Effects of cardiac resynchronization therapy on health-related quality of life in older adults with heart failure

Karin F Hoth1,2, Justin Nash3, Athena Poppas4, Kristin E Ellison4, Robert H Paul5, Ronald A Cohen31Division of Psychosocial Medicine, National Jewish Medical and Research Center, Denver, CO, USA; 2Department of Psychiatry, University of Colorado, Denver, CO, USA; 3Department of Psychiatry and Human...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Karin F Hoth, Justin Nash, Athena Poppas, Kristin E Ellison, Robert H Paul, Ronald A Cohen
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2008
Materias:	Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/8d8f57de387046708b090e0977970ca4
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:8d8f57de387046708b090e0977970ca4
record_format	dspace
spelling	oai:doaj.org-article:8d8f57de387046708b090e0977970ca42021-12-02T01:06:32ZEffects of cardiac resynchronization therapy on health-related quality of life in older adults with heart failure1178-1998https://doaj.org/article/8d8f57de387046708b090e0977970ca42008-09-01T00:00:00Zhttps://www.dovepress.com/effects-of-cardiac-resynchronization-therapy-on-health-related-quality-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Karin F Hoth1,2, Justin Nash3, Athena Poppas4, Kristin E Ellison4, Robert H Paul5, Ronald A Cohen31Division of Psychosocial Medicine, National Jewish Medical and Research Center, Denver, CO, USA; 2Department of Psychiatry, University of Colorado, Denver, CO, USA; 3Department of Psychiatry and Human Behavior; 4Department of Cardiology, Warren Alpert Medical School of Brown University, Providence, RI, USA; 5Department of Psychology, Division of Behavioral Neuroscience, University of Missouri St. Louis, St. Louis, MO, USAAbstract: The aim of the study was to examine changes in health-related quality of life among older adults undergoing cardiac resynchronization therapy (CRT), a pacemaker based intervention for heart failure. Twenty-one patients (mean age = 68; SD = 8) completed measures of cardiovascular health and quality of life prior to and 3-months post-CRT. Following the intervention, patients reported improvements in their perception of their physical functioning (t = 2.8, p < 0.01) and feelings of vitality (t = 2.9, p < 0.01) on the MOS SF-36 Health Survey. Patients improved on objective clinical measures of exercise capacity, cardiac ejection fraction, and ventricular dyssynchrony. Younger patients reported greater improvements in physical functioning and decreases in pain. Higher baseline body mass index was associated with less improvement in physical functioning. Finally, patients with nonischemic heart failure reported greater improvements on multiple subscales of the SF-36 than patients with ischemic heart failure. This preliminary study documented improvements in health-related quality of life following CRT. The findings highlight that specific patient characteristics may be associated with quality of life changes. Future studies will benefit from including quality of life measures that assess multiple health-related domains.Keywords: cardiac resynchronization therapy, heart failure, quality of lifeKarin F HothJustin NashAthena PoppasKristin E EllisonRobert H PaulRonald A CohenDove Medical PressarticleGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 3, Pp 553-560 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Geriatrics RC952-954.6
spellingShingle	Geriatrics RC952-954.6 Karin F Hoth Justin Nash Athena Poppas Kristin E Ellison Robert H Paul Ronald A Cohen Effects of cardiac resynchronization therapy on health-related quality of life in older adults with heart failure
description	Karin F Hoth1,2, Justin Nash3, Athena Poppas4, Kristin E Ellison4, Robert H Paul5, Ronald A Cohen31Division of Psychosocial Medicine, National Jewish Medical and Research Center, Denver, CO, USA; 2Department of Psychiatry, University of Colorado, Denver, CO, USA; 3Department of Psychiatry and Human Behavior; 4Department of Cardiology, Warren Alpert Medical School of Brown University, Providence, RI, USA; 5Department of Psychology, Division of Behavioral Neuroscience, University of Missouri St. Louis, St. Louis, MO, USAAbstract: The aim of the study was to examine changes in health-related quality of life among older adults undergoing cardiac resynchronization therapy (CRT), a pacemaker based intervention for heart failure. Twenty-one patients (mean age = 68; SD = 8) completed measures of cardiovascular health and quality of life prior to and 3-months post-CRT. Following the intervention, patients reported improvements in their perception of their physical functioning (t = 2.8, p < 0.01) and feelings of vitality (t = 2.9, p < 0.01) on the MOS SF-36 Health Survey. Patients improved on objective clinical measures of exercise capacity, cardiac ejection fraction, and ventricular dyssynchrony. Younger patients reported greater improvements in physical functioning and decreases in pain. Higher baseline body mass index was associated with less improvement in physical functioning. Finally, patients with nonischemic heart failure reported greater improvements on multiple subscales of the SF-36 than patients with ischemic heart failure. This preliminary study documented improvements in health-related quality of life following CRT. The findings highlight that specific patient characteristics may be associated with quality of life changes. Future studies will benefit from including quality of life measures that assess multiple health-related domains.Keywords: cardiac resynchronization therapy, heart failure, quality of life
format	article
author	Karin F Hoth Justin Nash Athena Poppas Kristin E Ellison Robert H Paul Ronald A Cohen
author_facet	Karin F Hoth Justin Nash Athena Poppas Kristin E Ellison Robert H Paul Ronald A Cohen
author_sort	Karin F Hoth
title	Effects of cardiac resynchronization therapy on health-related quality of life in older adults with heart failure
title_short	Effects of cardiac resynchronization therapy on health-related quality of life in older adults with heart failure
title_full	Effects of cardiac resynchronization therapy on health-related quality of life in older adults with heart failure
title_fullStr	Effects of cardiac resynchronization therapy on health-related quality of life in older adults with heart failure
title_full_unstemmed	Effects of cardiac resynchronization therapy on health-related quality of life in older adults with heart failure
title_sort	effects of cardiac resynchronization therapy on health-related quality of life in older adults with heart failure
publisher	Dove Medical Press
publishDate	2008
url	https://doaj.org/article/8d8f57de387046708b090e0977970ca4
work_keys_str_mv	AT karinfhoth effectsofcardiacresynchronizationtherapyonhealthrelatedqualityoflifeinolderadultswithheartfailure AT justinnash effectsofcardiacresynchronizationtherapyonhealthrelatedqualityoflifeinolderadultswithheartfailure AT athenapoppas effectsofcardiacresynchronizationtherapyonhealthrelatedqualityoflifeinolderadultswithheartfailure AT kristineellison effectsofcardiacresynchronizationtherapyonhealthrelatedqualityoflifeinolderadultswithheartfailure AT roberthpaul effectsofcardiacresynchronizationtherapyonhealthrelatedqualityoflifeinolderadultswithheartfailure AT ronaldacohen effectsofcardiacresynchronizationtherapyonhealthrelatedqualityoflifeinolderadultswithheartfailure
_version_	1718403330569404416

Effects of cardiac resynchronization therapy on health-related quality of life in older adults with heart failure

Ejemplares similares