J Korean Neuropsychiatr Assoc.  2010 Mar;49(2):178-184.

Predictors of Quality of Life in Patients with Acute Coronary Syndrome

Affiliations
  • 1Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea. jmkim@chonnam.ac.kr
  • 2Depression Clinical Research Center, Chonnam National University Hospital, Gwangju, Korea.
  • 3Cardiovascular Research Institute of Chonnam National University Hospital, Gwangju, Korea.

Abstract


OBJECTIVES
An important therapeutic target for patients with acute coronary syndrome (ACS) is improved quality of life (QoL). This study investigated clinical factors affecting QoL in patients with ACS.
METHODS
We evaluated 82 patients two weeks, and again at three months, after their ACS onset (diagnosis?), using the World Health Organization Quality of Life Instrument-Brief Form to assess QoL. For estimating their severity of depression, we used the Hamilton Depression Rating Scale. We used their Global Registry of Acute Coronary Events risk scores to measure the patients' ACS. Sociodemographic characteristics included age, gender, education, marital status, religion, current occupation, and monthly income.
RESULTS
Depressive symptoms at baseline predicted higher QoL at both follow-ups. Some other factors, such as education, religion, and current occupation, were also significantly associated with QoL at three months' follow-up.
CONCLUSION
Depression was the most important factor affecting QoL in patients with ACS, at both two weeks' and three months' follow-up.

Keyword

Acute coronary syndrome; Quality of life; Depression

MeSH Terms

Acute Coronary Syndrome
Depression
Follow-Up Studies
Humans
Marital Status
Occupations
Quality of Life
World Health Organization
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