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Heart 2000;84:535-540 ( November )

Interventional cardiology surgery

Health related quality of life after conservative or invasive treatment of inducible postinfarction ischaemia O S Mortensena, J K Madsenb, T Haghfeltc, P Grandeb, K Saunamäkib, S Haunsøb, E Hjelmsb, H Arendrupb, on behalf of the DANAMI study group

a Department of Internal Medicine, County Central Hospital, Naestved, and Department of Social Medicine and Psychosocial Health, Panum Institute, University of Copenhagen, DK 2200 Copenhagen N, Denmark, b The Heart Centre, Rigshospitalet, National University Hospital, Copenhagen, Denmark, c Odense University Hospital, Odense, Denmark

Correspondence to: Dr Mortensen o.mortensen{at}dadlnet.dk

Accepted 17 July 2000

OBJECTIVE---To assess health related quality of life in patients with inducible postinfarction ischaemia.
DESIGN---A questionnaire based follow up study on patients randomised to conservative or invasive treatment because of postinfarction ischaemia.
SETTING---Seven county hospitals in eastern Denmark and the Heart Centre, National University Hospital, Copenhagen, Denmark.
PATIENTS---113 patients with inducible postinfarction ischaemia: 51 were randomised to conservative treatment and 62 to invasive treatment. Average follow up time was three years (19-57 months).
MAIN OUTCOME MEASURES---SF-36, Rose angina and dyspnoea questionnaire, drug use, lifestyle, and cognitive function.
RESULTS---Invasively treated patients scored better on the SF-36 scales of physical functioning (p = 0.03) and on role-physical (p = 0.04) and physical component scales (p = 0.05) and took significantly less anti-ischaemic drug treatment. Angina occurred in 18% of the invasively treated patients and 31% of the conservatively treated patients (p = 0.09). However, more invasively treated patients suffered from concentration difficulties (18% v 4%; p = 0.04).
CONCLUSIONS---Patients who were treated invasively had better health related quality of life scores in the physical variables compared with conservatively treated patients. However, a larger proportion of invasively treated patients had concentration difficulties.


Keywords: SF-36; health related quality of life; postinfarction ischaemia

© 2000 by Heart


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