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24-04-2021

Exercise tolerance and quality of life in patients with known or suspected coronary artery disease

Auteurs: Vasiliki Katsi, Georgios Georgiopoulos, Panagiota Mitropoulou, Konstantinos Kontoangelos, Zoi Kollia, Chara Tzavara, Dimitrios Soulis, Konstantinos Toutouzas, Dimitrios Oikonomou, Alberto Aimo, Konstantinos Tsioufis

Gepubliceerd in: Quality of Life Research | Uitgave 9/2021

Abstract

Background

Coronary artery disease (CAD) is known to impact on patients’ physical and mental health. The relationship between performance on treadmill exercise tolerance test (ETT) and health-related quality of life (HRQL)has never been specifically investigated in the setting of CAD.

Methods

Consecutive patients undergoing an ETT with the Bruce protocol during a diagnostic workup for CAD (n = 1,631, age 55 ± 12 years) were evaluated. Exercise-related indices were recorded. Detailed information on cardiovascular risk factors and past medical history were obtained. HRQLwas assessed with the use of the validated 36-Item Short Form Survey (SF-36) questionnaire.

Results

Increasing age and the presence of cardiovascular risk factors and comorbidities correlated with lower scores on the physical and mental health component of SF-36(all P < 0.05). Subjects with arrhythmias during exercise and slow recovery of systolic blood pressure had lower scores on the physical health indices or the Social Role Functioning component (P < 0.05). Achieved target heart rate and good exercise tolerance were independently associated with better scores of the physical and mental health domains of SF-36 and overall HRQLscores (β = 0.05 for target HR and PCS-36, β = 1.86 and β = 1.66 per increasing stage of exercise tolerance and PCS-36 and MCS-36, respectively, P < 0.001 for all associations). Ischemic ECG changes were associated with worse scores on Physical Functioning (β = − 3.2, P = 0.02) and Bodily Pain (β = − 4.55, P = 0.026).

Conclusion

ETT parameters are associated with HRQL indices in patients evaluated for possible CAD. Physical conditioning may increase patient well-being and could serve as a complementary target in conjunction with cardiovascular drug therapy.

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Titel: Exercise tolerance and quality of life in patients with known or suspected coronary artery disease
Auteurs: Vasiliki Katsi
Georgios Georgiopoulos
Panagiota Mitropoulou
Konstantinos Kontoangelos
Zoi Kollia
Chara Tzavara
Dimitrios Soulis
Konstantinos Toutouzas
Dimitrios Oikonomou
Alberto Aimo
Konstantinos Tsioufis
Publicatiedatum: 24-04-2021
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 9/2021
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-021-02844-y

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