of angina on physical, social and emotional HRQoL and depression was examined.

Results: At baseline, cardiac history was not significantly related to any of the dimensions of HRQoL or depression. At 6-month follow-up, cardiac history significantly predicted a higher level of depression, and angina was predictive of a significantly worse emotional, physical and social HRQoL and a higher level of depression.

Discussion: The presence of a cardiac history is associated with depression 6 months post-cardiac event, and angina is associated with both an adverse HRQoL and higher levels of depression. As past research has demonstrated that depression is a risk factor for mortality in patients with established heart disease, it is important from both a clinical and a research perspective to address these issues.

Key Words: Angina • Cardiac history • Coronary heart disease • Depression • Quality of life

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?