Comparison of health-related quality of life after percutaneous coronary intervention and coronary artery bypass surgery

BACKGROUND: Health-related quality of life (HRQOL) evaluation is an important measure of the impact of the disease. As more people with coronary heart disease (CHD) live longer, doctors and researchers want to know how they manage in day to day life. It looked like adults with CHD had a decrease QOL. The aim of this study was to comparison of HRQOL of patients who underwent percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG) and to assess its main determinants in the whole sample of coronary artery disease (CAD) patients. METHODS: The study was carried out to estimate HRQOL of ۱۰۹ patients who underwent invasive coronary revascularization [PCI (n = ۷۵) and CABG (n = ۳۴)]. We applied HRQOL after ۶ months and ۲ years in both groups and scores were compared. The HRQOL data were obtained using MacNew Heart Disease questionnaire with dimensions emotional, physical and social that estimated. Data entry and analysis were performed by SPSS. RESULTS: A total MacNew scale in CABG and PCI group in ۶ months after treatment were ۴۵.۳۲ ± ۱۳.۷۵ and ۵۳.۵۲ ± ۱۵.۶۳, respectively (P = ۰.۰۱۰). After ۲ years HRQOL mean changed to ۵۱.۱۷۶ ± ۱۴.۸۰ and ۴۹.۵۵ ± ۱۶.۲۲, respectively, in CABG and PCI group (P = ۰.۴۲۸). Our results in within-group analysis showed total MacNew scale and its subscales were changed significantly after ۲ years in CABG and PCI group’s scores were detected. We found in the whole sample of CAD patients those who had a higher level of income and education and were not either overweight or obese experienced better HRQOL. CONCLUSION: Our results showed that patients who underwent PCI experienced significantly higher HRQOL in ۶ months after revascularization but over ۲۴ months follow-up no difference was observed between the two groups.   

کلیدواژه ها:

Quality of Life ، Percutaneous Coronary Intervention ، Coronary Artery Bypass Graft ، MacNew scale ، Iran