THE IMPACT OF REHABILITATION ON QUALITY OF LIFE OF PATIENTS WITH ACUTE CORONARY SYNDROME WITH EMERGENCY REVASCULARIZATION BY PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY AND STENTING THE CORONARY ARTERIES (KRASNOYARSK)

Abstract

Background. To study the dynamics in the quality of life of patients with acute coronary syndrome (ACS) with emergency revascularization by percutaneous transluminal coronary angioplasty and stenting the coronary arteries (CA). Materials and methods. 150 patients with ACS, percutaneous transluminal coronary angioplasty and stenting the coronary arteries (CA) were included. 65 patients (group 1) performed all procedures of second phase of cardiac rehabilitation program. 85 patients (group 2), who refused of participation in rehabilitation program, were tested according to the test-questionnaire Beck and SF-36. Results. Patients with a full course of rehabilitation program had a statically significant increase in health indicators (physical health component after discharge 42,30 [38,25; 44,35] in 6 months 56,30 [51,85; 5,810], p<0,001; psychological component after discharge 42,80 [39,75; 50,20] in 6 months 56,70 [51,85; 57,20], p<0,001). In group 2 there was no such pattern noticed. Tobacco smoking influenced physical (r = - 0,629, p<0,05) and psychological (r = - 0,621, p<0,05) components of health negatively. Also increased cholesterol influenced physical (r = - 0,424, p<0,05) and psychological (r = - 0,405, p<0,05) components of health. Conclusions. the high importance of rehabilitation program in patients after inpatient ACS treatment, percutaneous transluminal coronary angioplasty and stenting the coronary arteries was revealed. Increased cholesterol and smoking decrease the positive effect of rehabilitation.

Keywords

• острый коронарный синдром
• стентирование коронарных артерий
• кардиореабилитация
• качество жизни
• физический и психологический компоненты здоровья
• опросник SF-36