Quality of life in patients with acute coronary syndrome and behavioral activity types A, AB and B


E.V. Akatova, O.P. Nikolin, I.V. Urlaeva, A.I. Martynov

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov, Department of Hospital Therapy № 1, Moscow
The aim. To study the effect of behavioural activity on quality of life (QE) in patients with acute coronary syndrome (ACS). Material and methods. The study included 100 patients with ACS, which were subsequently divided into groups in accordance with the underlying disease - acute myocardial infarction (AMI) and unstable angina (UA). The age of patients from 40 to 75 years, the therapy is standard according to the underlying disease. Life quality indicators were assessed at all stages of the study. Results. In patients with ACS and type B behavior, the quality of life is significantly higher than in patients with type A. The physical and psychological components of health in patients with type B are also significantly higher than in patients with type A. The behavioral type of activity A is one of the risk factors of cardiovascular diseases (CVD), including ACS. Conclusion. The behavioral type of activity affects the physical and psychoemotional state of patients with ACS. In patients with ACS and type B behavioral activity, the physical and psychoemotional state is higher than in patients with type A behavior. Behavioral activity type A is a factor that may potentially adversely affects the course and prognosis of ACS.

Literature


  • Электронный источник: Всемирная организация здравоохранения. http://www.who.int/mediacentre/factsheets/fs310/ru [Electronic resourse: World Health Organization. http://www.who.int/mediacentre/factsheets/fs310/ru]
  • 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure / P. Ponikowski, A.A. Voors, S.D. Anker [et al.] // Eur Heart J. 2016;37(27):2129-2200.
  • Miller G.E. Cynical hostility, depressive symptoms and expression of inflammatory risk markers for coronary heart disease / G. E. Miller, K. E. Freedland, R. M. Carney // J. Behav. Med. 2008;26:501-515.
  • 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation / M. Roffi, C. Patrono, J. P. Collet [et al.] // Eur Heart J. 2015 Aug 29.
  • 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation / B. Ibanez, S. James, S. Agewall [et al.] // Eur Heart J. 2018;39(2):119–177.
  • Tebbe U., Messer C., Stammwitz E. et al. Reduction of in-hospital mortality and improved secondary prevention after acute myocardial infarction First results from the registry of secondary prevention after acute myocardial infarction (SAMI) // Dtsch Med Wochenschr. 2007;132:1559–66.
  • Strike P.S., Septoe A. systemic review of mental stress-induced myocardial ischaemia // Eur Heart J. 2008;24:690-703.
  • Федорец В.Н. Ишемическая болезнь сердца у больных пожилого возраста с поведенческим типом А (психосоциальные, клинико-функциональные, лечебно-профилактически аспекты): Автореф. дис. д.м.н. – Санкт-Петербург, 2011. С. 39–40. [Fedoretz V.N. Ishemic heart disease in elderly patients with Type A behaviour (psychosocial, clinical-functional, treatment-preventive aspects): Autoabstract diss. MD - St. Petersburg, 2011. P. 39-40.]
  • Franklin B.A, Costa F. et al. Cardiac rehabilitation and secondary prevention of coronary heart disease // Circulation. 2010;98:312-321.
  • Witt B.J., Jacobsen S.J., Weston S.A. et al. Cardiac rehabilitation after myocardial infarction in the community // J Am Coll Cardiol. 2008;44:983-996.
  • Эрлих А.Д., Мацкеплишвили С.Т., Грацианский Н.А., Бузиашвили Ю.И. Первый московский регистр острого коронарного синдрома: характеристика больных, лечение и исходы за время пребывания в стационаре // Кардиология. 2013. № 12. [Aerlikh A.D., Matzkeplishvili S.T., Gratzianskii N.A., Buziashvili Ju.I. First Moscow sender of acute coronary syndrome: characteristics of patients, treatment and outcomes for the time of their hospital duration // Cardiology. 2013. № 12.]

  • About the Autors


    Evgeniya V. Akatova, MD, Professor of the Department of hospital therapy № 1 of MSMSU n.a. A. I. Evdokimov.
    Address: 129301, Moscow, Kasatkina str., 7, korp. 5

    Olesya P. Nikolin, associate professor of the Department of hospital therapy № 1 of MSMSU n.a. A. I. Evdokimov. Address: 129301, Moscow, Kasatkina str., 7, korp. 5

    Inna V. Urlaeva, assistant of the Department of hospital therapy № 1 of MSMSU n.a. A. I. Evdokimov. Address: 129301, Moscow, Kasatkina str., 7, korp. 5. Tel: +74956832708. E-mail: md.urlaeva@yandex.ru

    Anatoly I. Martynov, аcademician of the Russian Academy of Sciences, MD, professor of the Department of Hospital Therapy No. 1 of MSMSU n.a. A. I. Evdokimov, President of the Russian Scientific Medical Society of Internal Medicine; 109386, Moscow, Stavropolskaya str., 23, building 1.


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