Jorge Antonio José Lagoeiro, Rosa Maria Luiza Garcia, Correia Dayse Mary da Silva, Martins Wolney de Andrade, Ceron Diana Maria Martinez, Coelho Leonardo Chaves Ferreira, Soussume William Shinji Nobre, Kang Hye Chung, Moscavitch Samuel Datum, Mesquita Evandro Tinoco
Curso de Pós-Graduação em Ciências Cardiovasculares - Universidade Federal Fluminense (UFF), Niterói, RJ - Brazil.
Arq Bras Cardiol. 2017 Sep;109(3):248-252. doi: 10.5935/abc.20170123. Epub 2017 Aug 17.
Heart failure (HF) is a major public health issue with implications on health-related quality of life (HRQL).
To compare HRQL, estimated by the Short-Form Health Survey (SF-36), in patients with and without HF in the community.
Cross-sectional study including 633 consecutive individuals aged 45 years or older, registered in primary care. The subjects were selected from a random sample representative of the population studied. They were divided into two groups: group I, HF patients (n = 59); and group II, patients without HF (n = 574). The HF group was divided into HF with preserved ejection fraction (HFpEF - n = 35) and HF with reduced ejection fraction (HFrEF - n = 24).
Patients without HF had a mean SF-36 score significantly greater than those with HF (499.8 ± 139.1 vs 445.4 ± 123.8; p = 0.008). Functional capacity - ability and difficulty to perform common activities of everyday life - was significantly worse (p < 0.0001) in patients with HF independently of sex and age. There was no difference between HFpEF and HFrEF.
Patients with HF had low quality of life regardless of the syndrome presentation (HFpEF or HFrEF phenotype). Quality of life evaluation in primary care could help identify patients who would benefit from a proactive care program with more emphasis on multidisciplinary and social support. (Arq Bras Cardiol. 2017; [online].ahead print, PP.0-0).
心力衰竭（HF）是一个重大的公共卫生问题，对健康相关生活质量（HRQL）有影响。
比较社区中患心力衰竭和未患心力衰竭患者通过简短健康调查问卷（SF-36）评估的健康相关生活质量。
横断面研究，纳入633名年龄在45岁及以上、在初级保健机构登记的连续个体。这些受试者选自所研究人群的随机样本。他们被分为两组：第一组，心力衰竭患者（n = 59）；第二组，无心力衰竭患者（n = 574）。心力衰竭组又分为射血分数保留的心力衰竭（HFpEF - n = 35）和射血分数降低的心力衰竭（HFrEF - n = 24）。
无心力衰竭患者的SF-36平均得分显著高于心力衰竭患者（499.8±139.1对445.4±123.8；p = 0.008）。无论性别和年龄，心力衰竭患者的功能能力——进行日常生活常见活动的能力和困难程度——明显更差（p < 0.0001）。HFpEF和HFrEF之间没有差异。
无论综合征表现如何（HFpEF或HFrEF表型），心力衰竭患者的生活质量都较低。初级保健中的生活质量评估有助于识别那些将从更强调多学科和社会支持的积极护理计划中受益的患者。（《巴西心脏病学杂志》。2017年；[在线]。预印本，第0 - 0页）
