Alexandra J. Hurtado-Ortiz, Departamento de Epidemiología, Fundación Cardiovascular de Colombia, Piedecuesta; Departamento de Posgrado en Enfermedades Infecciosas, Universidad de Santander, Bucaramanga; Colombia
Maricel Licht-Ardila, Departamento de Epidemiología, Fundación Cardiovascular de Colombia, Piedecuesta, Colombia
Édgar F. Manrique-Hernández, Departamento de Epidemiología, Fundación Cardiovascular de Colombia, Piedecuesta, Colombia
Giselly M. Nieves-Cuervo, Departamento de Salud Pública, Universidad Industrial de Santander, Bucaramanga, Colombia
Jhon F. Argüello-Duarte, Facultad de Enfermería, Universidad Autónoma de Bucaramanga, Floridablanca, Colombia
Angélica T. Pérez-Cárdenas, Facultad de Enfermería, Universidad Autónoma de Bucaramanga, Floridablanca, Colombia
Mary A. Mendoza-Monsalve, Departamento de Epidemiología, Fundación Cardiovascular de Colombia, Piedecuesta, Colombia
Diana I. Cañón-Gómez, Departamento de Epidemiología, Fundación Cardiovascular de Colombia, Piedecuesta, Colombia
Introduction: Acute myocardial infarction (AMI) is a medical condition that presents significant challenges in immediate care, as well as in managing the sequelae following the event. Post-infarction quality of life is often diminished. Objetive: Evaluate the changes in the quality of life of patients with AMI treated at a high-complexity institution. Methods: A prospective cohort study was conducted with patients from a high-complexity institution between 2021 and 2023. The EQ-5D-3L quality of life scale (EuroQol 5D)® was applied during hospitalization and one month after discharge. Likewise, sociodemographic, and clinical variables were collected with which multivariate logistic regression models were constructed for each of the dimensions. Statistical analyses were performed in STATA 16. Results: A total of 1007 participants met the inclusion criteria. The median age was 66 years (57-74), 68.02% were men, elementary school education level (59.15%) and main antecedent was hypertension (68.42%). In the analysis by dimensions, an association was found with negative changes with female sex, older age, history of diabetes mellitus, kidney disease, and Killip III and IV classification, as well as medical management and surgical revascularization compared to percutaneous coronary intervention. Conclusions: This study identifies key factors affecting the quality of life in survivors of AMI. While overall improvements are observed, significant deterioration is highlighted in specific dimensions, particularly in women and those with diabetes, kidney disease, and coronary disease.
Keywords: Quality of life. Myocardial infarction. Cardiology. Cardiac rehabilitation. EQ-5D.
