Birte Dahrmann1, Jürgen Sindermann2, Thomas Geldmacher3, Gereon Heuft1. 1. Klinik für Psychosomatik und Psychotherapie Universitätsklinikum Münster Domagkstr. 22 D-48149 Münster Deutschland Klinik für Psychosomatik und Psychotherapie - UKM Münster. 2. Klinik für Herzchirurgie Universitätsklinikum Münster Deutschland Klinik für Herzchirurgie - Universitätsklinikum Münster. 3. Institut für Ausbildung und Studienangelegenheiten, Münster Albert-Schweitzer-Straße 21 48149 Münster Deutschland IfAS - Universität Münster.
Abstract
Quality of life and mental health of patients with severe heart failure with or without technical support for the left cardiac ventricle - a cross-sectional study Objectives: Chronic heart failure is associated with reduced quality of life (QoL) and poor prognosis. Support via a left ventricular assist device (LVAD) is an alternative to optimised medical management for patients with advanced heart failure. This study evaluated health-related QoL with both therapy options. METHODS: In this consecutive cross-sectional study, patients with LVAD support (n = 50) and patients with optimised medical management (n = 50) were interviewed comprehensively about various domains of QoL, emotional stress, perceived self-efficacy, social support, life satisfaction, and communication. RESULTS: LVAD patients had a better overall QoL (KCCQ, clinical summary: MW: 67.4 vs. 52.9). Patients with medical management reported increased emotional stress stemming from depressed mood (HADS-D, MW: 7.1 vs.MW: 6.0). Depressed mood proved to be the most significant negative predictor for health-related QoL as well as for emotional well-being. CONCLUSIONS: Although they had a worse clinical situation preoperatively, LVAD patients had a significantly better QoL in both physical dimensions and functional competencies as well as significantly less psychological stress through depressed mood and anxiety.
Quality of life and mental health of patients with severe heart failure with or without technical support for the left cardiac ventricle - a cross-sectional study Objectives: Chronic heart failure is associated with reduced quality of life (QoL) and poor prognosis. Support via a left ventricular assist device (LVAD) is an alternative to optimised medical management for patients with advanced heart failure. This study evaluated health-related QoL with both therapy options. METHODS: In this consecutive cross-sectional study, patients with LVAD support (n = 50) and patients with optimised medical management (n = 50) were interviewed comprehensively about various domains of QoL, emotional stress, perceived self-efficacy, social support, life satisfaction, and communication. RESULTS: LVAD patients had a better overall QoL (KCCQ, clinical summary: MW: 67.4 vs. 52.9). Patients with medical management reported increased emotional stress stemming from depressed mood (HADS-D, MW: 7.1 vs.MW: 6.0). Depressed mood proved to be the most significant negative predictor for health-related QoL as well as for emotional well-being. CONCLUSIONS: Although they had a worse clinical situation preoperatively, LVAD patients had a significantly better QoL in both physical dimensions and functional competencies as well as significantly less psychological stress through depressed mood and anxiety.
Entities:
Keywords:
Anxiety; Depression; Heart Failure; Left Ventricular Assist Device (LVAD); Optimal Medical Management; Quality of Life
Authors: Mirjam Dieckelmann; Juliana J Petersen; Corina Güthlin; Felix Reinhardt; Jasper Plath; Klaus Jeitler; Thomas Semlitsch; Ferdinand M Gerlach; Andrea Siebenhofer Journal: BMJ Open Date: 2020-10-10 Impact factor: 2.692