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阵发性心房颤动患者与常见类型房室折返性室上性心动过速患者在生活质量、焦虑和抑郁方面的差异。

Differences in quality of life, anxiety and depression in patients with paroxysmal atrial fibrillation and common forms of atrioventricular reentry supraventricular tachycardias.

作者信息

Lioni Louiza, Vlachos Konstantinos, Letsas Konstantinos P, Efremidis Michael, Karlis Dimitrios, Asvestas Dimitrios, Kareliotis Vasilios, Xydonas Sotirios, Dimopoulos Nikolaos, Korantzopoulos Panagiotis, Trikas Athanasios, Sideris Antonios

机构信息

Second Department of Cardiology, Laboratory of Cardiac Electrophysiology, "Evangelismos" General Hospital of Athens, Greece.

"Dromokaiteio" Psychiatric Hospital of Attica, Greece.

出版信息

Indian Pacing Electrophysiol J. 2014 Oct 6;14(5):250-7. doi: 10.1016/s0972-6292(16)30796-3. eCollection 2014 Sep.

Abstract

INTRODUCTION

The aim of this study was to evaluate the differences in quality of life and psychosocial stress parameters among patients with paroxysmal atrial fibrillation (AF) and common forms of atrioventricular reentry supraventricular tachycardias (SVTs).

METHODS AND RESULTS

The total study population included 106 patients, 54 patients with paroxysmal AF (32 males, age 56.64±12.50 years) and 52 with SVTs (25 males, age 40.46±14.96 years). General health (p<0.01), physical function (p=0.004), role emotion (p=0.002) and role physical (p<0.01) scores were lower in patients who suffered AF. SF-36 physical and mental health summary measures were also significantly lower in the AF group compared to those in SVT group (p<0.01 and p=0.001, respectively). Lower SF-36 total score was observed in patients with AF compared to those with SVTs (p<0.01). Comparing the anxiety and depression scores all the values were higher in patients with AF. Higher STAI-state scores (p<0.01), STAI-trait scores (p=0.039) and BDI scores (p=0.077) were seen in patients who suffered AF comparing to those with SVTs.

CONCLUSIONS

Quality of life is significantly impaired and the level of anxiety is significantly higher in patients with AF comparing to those with common forms of SVTs.

摘要

引言

本研究旨在评估阵发性心房颤动(AF)患者与常见形式的房室折返性室上性心动过速(SVT)患者在生活质量和心理社会应激参数方面的差异。

方法与结果

研究总人群包括106例患者,54例阵发性AF患者(32例男性,年龄56.64±12.50岁)和52例SVT患者(25例男性,年龄40.46±14.96岁)。AF患者的总体健康状况(p<0.01)、身体功能(p=0.004)、角色情感(p=0.002)和角色身体(p<0.01)得分较低。与SVT组相比,AF组的SF-36身体和心理健康综合测量指标也显著较低(分别为p<0.01和p=0.001)。与SVT患者相比,AF患者的SF-36总分较低(p<0.01)。比较焦虑和抑郁评分,AF患者的所有值均较高。与SVT患者相比,AF患者的状态特质焦虑量表(STAI)状态得分(p<0.01)、特质得分(p=0.039)和贝克抑郁量表(BDI)得分(p=0.077)更高。

结论

与常见形式的SVT患者相比,AF患者的生活质量显著受损,焦虑水平显著更高。

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