Key result
In patients with coronary artery disease, having musculoskeletal pain (n=50) versus no pain (n=50) was associated with lower functional capacity and quality of life, and higher anxiety and depression.
Why the study?
Does co-occurring musculoskeletal pain affect functional capacity, psychological status, and quality of life in patients with coronary artery disease?
Cross-Sectional (n=100)
Does co-occurring musculoskeletal pain affect functional capacity, psychological status, and quality of life in patients with coronary artery disease?
Co-occurring musculoskeletal pain in CAD patients is associated with decreased functional capacity and quality of life, and increased anxiety and depression, highlighting the need for its detection and treatment.
Supports musculoskeletal pain assessment in CAD; leaves open whether treatment improves outcomes.
BACKGROUND AND AIM: In patients diagnosed with coronary artery disease (CAD), we aimed to determine the characteristics and risk factors of co-occurring musculoskeletal pain and examine its effects on functional capacity, psychological status and health-related quality of life. PATIENTS AND METHODS: A total of 100 patients with (n= 50) and without (n= 50) musculoskeletal pain were enrolled. All patients were assessed on sociodemographic and clinical properties. The Duke Activity Status Index (DASI), the Hospital Anxiety and Depression Scale (HADS) and the Short Form-36 (SF-36) were applied as clinical assessment scales. RESULTS: Patients with musculoskeletal pain were mostly female, and had a lower education level and annual income. The pain was mostly nociceptive, intermittent, sharp/stabbing in character, and located in the chest and spine. Having musculoskeletal pain resulted in lower levels on the DASI and all subgroups of the SF-36, and higher levels on the HADS. Female gender, lower education level and severity of emotional distress proved to be independent risk factors for the development of musculoskeletal pain. CONCLUSIONS: In CAD, the co-occurrence of musculoskeletal pain leads to a further decrease in health-related quality of life and functional status, and increased severity of anxiety and depression. This stresses the importance of the detection and optimal treatment of musculoskeletal pain in patients diagnosed with CAD.
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Özcan et al. (2018) conducted a cross-sectional in Coronary artery disease (CAD) (n=100). Musculoskeletal pain vs. No musculoskeletal pain was evaluated on Functional capacity (DASI), psychological status (HADS), and health-related quality of life (SF-36). In patients with coronary artery disease, having musculoskeletal pain (n=50) versus no pain (n=50) was associated with lower functional capacity and quality of life, and higher anxiety and depression.
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