PT290 Health-Related Quality of Life in Adolescents with Congenital Heart Disease
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PT289 Erectile dysfunction in patients who recived pacemakers Ivana Burazor* 1 , Zoran Perisic 2 , Predrag Cvetkovic 2 , Milica Lazovic 3 1 Cardiology department, Institute for rehabilitation Belgrade, Belgrade, 2 Clinic for cardiovascular diseases, Clinical Center, Nis, 3 Institute for rehabilitation Belgrade, Belgrade, Serbia Introduction: The current concept of quality of life acknowledges that patients put their actual situation in relation to their personal expectation. The latter can vary over time, and react to length and severity of illness. Objectives: We aimed to investigate quality of life in patients who were implanted pace- makers and the presence of erectile dysfunction. Methods: Out of 550 patients sheduled for pacemaker follow up till 31st December 2012, the total of 101 males entered in the study. Patients were asked about the quality of life and to fill in the International Index of Erectile Function -5 (IIEF-5) ques- tionnaires for identifying erectile dysfunction. Total score was calculated. Risk factors were noted. Results: All included patients were married or in a relationship, from 30 to 69 years of age. Average follow up from pacemaker implantation was 4.672.8 years.The total of 14% had ICD, 4% CRT-D and the 82% had single or dual chamber anti bradicardial devises. After the pacemaker has been implanted, the patient reported to feel better and have more energy. There were some restrictions observed: 55% of patients still had fear to move the hand on the part were device was implanted, drive a car (24%) or use the cell phone (15%). The majority of patients were sexualy active (82%). The overall IIEF-5 score was higher than 21. The total of 5% of patients had IIEF-5 score between 8 and 11; 2% of patients had lower then 7. Conclusion: Pacemakers as lifesavers greatly improve the quality of life in patients with sexual activity highly present in our examined group. Disclosure of Interest: None Declared PT290 Health-Related Quality of Life in Adolescents with Congenital Heart Disease Juliana Bertoletti 1 , Giovana C. Marx 2 , Sérgio P. Hattge JR 2 , Taiana S. Carvalho 2 , Lucia C. Pellanda* 1,3 1 Post-Graduation Program in Health Sciences: Cardiology, 2 Instituto de Cardiologia / Fundação Universitária de Cardiologia, 3 Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil Introduction: Advances in heart surgery techniques have increased the life expectancy of children and adolescents with congenital heart disease. Objectives: This study aims to evaluate the health-related quality of life (HRQL) of ado- lescents with congenital heart disease (CHD), describing HRQL according to the diagnosis and severity of CHD. Methods: A cross-sectional study was conducted with 203 adolescents with CHD attended at the pediatric ambulatory of a reference cardiology hospital in Brazil. The Brazilian version of the questionnaire KIDSCREEN-27 was used for the assessment of HRQL. Information related to the CHD diagnosis and clinical variables were collected from the medical records of the patients. Results: Adolescents that referred a good general health presented significantly better results in all dimensions of HRQL, except for Autonomy and Parent Relation, than those who presented clinical symptoms (p<0.05). there was no statistically significant differ- ence between acyanotic and cyanotic groups, as well as for different diagnosis of CHD. A trend for better HRQL in the dimension of Psychological Well-being (p¼0,054) was found among adolescents who have been submitted to surgical intervention and used medication. Conclusion: Type of CHD and initial diagnosis did not seem to affect the perception of HRQL, corroborating findings of several studies. Surgical interventions and use of medi- cation can improve previous clinical status, leading to benefits in terms of psychological well-being. Presence of clinical symptoms was the variable that caused the largest impact on the perception of HRQL, possibly due to the impairment they bring to the daily lives of these patients. Disclosure of Interest: None Declared PT291 Psychosocial risk factors of coronary artery disease in open male population aged 25-64 years: single epidemiological study Ekaterina Akimova 1 , Vadim Kuznetsov* 1 , Valery Gafarov 2 , Marina Kayumova 1 1 Tyumen Cardiology Center, Tyumen, 2 Interdepartmental Laboratory of Cardiovascular Diseases Epidemiology in Siberia, Novosibirsk, Russian Federation Introduction: Psychosocial health and its influence on risk factors of coronary artery disease (CAD) are considered as one of the most important issues concerning the main aspects of life, working conditions and lifestyle of the population. Objectives: To study the prevalence of psychosocial risk factors of CAD in open male population aged 25-64 years. Methods: A representative sample of 1000 men (250 in each age group: 25-34, 35-44, 45- 54, 55-64 years) was recruited from the voting lists of one of the administrative districts of Tyumen. The analysis of such psychosocial risk factors as trait anxiety (TA), depression (D), hostility (H) and vital exhaustion (VE) was carried out within the cardiac screening using standard self-administered WHO MONICA questionnaire. The response rate to cardiac screening was 85.0% (n¼850). Results: The prevalence of high levels of psychosocial risk factors of CAD in males aged 25-64 years was (age-adjusted rates): D – 4.6%, VE – 15.9%, TA – 36.6% and H – 46.4%. High level of TA increased with age and reached its significant maximum in the group of patients aged 55-64 years compared to the young patients in 25-34 age group (28.8% – 50.0%, p <0.001) and 35-44 age group (33.8% – 50.0%, p <0.01). Major depression was maximal in the group of patients aged 55-64 years compared to patients of other age groups and population based index 25-54 years (4.6% – 14.6%, p<0.001). Level of hostility in 25-34 and 55-64 age groups was almost twice higher the medium and in 35-44, 45-54 age groups was almost three times higher. High level of vital exhaustion was maximal in the group of patients aged 55-64 years compared to patients of other age groups and population based index 25-54 years (15.9% – 31.3%, p <0.001). Conclusion: Thus, in Tyumen male population levels of trait anxiety, depression, hostility and vital exhaustion increased with age and reached its maximum in the group of patients aged 55-64 years. Disclosure of Interest: None Declared PT292 Risk of developing hypertension and its prevalence in riverside communities of Porto Velho Rondonia ( Brazil Amazon) Raitany Almeida* 1 , Otavio R. Coelho 2 , Diego J. Dias 1 , Carlos H. Spesia 1 , Karime Deguchi 1 , Vanessa B. Nunes 1 , Alana A. Campione 1 , Laise R. Lopes 1 , Ana E. Castilho 1 1 UNIVERSIDADE FEDERAL RONDONIA, Porto Velho, 2 UNICAMP, Campinas, Brazil Introduction: Hypertension is one the most prevalent risk factors worldwide and its has become an important public health challenge. There are no epidemiological data about hypertension in river dwellers in the Amazon region. The risk of developing high blood pressure (BP) in the short term is unknown. Objectives: To assess the prevalence of arterial hypertension in a sample Amazon popu- lation from the riverside communities and estimate the risk of developing hypertension over the next four years. Methods: Quantitative study, cross-sectional, descriptive, whose sample consisted of individuals living in the catchment area of four riverside communities in Madeira River. The demographic data were recorded and two measurements of BP were ob- tained by trained observers. The sample was random and used a standard question- naire, which addressed risk factors as diabetes mellitus, hypertension, medication use and parental hypertension. Measures have been verified as BP, weight, height and waist circumference. After this first phase that occurred through household visits between May and August 2013 followed by the compilation of data in EpiInfo statistical pro- gram and performed Hypertension Risk Score - incidence of hypertension in four years, based on the Framingham Heart Study. Results: Included 762 individuals, 351 (46.06%) males. The median age was 43.7 years, range 20 to 92 years (SD: +/-15.58). From the sample, 178 (23,35%) re- ported having a previous diagnosis of hypertension, 522 (68,5%) denied having hypertension while 62 (8.13%) did not know. Of the 584 people who had not or could not say, 114 (19.52%) had BP levels above recommended ( > 140 mmHg for systolic BP and/or > 90mmHg for diastolic BP). Of these 470 participants who had blood pressure levels considered normal, 433 had inclusion criteria to calculate the risk of developing hypertension over the next four years found that belong to low risk (<5% chance ) 201 individuals (46.42%), 95 individuals (21.93%) to medium risk (5 - 10% chance) and 137 (31.63%) had high risk (> 10% chance to develop hypertension). Conclusion: The prevalence of hypertension in this population was high (42.87%). Most individuals had normal BP presented low or medium risk for developing hypertension in four years. In this survey, was high percentage of hypertensive subjects who did not know.Therefore it is necessary, effective action to control and optimize primary prevention in riverside communities in Brazilian Amazon. Disclosure of Interest: None Declared PT295 Correlation of Ankle Brachial Index and The Severity of Coronary Artery Lesions, A Preliminary Study Hariman Kristian* 1 , Benny Setiadi 1 , Bambang Budiono 2 , Lucia A. Panda 1 , Reggy Lefrandt 1 , Janry Pangemanan 1 1 Cardiology And Vascular Medicine, Sam Ratulangi University, Manado, 2 Cardiology And Vascular Medicine, Awal Bros Hospital, Makassar, Indonesia Introduction: Atherosclerosis is a diffuse disease process, being present in one vascular bed predicts its presence in the others. Ankle –brachial pressure index (ABI) is a non invasive test proved to be sensitive and specific in detecting and assessing the severity of peripheral artery disease and can predict coexistent of coronary artery disease (CAD). Objectives: The aim of this study is to investigate the correlation between decreased ABI with the severity of coronary artery lesions. Methods: This is a cross sectional study, which include CAD patients who underwent coronary angiography between July 2013 to August 2013. The patient divided into three groups based on the ABI, which include control (ABI 0.9), low (ABI 0.81-0.89) and very low (ABI 0.8), The clinical and risk factors of cardiovascular disease, including hyper- tension, type 2 diabetes mellitus, dyslipidemia, and smoking were analyzed to identify their relation to the severity coronary stenosis by modified gensini score. Statistical analyses were done using SPSS 17.0 GHEART Vol 9/1S/2014 j March, 2014 j POSTER/2014 WCC Posters e223 POSTER ABSTRACTS
Transcript of PT290 Health-Related Quality of Life in Adolescents with Congenital Heart Disease
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PT289
Erectile dysfunction in patients who recived pacemakers
Ivana Burazor*1, Zoran Perisic2, Predrag Cvetkovic2, Milica Lazovic31Cardiology department, Institute for rehabilitation Belgrade, Belgrade, 2Clinic for cardiovasculardiseases, Clinical Center, Nis, 3Institute for rehabilitation Belgrade, Belgrade, Serbia
Introduction: The current concept of quality of life acknowledges that patients put theiractual situation in relation to their personal expectation. The latter can vary over time, andreact to length and severity of illness.Objectives: We aimed to investigate quality of life in patients who were implanted pace-makers and the presence of erectile dysfunction.Methods: Out of 550 patients sheduled for pacemaker follow up till 31st December2012, the total of 101 males entered in the study. Patients were asked about the qualityof life and to fill in the International Index of Erectile Function -5 (IIEF-5) ques-tionnaires for identifying erectile dysfunction. Total score was calculated. Risk factorswere noted.Results: All included patients were married or in a relationship, from 30 to 69 years of age.Average follow up from pacemaker implantation was 4.67�2.8 years.The total of 14% hadICD, 4% CRT-D and the 82% had single or dual chamber anti bradicardial devises. Afterthe pacemaker has been implanted, the patient reported to feel better and have moreenergy. There were some restrictions observed: 55% of patients still had fear to move thehand on the part were device was implanted, drive a car (24%) or use the cell phone (15%).The majority of patients were sexualy active (82%). The overall IIEF-5 score was higherthan 21. The total of 5% of patients had IIEF-5 score between 8 and 11; 2% of patients hadlower then 7.Conclusion: Pacemakers as lifesavers greatly improve the quality of life in patients withsexual activity highly present in our examined group.Disclosure of Interest: None Declared
PT290
Health-Related Quality of Life in Adolescents with Congenital Heart Disease
Juliana Bertoletti1, Giovana C. Marx2, Sérgio P. Hattge JR2, Taiana S. Carvalho2,Lucia C. Pellanda*1,31Post-Graduation Program in Health Sciences: Cardiology, 2Instituto de Cardiologia / FundaçãoUniversitária de Cardiologia, 3Universidade Federal de Ciências da Saúde de Porto Alegre, PortoAlegre, Brazil
Introduction: Advances in heart surgery techniques have increased the life expectancy ofchildren and adolescents with congenital heart disease.Objectives: This study aims to evaluate the health-related quality of life (HRQL) of ado-lescents with congenital heart disease (CHD), describing HRQL according to the diagnosisand severity of CHD.Methods: A cross-sectional study was conducted with 203 adolescents with CHD attendedat the pediatric ambulatory of a reference cardiology hospital in Brazil. The Brazilian versionof the questionnaire KIDSCREEN-27 was used for the assessment of HRQL. Informationrelated to the CHD diagnosis and clinical variables were collected from the medical recordsof the patients.Results: Adolescents that referred a good general health presented significantly betterresults in all dimensions of HRQL, except for Autonomy and Parent Relation, than thosewho presented clinical symptoms (p<0.05). there was no statistically significant differ-ence between acyanotic and cyanotic groups, as well as for different diagnosis of CHD. Atrend for better HRQL in the dimension of Psychological Well-being (p¼0,054) wasfound among adolescents who have been submitted to surgical intervention and usedmedication.Conclusion: Type of CHD and initial diagnosis did not seem to affect the perception ofHRQL, corroborating findings of several studies. Surgical interventions and use of medi-cation can improve previous clinical status, leading to benefits in terms of psychologicalwell-being. Presence of clinical symptoms was the variable that caused the largest impact onthe perception of HRQL, possibly due to the impairment they bring to the daily lives ofthese patients.Disclosure of Interest: None Declared
PT291
Psychosocial risk factors of coronary artery disease in open male population aged25-64 years: single epidemiological study
Ekaterina Akimova1, Vadim Kuznetsov*1, Valery Gafarov2, Marina Kayumova11Tyumen Cardiology Center, Tyumen, 2Interdepartmental Laboratory of CardiovascularDiseases Epidemiology in Siberia, Novosibirsk, Russian Federation
Introduction: Psychosocial health and its influence on risk factors of coronary arterydisease (CAD) are considered as one of the most important issues concerning the mainaspects of life, working conditions and lifestyle of the population.Objectives: To study the prevalence of psychosocial risk factors of CAD in open malepopulation aged 25-64 years.Methods: A representative sample of 1000 men (250 in each age group: 25-34, 35-44, 45-54, 55-64 years) was recruited from the voting lists of one of the administrative districts ofTyumen. The analysis of such psychosocial risk factors as trait anxiety (TA), depression (D),hostility (H) and vital exhaustion (VE) was carried out within the cardiac screening usingstandard self-administered WHO MONICA questionnaire. The response rate to cardiacscreening was 85.0% (n¼850).
GHEART Vol 9/1S/2014 j March, 2014 j POSTER/2014 WCC Posters
Results: The prevalence of high levels of psychosocial risk factors of CAD in malesaged 25-64 years was (age-adjusted rates): D – 4.6%, VE – 15.9%, TA – 36.6% andH – 46.4%. High level of TA increased with age and reached its significant maximumin the group of patients aged 55-64 years compared to the young patients in 25-34 agegroup (28.8% – 50.0%, p <0.001) and 35-44 age group (33.8% – 50.0%, p <0.01).Major depression was maximal in the group of patients aged 55-64 years compared topatients of other age groups and population based index 25-54 years (4.6% – 14.6%,p<0.001). Level of hostility in 25-34 and 55-64 age groups was almost twice higherthe medium and in 35-44, 45-54 age groups was almost three times higher. High levelof vital exhaustion was maximal in the group of patients aged 55-64 years compared topatients of other age groups and population based index 25-54 years (15.9% – 31.3%,p <0.001).Conclusion: Thus, in Tyumen male population levels of trait anxiety, depression, hostilityand vital exhaustion increased with age and reached its maximum in the group of patientsaged 55-64 years.Disclosure of Interest: None Declared
PT292
Risk of developing hypertension and its prevalence in riverside communities of PortoVelho Rondonia ( Brazil Amazon)
Raitany Almeida*1, Otavio R. Coelho2, Diego J. Dias1, Carlos H. Spesia1, Karime Deguchi1,Vanessa B. Nunes1, Alana A. Campione1, Laise R. Lopes1, Ana E. Castilho11UNIVERSIDADE FEDERAL RONDONIA, Porto Velho, 2UNICAMP, Campinas, Brazil
Introduction: Hypertension is one the most prevalent risk factors worldwide and its hasbecome an important public health challenge. There are no epidemiological data abouthypertension in river dwellers in the Amazon region. The risk of developing high bloodpressure (BP) in the short term is unknown.Objectives: To assess the prevalence of arterial hypertension in a sample Amazon popu-lation from the riverside communities and estimate the risk of developing hypertensionover the next four years.Methods: Quantitative study, cross-sectional, descriptive, whose sample consisted ofindividuals living in the catchment area of four riverside communities in MadeiraRiver. The demographic data were recorded and two measurements of BP were ob-tained by trained observers. The sample was random and used a standard question-naire, which addressed risk factors as diabetes mellitus, hypertension, medication useand parental hypertension. Measures have been verified as BP, weight, height and waistcircumference. After this first phase that occurred through household visits betweenMay and August 2013 followed by the compilation of data in EpiInfo statistical pro-gram and performed Hypertension Risk Score - incidence of hypertension in fouryears, based on the Framingham Heart Study.Results: Included 762 individuals, 351 (46.06%) males. The median age was 43.7years, range 20 to 92 years (SD: +/-15.58). From the sample, 178 (23,35%) re-ported having a previous diagnosis of hypertension, 522 (68,5%) denied havinghypertension while 62 (8.13%) did not know. Of the 584 people who had not orcould not say, 114 (19.52%) had BP levels above recommended ( > 140 mmHg forsystolic BP and/or > 90mmHg for diastolic BP). Of these 470 participants who hadblood pressure levels considered normal, 433 had inclusion criteria to calculate therisk of developing hypertension over the next four years found that belong to lowrisk (<5% chance ) 201 individuals (46.42%), 95 individuals (21.93%) to mediumrisk (5 - 10% chance) and 137 (31.63%) had high risk (> 10% chance to develophypertension).Conclusion: The prevalence of hypertension in this population was high (42.87%). Mostindividuals had normal BP presented low or medium risk for developing hypertension infour years. In this survey, was high percentage of hypertensive subjects who did notknow.Therefore it is necessary, effective action to control and optimize primary preventionin riverside communities in Brazilian Amazon.Disclosure of Interest: None Declared
PT295
Correlation of Ankle Brachial Index and The Severity of Coronary Artery Lesions, APreliminary Study
Hariman Kristian*1, Benny Setiadi1, Bambang Budiono2, Lucia A. Panda1, Reggy Lefrandt1,Janry Pangemanan11Cardiology And Vascular Medicine, Sam Ratulangi University, Manado, 2Cardiology AndVascular Medicine, Awal Bros Hospital, Makassar, Indonesia
Introduction: Atherosclerosis is a diffuse disease process, being present in one vascularbed predicts its presence in the others. Ankle –brachial pressure index (ABI) is a noninvasive test proved to be sensitive and specific in detecting and assessing the severityof peripheral artery disease and can predict coexistent of coronary artery disease(CAD).Objectives: The aim of this study is to investigate the correlation between decreased ABIwith the severity of coronary artery lesions.Methods: This is a cross sectional study, which include CAD patients who underwentcoronary angiography between July 2013 to August 2013. The patient divided into threegroups based on the ABI, which include control (ABI � 0.9), low (ABI 0.81-0.89) and verylow (ABI �0.8), The clinical and risk factors of cardiovascular disease, including hyper-tension, type 2 diabetes mellitus, dyslipidemia, and smoking were analyzed to identify theirrelation to the severity coronary stenosis by modified gensini score. Statistical analyses weredone using SPSS 17.0
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