دانلود کتاب نتایج و کیفیت زندگی گزارش شده توسط بیمار در مداخلات قلبی عروقی

Over the last few decades, the combined effect of declining mortality and major morbidities after cardiovascular interventions in combination with the fact that medicine becoming more patient-centred has brought the impact on functional status of patients under the spotlight.

The ability and the time patients can resume their day-to-day activities post-intervention has been increasingly researched and considered as a key indicator of outcomes.

More often physicians are also considering the impact of the disease and the proposed interventions on patient’s functional status and aspects of qual­ity of life that are important to them.

The World Health Organization (WHO) describes QOL as “an individu­al’s perception of their position in life in the context of the culture and value system in which they live and in relation to their goals, expectations, and standards and concerns”.

In cardiovascular disease, patient-reported questionnaires help providing subjective, valid and reliable measures for QOL, and not based on physician-recognised cardiac symptoms.

QOL measures are increasingly becoming necessary to be incorporated in clinical trials due to their relevance to patients’ functional status.

With the advances in percutaneous catheter interventions and with ageing population, there will undoubtedly more comparisons between such novel approaches to open cardiac surgery. The availability of valid QOL measures will assist in such comparisons to benefit what matters to the patient.

An increment in the proportion of patients above the age of 80 years pre­senting with cardiac disease will lead to increased demands on cardiovascular specialties.