Key result
Severe physical limitations post-ACS are linked to significantly worse physical and mental quality of life.
Why the study?
The study was conducted to investigate how physical limitations after ACS influence patients' quality of life and health perception.
Do greater physical limitations on a Bruce protocol stress test negatively affect quality of life, anxiety, depression, psychosocial adjustment, and posttraumatic growth in patients after acute coronary syndrome over 3 months?
Cross-Sectional (n=146)
No
Do greater physical limitations on a Bruce protocol stress test negatively affect quality of life, anxiety, depression, psychosocial adjustment, and posttraumatic growth in patients after acute coronary syndrome over 3 months?
Patients with severe physical limitations (<6 METS) on post-ACS exercise testing experience worse quality of life, anxiety, depression, and illness adjustment up to 3 months post-discharge, highlighting a subgroup needing targeted psychological support.
Answers are grounded in this paper and cite their sources.
Signals need for psychological assessment in low-MET post-ACS patients; hypothesis-generating and should not yet alter practice.
The aim of this study was to investigate how physical limitations after ACS influence patients' quality of life and health perception. This was a longitudinal clinical study. We recruited 146 patients diagnosed with ACS. The patients performed a stress test (Bruce's protocol) for the evaluation of physical limitations and were classified according to the test result: without physical limitations (more than 10 METS), with some physical limitations (7 to 9 METS), and with high physical limitations (less than 6 METS). Significant differences were found between the three groups immediately after the diagnosis of ACS and after a period of three months, regarding health perception, anxiety, depression, sexual relationships, distress, and adjustment to disease. These differences resulted larger between the group with less limitations and the group with higher limitations. After 3 months, however, there was an overall improvement in all variables. In conclusion, physical limitations after ACS seem to influence perceived quality of life determined by measuring general health, vitality, total adaptation, emotional role, social adaptation, depression, and anxiety. Therefore, the highest the physical limitations, the poorer the psychological conditions and vice versa, even 3 months after ACS diagnosis.
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Serrano et al. (2021) conducted a cross-sectional in Acute coronary syndrome (ACS) (n=146). Physical limitations after ACS based on Bruce protocol stress test (<6 METS high limitation, 7-9 METS intermediate limitation) vs. No physical limitations (>10 METS on Bruce protocol stress test) was evaluated on Quality of life (SF-12 Physical and Mental Component Summaries), anxiety and depression (HADS), psychosocial adjustment to illness (PAIS), and posttraumatic growth (PTGI) at baseline and 3 months (p=<0.001). Greater physical limitations (<6 METS) after acute coronary syndrome were significantly associated with worse SF-12 physical and mental health scores immediately and at 3 months (p<0.001).
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