Heart & Lung: The Journal of Acute and Critical Care
Volume 40, Issue 2 , Pages 147-155, March 2011

Health-related quality of life: The impact of diagnostic angiography

  • Jo-Ann Eastwood, PhD, RN, CCNS, ACNP-BC, CCRN

      Affiliations

    • School of Nursing, University of California Los Angeles, Los Angeles, California
    • Women’s Heart Program, Cedars-Sinai Medical Center, Los Angeles, California
    • Corresponding Author InformationCorresponding author: Jo-Ann Eastwood, PhD, RN, CCNS, ACNP-BC, CCRN, Factor Building, UCLA Office 4-254, 700 Tiverton Avenue, Los Angeles, CA 90095-1702.
    • ,
  • Lynn V. Doering, RN, DNSc, FAAN

      Affiliations

    • School of Nursing, University of California Los Angeles, Los Angeles, California
    • ,
  • Kathleen Dracup, RN, DNSc, FAAN

      Affiliations

    • School of Nursing, University of California San Francisco, San Francisco, California
    • ,
  • Lorraine Evangelista, PhD, RN

      Affiliations

    • School of Nursing, University of California Los Angeles, Los Angeles, California
    • ,
  • Ron D. Hays, PhD

      Affiliations

    • School of Public Health and David Geffen School of Medicine, Health Services Research, University of California Los Angeles, Los Angeles, California

Received 22 May 2009; received in revised form 4 May 2010; accepted 18 May 2010. published online 09 August 2010.

Abstract 

Background

Little is known regarding the effects of index angiograms on health-related quality of life related to angiographic outcome, that is, positive or negative for coronary heart disease (CHD).

Methods

A longitudinal, comparative design was used. Ninety-three patients underwent initial angiography and completed questionnaires (Cardiac-Quality of Life Index, Short Form-36 mental and physical, and Cardiac Attitudes Index) before, 1 week and 1 year after angiography. Data were evaluated with linear regression and analysis of variance.

Results

Fifty-five patients were CHD positive (age 65.3 ± 10.7 years, 49% were female), and 38 patients were CHD negative (age 59.5 ± 12 years, 53% were female). Compared with CHD-positive patients over 1 year, CHD-negative patients reported lower scores on the Cardiac-Quality of Life Index (P < .008), Short Form-36 mental and physical measures (P = .004), and Cardiac Attitudes Index (P = .05).

Conclusion

CHD-negative patients experienced lower health-related quality of life and lower perceived control than CHD-positive patients. After an index angiogram, a negative finding may not be sufficient to relieve negative emotions.

Keywords: Health-related quality of life, Coronary heart disease, Diagnostic angiography, Percutaneous coronary interventions

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 Funding: UCLA School of Nursing Dianne Matoff Award, Sigma Theta TAU: Gamma Tau Chapter Research Award, Post-Doctoral Fellowship Award Veterans Healthcare Administration, Washington, DC.

 Cite this article: Eastwood, J.-A., Doering, L. V., Dracup, K., Evangelista, L., & Hays, R. D. (2011, MARCH/APRIL). Health-related quality of life: The impact of diagnostic angiography. Heart & Lung, 40(2), 147-155. doi:10.1016/j.hrtlng.2010.05.056.

PII: S0147-9563(10)00211-6

doi:10.1016/j.hrtlng.2010.05.056

Heart & Lung: The Journal of Acute and Critical Care
Volume 40, Issue 2 , Pages 147-155, March 2011

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