Additive prognostic value of subjective assessment with respect to clinical cardiological data in patients with chronic heart failure

Research output: Contribution to journalArticle

Abstract

Background: Health-related quality of life tools that better reflect the unique subjective perception of heart failure (HF) are needed for patients with this disorder. The aim of this study was to explore whether subjective satisfaction of HF patients about daily life may provide additional prognostic information with respect to clinical cardiological data. Methods: One hundred and seventy-eight patients (age 51±9 years) with moderate to severe HF [New York Heart Association (NYHA) class 2.0±0.7; left ventricular ejection fraction (LVEF) 29±8%] in stable clinical condition underwent a standard clinical evaluation and compiled the Satisfaction Profile (SAT-P) questionnaire focusing on subjective satisfaction with daily life. Cox regression analysis was used to assess whether SAT-P factors (psychological functioning, physical functioning, work, sleep/eating/leisure, social functioning) had any prognostic value. Results: Forty-six cardiac deaths occurred during a median of 30 months. Patients who died had higher NYHA class, more depressed left ventricular function, reduced systolic blood pressure (SBP), increased heart rate (HR), and worse biochemistry (all p

Original languageEnglish
Pages (from-to)836-842
Number of pages7
JournalEuropean Journal of Cardiovascular Prevention and Rehabilitation
Volume18
Issue number6
DOIs
Publication statusPublished - Dec 2011

Keywords

  • Health-related quality of life
  • Heart failure
  • Prognosis
  • Subjective satisfaction

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Epidemiology

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