Perceived Health over 3 Years after Percutaneous Coronary Balloon Angioplasty

Permanyer-Miralda, Gaietà; Alonso, Jordi; Brotons, Carlos; Cascant, Purificación; Ribera, Aída; Moral, Irene; Romero, Bernardo Prida; Domingo, Enric; Antó, Josep M.; Soler‐Soler, Jordi

doi:10.1016/s0895-4356(99)00045-1

Cited by 11 publications

(9 citation statements)

References 23 publications

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“…These findings were consistent with previous results [5-7, 14, 18]. For example, Permanyer-Miralda et al [14] determined that while the perceived health was poor before the procedure it improved after. Similarly, the number of patients stating that they took heart disease seriously after the procedure was four times greater in comparison to that before it [14].…”

Section: Discussionsupporting

confidence: 93%

“…For example, Permanyer-Miralda et al [14] determined that while the perceived health was poor before the procedure it improved after. Similarly, the number of patients stating that they took heart disease seriously after the procedure was four times greater in comparison to that before it [14]. Jensen et al [19] attributed patients undergoing PTCA not taking their heart disease seriously in comparison to those having Coronary Artery Bypass Grafting to the fact that the hospitalization period and recovery period were short for PTCA and that this procedure was less disturbing [19].…”

Section: Discussionmentioning

confidence: 99%

“…Studies also have indicated that patients' expected treatment benefits from PTCA, perceived good health and perceived recovery increase over time following the procedure [5,7,8,[13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

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Expected treatment benefits of percutaneous transluminal coronary angioplasty: the patient’s perspective

Özkan

Odabasi

Özcan

2008

Int J Cardiovasc Imaging

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This study aimed to determine the expected treatment benefits from the patient's perspective before and after percutaneous transluminal coronary angioplasty (PTCA). Descriptive study. The sample consisted of 60 patients that underwent PTCA in the cardiology department of a university hospital in Bolu province in Turkey. The patients were interviewed one hour before the procedure and a week after discharge from hospital. The proportion of patients that perceived their health as good after the PTCA was two-fold in comparison to before (48.3%, 88.3%) (P < 0.05). The rate of patients taking heart disease seriously decreased by half after PTCA compared to before (40.0%, 83.3%) (P < 0.05). Almost all of the patients had the wrong interpretation of complete recovery from the diseases before and after PTCA (100.0%, 96.7%) (P > 0.05). Expectations of not having chest pain (P > 0.05), not having MI (P > 0.05), not having fear of death (P < 0.05), and not having stress (P > 0.05) were lower after PTCA in comparison to before. The expectation of not having chest pain was higher in women (60.9%, 47.8%) (P > 0.05), in those not having MI (56.1%, 48.8%) (P > 0.05), and in those having chronic diseases (59.0%, 43.6%) (P > 0.05) before PTCA compared with after. The majority of the patients had the wrong interpretation regarding their PTCA expectations, which decreased dramatically after the procedure. Continuing individualized health education programs on angioplasty for patients and their families will be an important way of dealing with patients' inaccurate interpretations.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

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Expected treatment benefits of percutaneous transluminal coronary angioplasty: the patient’s perspective

Özkan

Odabasi

Özcan

2008

Int J Cardiovasc Imaging

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“…In contrast, most studies have focused on cross-sectional associations that included patients' symptoms at the time of follow-up and their influence on quality of life. For example, a 106-patient study by Permanyer-Miralda and colleagues 18 demonstrated that residual angina after PCI was the most important determinant of lower 3-year quality of life. Similarly, Pocock and colleagues 2,19 demonstrated important associations between angina, breathlessness, and physical function with 1-year quality of life.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Quality-of-Life Benefit After Percutaneous Coronary Intervention

et al. 2004

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Background-Improving patients' quality of life is a primary indication for percutaneous coronary intervention (PCI), yet little is known about patient characteristics associated with greater quality-of-life improvement from the procedure. This study was conducted to identify patient characteristics associated with quality-of-life benefit after PCI. Methods and Results-A consecutive series of 1518 patients undergoing PCI in nonacute myocardial infarction settings were prospectively enrolled into an observational study documenting their postprocedural health status. We examined univariate and multivariable associations between baseline patient characteristics and quality of life 1 year after the procedure using the disease-specific Seattle Angina Questionnaire (SAQ) to quantify the impact of patients' coronary disease on their quality of life. Baseline angina frequency and physical function were the strongest predictors of quality-of-life improvement 1 year after PCI. In comparing patients without angina to those experiencing monthly, weekly, and daily angina, the quality-of-life improvements (meanϮSEM) were 21.4Ϯ2.1, 30.7Ϯ2.2, and 34.6Ϯ2.6 points greater (PϽ0.001). Patients with mild, moderate, and severe physical limitation improved 13.8Ϯ1.9, 20.0Ϯ2.1, and 13.5Ϯ3.5 points more than those with minimal baseline physical limitation (PϽ0.001). These findings were maintained in multivariable models correcting for baseline differences in demographic, clinical, disease-severity, and health-status variables. Conclusions-Preprocedural angina frequency is the most important prognostic indicator of quality-of-life improvement after PCI. Although substantial quality-of-life benefits are attained in most patients with preprocedural angina, more careful consideration of the potential benefits and risks of the procedure are needed in asymptomatic patients.

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“…However, post-PCI QOL does not necessarily improve relative to pre-PCI in all patients. Factors affecting QOL among patients after elective PCI include smoking, weight gain, depression, unemployment and lack of family help [7][8][9][10][11][12][13][14][15]. Among these factors, smoking and weight gain are closely associated with lifestyle.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of quality of life among patients with ischemic heart disease who practiced self-care activities at home after elective percutaneous coronary intervention

Takematsu

Hasebe

Moriwaki

et al. 2014

Cardiovasc Interv and Ther

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The present study compares health-related QOL between patients who practiced self-care activities comprising exercise and diet at home for at least 6 months (SA group; n = 84) after elective PCI and those who did not (NA group; n = 54). Health-related (HR) QOL was measured using the SF-36 questionnaire. Scores for two mental and three physical parameters of the HRQOL were increased in the SA, but not in the NA group. These findings indicated that the QOL was far superior among patients who exercised and consumed an appropriate diet at home for at least 6 months after elective PCI compared with those who did not.

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Perceived Health over 3 Years after Percutaneous Coronary Balloon Angioplasty

Cited by 11 publications

References 23 publications

Expected treatment benefits of percutaneous transluminal coronary angioplasty: the patient’s perspective

Expected treatment benefits of percutaneous transluminal coronary angioplasty: the patient’s perspective

Predictors of Quality-of-Life Benefit After Percutaneous Coronary Intervention

Evaluation of quality of life among patients with ischemic heart disease who practiced self-care activities at home after elective percutaneous coronary intervention

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