Health-related quality of life in cardiovascular patients

Main Article Content

Edgar Manrique-Hernandez
Anderson Bermon Angarita
Santiago Osorio Rojas
Patricia Pachón Arciniegas
Esther Ballesteros Goes
Ana Fernanda Uribe Rodríguez
Giselly Mayerly Nieves - Cuervo

Abstract

The objective was to assess health-related quality of life in patients with cardiovascular disease. A cross-sectional study was conducted at a primary care institution in 2023. The EQ-5D-5L scale was administered to participants in the cardiovascular risk program. Dimensions and the visual analogue scale were analyzed according to the presence of specific conditions. A total of 2,282 individuals participated. Among patients with hypertension and diabetes, self-care was the least affected dimension, while in those with kidney disease, mobility and self-care showed less deterioration. Patients with two conditions presented better scores in self-care and mobility. The coexistence of all three conditions was associated with greater impairment in mobility and lower scores on the visual analogue scale. Hypertension and diabetes, when occurring alone, were associated with lower levels of anxiety and depression. In conclusion, quality of life is negatively affected by cardiovascular diseases, particularly when accompanied by kidney disease.

Keywords:
Cardiosvascular diseases, Chronic diseases, Comorbility, EQ-5D-5L, Health-related quality of life

Article Details

References

Aguilar-Delgado, C., & Rivera-Ávila, D. A. (2023). Ansiedad, depresión y su relación con la calidad de vida en los pacientes de 30–59 años en una clínica de medicina familiar de la Ciudad de México. Archivos de Medicina Familiar, 25(4), 195. https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=112587

Aguirre-Chávez, J. F., Franco Gallegos, L. I., Robles Hernández, G. S., & Montes Mata, K. (2023). Relación entre actividad física y la calidad de vida relacionada con la salud en personas con enfermedades cardiovasculares. Retos, 50, 1035–1043. https://doi.org/10.47197/retos.v50.98238

Aimara, L., Sánchez, M., Acosta, E., Llanos, J., & Ávila, A. (2023). Análisis de caso de “calidad de vida de paciente con hipertensión arterial más hipotiroidismo”. LATAM, 4(1), 2531–2546. https://doi.org/10.56712/latam.v4i1.435

Alonso, J., Ferrer, M., Gandek, B., Ware, J. E., Aaronson, N. K., Mosconi, P., Rasmussen, N. K., Bullinger, M., Fukuhara, S., Kaasa, S., & Leplège, A. (2004). Health-related quality of life associated with chronic conditions in eight countries: Results from the International Quality of Life Assessment (IQOLA) Project. Quality of Life Research, 13(2), 283–298. https://doi.org/10.1023/B:QURE.0000018472.46236.05

Ardila, R. (2003). Calidad de vida: una definición integradora. Revista Latinoamericana de Psicología, 35(2), 161–164. https://dialnet.unirioja.es/servlet/articulo?codigo=2834598

Bayliss, E. A., Ellis, J. L., & Steiner, J. F. (2007). Barriers to self-management and quality-of-life outcomes in seniors with multimorbidities. Annals of Family Medicine, 5(5), 395–402. https://doi.org/10.1370/afm.722

Daudén, E., Vidal, D., Romero, A., Bordel, M. T., Rivera, R., Marquéz, J., Zamora, E., Martinez, L., Ocaña, M. J., Vila, C., Iribarren, P., Coronoa, N., & Zulaica, Z. (2024). Gravedad de la psoriasis, calidad de vida relacionada con la salud, productividad laboral y deterioro de la actividad en pacientes con psoriasis moderada a grave que reciben tratamiento sistémico: datos de la vida real de la práctica clínica en España. Actas Dermo-Sifiliográficas, 115(1), T1–T9. http://dx.doi.org/10.1016/j.ad.2023.10.031

Dondo, T. B., Munyombwe, T., Hall, M., Hurdus, B., Soloveva, A., Oliver, G., Aktaa, S., West, R. M., Hall, A. S., & Gale, C. P. (2022). Sex differences in health-related quality of life trajectories following myocardial infarction: national longitudinal cohort study. BMJ Open, 12(11), e062508. https://doi.org/10.1136/bmjopen-2022-062508

Dyer, M. T., Goldsmith, K. A., Sharples, L. S., & Buxton, M. J. (2010). A review of health utilities using the EQ-5D in studies of cardiovascular disease. Health and Quality of Life Outcomes, 8, Article 13. https://pmc.ncbi.nlm.nih.gov/articles/PMC2824714/

Fernández, D. (2023). Calidad de vida en cardiópatas que acuden al Centro de Estudios Cardiológicos. Revista de Investigación de la Universidad Norbert Wiener, 12(1), 1–10. https://dialnet.unirioja.es/servlet/articulo?codigo=9196889

Fernández-López, J. A., Fernández-Fidalgo, M. y Cieza, A. (2010). Los conceptos de calidad de vida, salud y bienestar analizados desde la perspectiva de la Clasificación Internacional del Funcionamiento (CIF). Revista Española de Salud Pública, 84(2), 169–184. https://scielo.isciii.es/scielo.php?pid=S1135-57272010000200005&script=sci_abstract

Gallegos-Espinoza, D., La Rosa-Longobardi, C., Matta-Solis, H., Asencios-Trujillo, L. y Piñas-Ribera, L. (2024). Quality of Life in Hypertensive University professors and Nursing Intervention during the COVID-19 Pandemic in A Health Facility in North Lima. Salud, Ciencia y Tecnología, 4, Article 697. https://doi.org/10.56294/saludcyt2024697

García-Gordillo, M. Á., Adsuar, J. C., & Olivares, P. R. (2015). Normative values of EQ-5D-5L in a Spanish population. Quality of Life Research, 24(4), 1031–1038. https://pubmed.ncbi.nlm.nih.gov/26482825/

Herdman, M., Gudex, C., Lloyd, A., Janssen, M. F., Kind, P., Parkin, D., Bonsel, G., & Badia, X. (2011). Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Quality of Life Research, 20(10), 1727–1736. https://doi.org/10.1007/s11136-011-9903-x

Hobbs, F. D. R., Kenkre, J. E., Roalfe, A. K., Davis, R. C., Hare, R., & Davies, M. K. (2002). Impact of heart failure and left ventricular systolic dysfunction on quality of life. European Heart Journal, 23(23), 1867–1876. https://doi.org/10.1053/euhj.2002.3255

Juenger, J., Schellberg, D., Kraemer, S., Haunstetter, A., Zugck, C., Herzog, W., & Haass, M. (2002). Health related quality of life in patients with congestive heart failure: Association with psychosocial variables. Heart, 87(3), 235–241. https://doi.org/10.1136/heart.87.3.235

Karimi, M., & Brazier, J. (2016). Health, health-related quality of life, and quality of life: What is the difference? PharmacoEconomics, 34(7), 645–649. https://doi.org/10.1007/s40273-016-0389-9

Ko, H.-Y., Lee, J.-K., Shin, J.-Y., & Jo, E. (2015). Health-related quality of life and cardiovascular disease risk in Korean adults. Korean Journal of Family Medicine, 36(6), 349–356. https://doi.org/10.4082/kjfm.2015.36.6.349

La Rosa-Longobardi, C., Asencios-Trujillo, L., Matta-Solis, H., & Gallegos-Espinoza, D. (2023). Quality of life in relation to health in teachers with chronic diseases who reside in a vulnerable area of north Lima. Salud, Ciencia y Tecnología, 4, Article 730. https://doi.org/10.56294/saludcyt2024730

Liang, Z., Zhang, T., Lin, T., Liu, L., Wang, B., Fu, A. Z., et al. (2019). Health-related quality of life among rural men and women with hypertension: Assessment by the EQ-5D-5L in Jiangsu, China. Quality of Life Research, 28(8), 2069–2080. https://doi.org/10.1007/s11136-019-02139-3

Marín, L. R., Vera, L. M., Vesga, B. E. y Marín, M. S. (2024). Relación entre calidad y duración del sueño con hipertensión arterial en población colombiana. Biomédica, 44(Supl. 1). https://doi.org/10.7705/biomedica.7012

Moreno Velásquez, I., Peters, S. A. E., Dragano, N., Greiser, K. H., Dörr, M., Fischer, B., Berger, K., Hannemann, A., Schnabel, R. B., Nauck, M., Göttlicher, S., Rospleszcz, S., Willich, S. N., Krist, L., Schulze, M. B., Günther, K., Brand, T., Schikowski, T., Emmel, C., Schmidt, B., … Pischon, T. (2025). Sex differences in the relationship of socioeconomic position with cardiovascular disease, cardiovascular risk factors, and estimated cardiovascular disease risk: Results of the German National Cohort. Journal of the American Heart Association, 14(5), e038708. https://doi.org/10.1161/JAHA.124.038708

Moussavi, S., Chatterji, S., Verdes, E., Tandon, A., Patel, V., & Ustun, B. (2007). Depression, chronic diseases, and decrements in health: Results from the World Health Surveys. The Lancet, 370(9590), 851–858. https://doi.org/10.1016/S0140-6736(07)61415-9

Muñoz-Rey, M. P., Delgado-Hito, P., Juvé-Udina, M. E., Cuzco-Cabellos, C., Huertas-Zurriaga, A. y Romero-García, M. (2024). The diary in the intensive care unit: Concept analysis. Enfermería Intensiva (English Edition), 35(3), 178-187. https://doi.org/10.1016/j.enfie.2023.08.010

Roth, G. A., Mensah, G. A., Johnson, C. O., Addolorato, G., Ammirati, E., Baddour, L. M., Barengo, N. C., Beaton, A. Z., Benjamin, E. J., Benziger, C. P., Bonny, A., Brauer, M. Brod,mann, M., Cahill, T. J., Carapetis, J., Catapano, A. L., Chugh, S. S., Cooper, L. T., Coresh, J… Fuster, V. (2020). Global burden of cardiovascular diseases and risk factors, 1990–2019. Journal of the American College of Cardiology, 76(25), 2982–3021. https://doi.org/10.1016/j.jacc.2020.11.010

Rumsfeld, J. S., Alexander, K. P., Goff, D. C., Jr, Graham, M. M., Ho, P. M., Masoudi, F. A., Moser, D. K., Roger, V. L., Slaughter, M. S., Smolderen, K. G., Spertus, J. A., Sullivan, M. D., Treat-Jacobson, D., Zerwic, J. J., & American Heart Association Council on Quality of Care and Outcomes Research, Council on Cardiovascular and Stroke Nursing, Council on Epidemiology and Prevention, Council on Peripheral Vascular Disease, and Stroke Council. (2013). Cardiovascular health: the importance of measuring patient-reported health status: a scientific statement from the American Heart Association. Circulation, 127(22), 2233–2249. https://doi.org/10.1161/CIR.0b013e3182949a2e

Tito, K., Gebremariam, G. T., Beyene, K., Sander, B. & Gebretekle, G. B. (2022). Health-related quality of life and treatment satisfaction of patients with cardiovascular disease in Ethiopia. Frontiers in Public Health, 10, 972378. https://doi.org/10.3389/fpubh.2022.972378

Urzúa, M. A., & Caqueo-Urízar, A. (2012). Calidad de vida: Una revisión teórica del concepto. Terapia Psicológica, 30(1), 61–71. https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-48082012000100006

Villota, C., Luna, J., Quiroz, S., Salvo, N., & Rodríguez, J. (2023). Caracterización del estado nutricional y riesgo cardiovascular y su relación con dieta mediterránea en adultos mayores de la región metropolitana de Chile. Nutrición Clínica y Dietética Hospitalaria, 43(1). https://doi.org/10.12873/431villota

Wexler, D. J., Grant, R. W., Wittenberg, E., Bosch, J. L., Cagliero, E., & Delahanty, L. M. (2006). Correlates of health-related quality of life in type 2 diabetes. Diabetologia, 49(7), 1489–1497. https://doi.org/10.1007/s00125-006-0249-9

Wiethoff, I., Schoonvelde, S. A. C., de Boer, R. A., Evers, S. M. A. A., Germans, T., Hirsch, A., Knackstedt, C., Te Rijdt, W. P., van Slegtenhorst, M. A., Schinkel, A. F. L., Zwetsloot, P. P., Michels, M., & Hiligsmann, M. (2025). Assessing the psychometric properties of generic (EQ-5D-5L) and disease-specific (KCCQ) quality of life in patients with hypertrophic cardiomyopathy in the AFFECT-HCM study. Open Heart, 12(1), e003143. https://doi.org/10.1136/openhrt-2024-003143

Zhou, T., Guan, H., Wang, L., Zhang, Y., Rui, M., & Ma, A. (2021). Health-Related quality of life in patients with different diseases measured with the EQ-5D-5L: A Systematic Review. Frontiers in Public Health, 9, 675523. https://doi.org/10.3389/fpubh.2021.675523

Similar Articles

You may also start an advanced similarity search for this article.