Saldaña-García JH, Solorio S, Rangel A

Language: Spanish
References: 7
Page: 94-97
PDF size: 66.45 Kb.

ABSTRACT

Objective: The aim of this investigation was to estimate the quality of life in middle class patients with ischemic cardiopathy after coronary artery angioplasty. Material and methods: In order to estimate the quality of life, we applied the “Seattle Angina Questionnaire” in 22 patients before the angioplasty, one and two months after the procedure. Results: We studied 18 men and four women, with 57.36 ± 9.56 (range 39 y 78) years old. There were six diabetic patients (27.3%), eight with systemic arterial hypertension (36.4%) 11 heavy smokers (50%), eight with hyperlipidemia (36.4%). Before the angioplasty, the functional class of Canadian Cardiovascular Society (CCS) distribution was as it follows: one patient in class I (4.5%), 16 in class II (72.7%) and five in class III (22.7%). We perform angioplasty of one vessel in 12 patients (54.5%), of two vessels in eight (36.4%), and of three vessels in two patients (9.1%); there were 17 (77.2%) and complete revascularization but 5 (22.7%) successes about the culprit lesion the, but the revascularization incomplete because the inaccessibility of small vessels. According the figures obtained, we observed a statistical significant increase in the quality of the en our sample: 57.4 ± 12.6 before, 72.1 ± 14.0 one month after, and 76.4 ± 14.5 two months after the angioplasty. In spite of the fact that 50% of the patients were diabetic and 43% with coronary lesion type “C”, a real improvement was observed in our patients one and two months after angioplasty. Discussion: We considered the Questionnaire Seattle as a useful and sensitive instrument to estimate the quality of life of patients with angina pectoris. In spite of the short size of our sample (22 patients), we observed an improvement in the qualification of every heading of the questionnaire. Such improvement was patent in spite of the complexity of the coronary artery lesions, the presence of diabetes mellitus, and spite of the incomplete revascularization in patients where culprit lesion was successfully dilated, but it remained lesions in small arteries. Conclusions: It is very useful to apply Seattle Angina Questionnaire to estimate the quality of life in patients with angor pectoris submitted to coronary artery angioplasty. In spite of the short number of our sample, of the presence of risk factor, the angioplasty of the culprit vessels improved the quality of life in our patients.

REFERENCES

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