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Effects of Changes in Myocardial Dysfunction on Quality of Life in Patients Undergoing Coronary Angioplasty After Cardiac Rehabilitation



Parsa A1 ; Sadeghi M2 ; Roghani F3 ; Golshani J4 ; Khani A1 ; Yazdekhasti S2
Authors
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Authors Affiliations
  1. 1. Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Science, Isfahan, Iran
  2. 2. Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Science, Isfahan, Iran
  3. 3. Department of Cardiology, School of Medicine, Isfahan University of Medical Science, Isfahan, Iran
  4. 4. Hypertension research Center, Cardiovascular Research Institute, Isfahan University of Medical Science, Isfahan, Iran

Source: Iranian Heart Journal Published:2018

Abstract

Background: Comprehensive cardiac rehabilitation programs constitute a treatment method in patients with coronary artery disease and can prolong patients’ lifespan and reduce the frequency of readmission. The present study aimed to determine the effects of changes in myocardial dysfunction on quality of life after cardiac rehabilitation. Method: The present interventional case-control study randomly assigned patients with coronary artery disease undergoing percutaneous coronary intervention to a case group (n = 40) and a control group (n = 40). A demographic questionnaire, the Beck Depression Inventory (BDI), the Baecke Physical Activity Inventory, and the MacNew Quality of Life Questionnaire were completed for all the patients before and after the study. Echocardiography and laboratory tests were also conducted. The case group underwent the cardiac rehabilitation program. The data collected were analyzed in SPSS 21 using measures of the independent and paired t-test, as well as the χ2 test. Results: The mean age of the study patients was 57.71 years. Moreover, 92.5% of the patients were male in both groups. The 2 groups were matched in terms of demographic characteristics. Cholesterol, fasting blood sugar, and smoking status were found to show statistically significant differences in the case and control groups after the intervention compared to before the intervention, whereas the difference in the mean scores of myocardial dysfunction was statistically insignificant at both time points. The intervention also improved the quality of life of the participants in the emotional, physical, and social dimensions (P < 0.01). Conclusions: Cardiac rehabilitation programs are recommended with a view to improving quality of life in patients undergoing coronary angioplasty. © 2018, Iranian Heart Association. All rights reserved.
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