International Centre for Education and Research in Cardiovascular pathology and Cardiovisuslization, Samara State Medical University, 18 Gagarina Street, 443096 Samara, Russia,
Psychiatr Danub. 2023 Oct;35(Suppl 2):318-321.
To estimate quality of life (QOL) in patients with arterial hypertension (AH) using SF-36 Health Status Survey.
We included 268 patients (144 men, 124 women) with grade 1-3 AH (subgroup 1 - with coronary stenosis less than 50% (n=158), subgroup 2 - with coronary artery stenosis of 50% or more (n=110)). In the control group - 80 people (47 men, 33 women) without AH. Laboratory and instrumental methods included total cholesterol, low-density lipoprotein cholesterol, triglycerides, glucose, creatinine, electrocardiography, echocardiography, Doppler ultrasound of brachiocephalic arteries, stress echocardiography with physical exercises and coronary angiography. For QOL evaluation we used SF-36 Health Status Survey.
According to the results of the SF-36 Health Status Survey, when assessing physical (PH) and mental (MH) among the groups, there was a significant decrease in summary points in patients of subgroup 2, in whom, according to coronary angiography, it was revealed stenosis of the carotid arteries 50% and more. Anxiety and depression predominated in men. Patients with corrected cholesterol and LDL-cholesterol levels, as well as after coronary angioplasty, were assessed for QOL with limited physical activity, but with high social functioning.
AH, especially with hemodynamically significant atherosclerosis of the coronary arteries are the predictors for QOL worsening in cardiological patients, mostly in men. Using of the international questionnaire "SF-36 Health Status Survey" is advisable to assess the QOL in patients with cardiovascular diseases. In this sense, the interaction of a cardiologist and a psychotherapist is appropriate and justified for the most optimal management of a patient with this pathology.
使用 SF-36 健康状况调查评估动脉高血压（AH）患者的生活质量（QOL）。
我们纳入了 268 名 1-3 级 AH 患者（亚组 1-冠状动脉狭窄小于 50%（n=158），亚组 2-冠状动脉狭窄 50%或以上（n=110））和 80 名无 AH 的对照组患者（47 名男性，33 名女性）。实验室和仪器检查包括总胆固醇、低密度脂蛋白胆固醇、甘油三酯、葡萄糖、肌酐、心电图、超声心动图、肱动脉多普勒超声、运动负荷超声心动图和冠状动脉造影。QOL 评估采用 SF-36 健康状况调查。
根据 SF-36 健康状况调查结果，在评估亚组 2 组患者的身体（PH）和心理（MH）时，发现颈动脉狭窄 50%及以上的患者的综合评分显著下降。焦虑和抑郁在男性中更为常见。经校正胆固醇和 LDL-胆固醇水平的患者，以及经冠状动脉成形术治疗的患者，其 QOL 评估结果显示其体力活动受限，但社会功能较高。
AH，特别是有血流动力学意义的冠状动脉粥样硬化，是心血管患者 QOL 恶化的预测因素，尤其是男性。使用国际问卷“SF-36 健康状况调查”评估心血管疾病患者的 QOL 是可取的。在这方面，心脏病专家和心理治疗师的相互作用是合适的，并且对该病理患者的最优化管理是合理的。
