Health-Related Quality of Life of Japanese Patients With Chronic Heart Failure: Assessment Using the Medical Outcome Study Short Form 36

Chronic heart failure is characterized by impaired cardiac function, but the relationship between clinical indices and subjective perception is not clear. This study was undertaken to investigate the relationship between cardiac function, exercise capacity and clinical classification, and the health...

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Bibliographic Details
Published in:Circulation Journal 2003, Vol.67(3), pp.215-220
Main Authors: Mitani, Haruo, Hashimoto, Hideki, Isshiki, Takaaki, Kurokawa, Shingo, Ogawa, Kenichi, Matsumoto, Kazuo, Miyake, Fumihiko, Yoshino, Hideaki, Fukuhara, Shunnichi
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Cardiology. Vascular system
Chronic Disease
Chronic heart failure
Cross-Sectional Studies
Female
Health-related quality of life
Heart
Heart Failure
Heart failure, cardiogenic pulmonary edema, cardiac enlargement
Humans
Japan
Male
Medical outcome study short form 36
Medical sciences
Mental Health
Middle Aged
Pain
Physical Fitness
Psychometrics
Quality of Life
Specific activity scale
Stroke Volume
Surveys and Questionnaires
Ventricular Dysfunction, Left
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Summary:Chronic heart failure is characterized by impaired cardiac function, but the relationship between clinical indices and subjective perception is not clear. This study was undertaken to investigate the relationship between cardiac function, exercise capacity and clinical classification, and the health-related quality of life (HRQOL) in 91 outpatients with an left ventricular ejection fraction (LVEF) less than 40%. Exercise capacity was evaluated by the Specific Activity Scale, and HRQOL by the Medical Outcome Study Short Form 36. Exercise capacity and the cardiothoracic ratio were correlated with the HRQOL related to physical functioning, although the correlation between exercise capacity and mental health was not significant. LVEF was not related to HRQOL. Factor analysis revealed (1) LVEF was independent of physical functioning; (2) physical function and exercise capacity comprise a factor reflecting physical HRQOL; and (3) socio-emotional functioning is the third factor independent of LVEF and physical function. Physical and socio-mental HRQOL measurement included information independent of the widely used clinical indices such as LVEF and New York Heart Association classification. The evaluation of HRQOL should be included in the assessment of patient status. (Circ J 2003; 67: 215 - 220)
ISSN:1346-9843
1347-4820
DOI:10.1253/circj.67.215