Health-related quality of life after myocardial infarction.

IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL

Tidsskrift for Den Norske Laegeforening Pub Date : 2025-03-20 Print Date: 2025-04-22 DOI:10.4045/tidsskr.24.0179

Ragna Elise Støre Govatsmark, Kari Krizak Halle, Andrew Malcolm Garratt, Kaare Harald Bønaa, Veronica Bendiktsen Berge, Tove Aminda Hanssen

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Abstract

Background: The Norwegian Myocardial Infarction Registry collects patient-reported data on health-related quality of life three months after discharge from the hospital. The aim of the study is to compare health-related quality of life in patients who have experienced myocardial infarction with a randomly selected reference population in Norway.

Material and method: Patients registered in the Norwegian Myocardial Infarction Registry in the period 2020-2023 and a reference population in Norway were sent a health-related quality of life questionnaire covering five dimensions (EQ-5D-5L). Health-related quality of life was measured using the EQ-5D-5L index, which ranges from 0 to 1, and EQ-VAS, which is a visual analogue scale ranging from 0 to 100. Higher values indicate a higher quality of life.

Results: Patients who had experienced myocardial infarction reported a lower average EQ-5D-5L index (0.86 vs. 0.88; p < 0.001) and a lower average EQ-VAS score (69 vs. 80; p < 0.001) compared to the reference population. After myocardial infarction, women reported a poorer quality of life than men (average EQ-5D-5L index 0.82 (women) vs. 0.87 (men); p < 0.001), and patients with non-ST-elevation myocardial infarction (NSTEMI) had a lower index than patients with ST-elevation myocardial infarction (STEMI) (0.85 vs. 0.88; p < 0.001).

Interpretation: Health-related quality of life was poorer in patients who had experienced myocardial infarction compared to the general population in Norway. Following myocardial infarction, women had a poorer health-related quality of life than men, and patients who had experienced NSTEMI had a poorer health-related quality of life than those who had experienced STEMI.

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心肌梗死后与健康相关的生活质量。

背景：挪威心肌梗死登记处收集出院后三个月患者报告的与健康相关的生活质量数据。该研究的目的是比较挪威随机选择的参考人群中经历过心肌梗死的患者的健康相关生活质量。材料和方法：向2020-2023年期间在挪威心肌梗死登记处登记的患者和挪威的参考人群发送涉及五个维度的健康相关生活质量问卷（EQ-5D-5L）。使用EQ-5D-5L指数（范围从0到1）和EQ-VAS（一种视觉模拟量表，范围从0到100）来测量与健康相关的生活质量。数值越高，表明生活质量越高。结果：经历过心肌梗死的患者报告了较低的平均EQ-5D-5L指数(0.86 vs 0.88；p < 0.001)，平均EQ-VAS评分较低(69比80；P < 0.001)。心肌梗死后，女性报告的生活质量比男性差(平均EQ-5D-5L指数0.82（女性）比0.87（男性）；p < 0.001)，非st段抬高型心肌梗死（NSTEMI）患者的指数低于st段抬高型心肌梗死（STEMI）患者(0.85 vs. 0.88；P < 0.001)。解释：与挪威的普通人群相比，经历过心肌梗死的患者的健康相关生活质量较差。心肌梗死后，女性的健康相关生活质量比男性差，经历过NSTEMI的患者的健康相关生活质量比经历过STEMI的患者差。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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