Cardiac failure: Symptoms and functional status

The associations between exercise capacity, symptoms and specific aspects of quality of life were examined in subjects participating in a trial of the treatment of heart failure. Patients were assessed on entry and after three months treatment. The principle symptoms were fatigue, breathlessness and...

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Bibliographic Details
Published in:Journal of psychosomatic research 1991, Vol.35 (4), p.399-407
Main Authors: Mayou, Richard, Blackwood, Roger, Bryant, Bridget, Garnham, John
Format: Article
Language:English
Subjects:
Activities of Daily Living - psychology
Adaptation, Psychological
Adult
Aged
Angina Pectoris - psychology
Angina Pectoris - rehabilitation
Biological and medical sciences
Cardiology. Vascular system
Double-Blind Method
Dyspnea - psychology
Dyspnea - rehabilitation
Exercise Test - psychology
Fatigue - psychology
Fatigue - rehabilitation
Female
Heart
Heart Failure - psychology
Heart Failure - rehabilitation
Heart failure, cardiogenic pulmonary edema, cardiac enlargement
Humans
Male
Medical sciences
Middle Aged
Pilot Projects
Quality of Life
Sick Role
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Summary:The associations between exercise capacity, symptoms and specific aspects of quality of life were examined in subjects participating in a trial of the treatment of heart failure. Patients were assessed on entry and after three months treatment. The principle symptoms were fatigue, breathlessness and chest pain. These limited the extent and speed of physical activities, restricted social, leisure and family life and were associated with emotional distress. There were associations between baseline exercise capacity and measures of quality of life. Change in exercise capacity during three months treatment was correlated with changes in measures of symptoms, limitation of activity and quality of life. The findings confirm the value of change in exercise capacity as a measure of functional status and suggest that it should be supported by a limited number of specific measures of quality of life.
ISSN:0022-3999
1879-1360
DOI:10.1016/0022-3999(91)90035-M