Clinical research on the emergency factors associated with health-related quality of life six months after acute myocardial infarction

Objective To identify the emergency factors associated with health-related quality of life(HRQOL)6 months after acute myocardial infarction.Methods HRQOL was assessed in 89 emergency patients 6 months after acute myocardial infarction,using the SF-36 health survey questionnaire.Multivariate linear regression analysis and analysis of covariance were applied to data analysis to identify the emergency factors associated with HRQOL.Results The sum scores of the SF-36 health survey and scores on 4 of the 8 dimensions showed negative linear correlation with age(P0.05).The sum scores and scores on 5 of the 8 dimensions showed positive linear correlation with mean arterial pressure(P0.05).The scores on social function dimension showed negative linear correlation with the time to treatment(P0.05).The scores on role physical dimension of the patients with three locations infarct were lower than those of the patients with single location infarct or two locations infarct(P0.05).The scores on social function dimension of the patients with single location infarct were higher than those of the patients with three locations infarct(P0.05).The sum scores of the patients with single location infarct were higher than those of the patients with two locations infarct(P0.05)or three locations infarct(P0.01).The scores on vitality dimension of the patients who received primary PCI were higher than those of the patients who received thrombolysis therapy(P0.05).Conclusion Advanced age,low mean arterial pressure and large infarct size are the emergency factors associated with poor HRQOL 6 months after acute myocardial infarction.Early treatment and primary PCI are the emergency factors associated with high HRQOL.