Psychological State after an Acute Coronary Syndrome: Impact of Physical Limitations

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 p...

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Bibliographic Details
Published inInternational journal of environmental research and public health Vol. 18; no. 12; p. 6473
Main Authors Serrano-Rosa, Miguel-Ángel, León-Zarceño, Eva, Giglio, Cristina, Boix-Vilella, Salvador, Moreno-Tenas, Antonio, Pamies-Aubalat, Lidia, Arrarte, Vicente
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 15.06.2021
MDPI
Subjects
Acute coronary syndromes
Adaptation
Angina pectoris
Anxiety
Blood pressure
Cardiac stress tests
Cardiovascular disease
Data collection
Diagnosis
Fitness equipment
Heart rate
Hospitals
Mental depression
Mental health
Mortality
Patients
Perception
Personal development
Quality of life
Sexual relationships
Womens health
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Summary: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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ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph18126473