Quality of life in Heart Failure

Quality of life percepcion is highly affected in patients with heart failure due to: limited physical condition because of symptoms and sings such as dispnea, fatigability, edemas, and lost of muscular mass, due to limitations in the diet, difficutlies to perform the usual work, problems to have an active sexual life, a progessive lost of autonomy, drugs side effects, recurrent hospital admissions, depresive syptoms... Fragility and frailty is closely related to quality of life. That is why, several sutides have shown that quality of life perception in HF patients is worse than in other chronic conditions such as diabetes or pulmonar obstructive disease and it is similar to patients on dialisis due to renal failure. In our studies, we have assess the variables that affect this decrease in quality of life, how it evolves algo time and how this perception is related to HF patients prognosis. We have also collaborated in the validation of the Spanish version of the Kansas City Cardiomiopathy Questionnaire.

  1. Parajón T, Lupón J, González B, Urrutia A, Altimir S, Coll R, Prats M, Valle V. Aplicación en España del cuestionario sobre calidad de vida “Minnesota Living With Heart Failure” para la insuficiencia cardíaca. Rev Esp Cardiol 2004; 57: 155-60.
  2. Comín-Colet J, Garin O, Lupón J, Manito N, Crespo-Leiro MG, Gómez-Bueno M, Ferrer M, Artigas R, Zapata A, Elosua R; VALIC-KC study group. Validation of the Spanish version of the Kansas city cardiomyopathy questionnaire. Rev Esp Cardiol. 2011;64:51-8.
  3. Lupon J, Gastelurrutia P, de Antonio M, Gonzalez B, Cano L, Cabanes R, Urrutia A, Díez C, Coll R, Altimir S, Bayes-Genis A. Quality of life monitoring in ambulatory heart failure patients: temporal changes and prognostic value. Eur J Heart Fail. 2013;15(1):103-9.
  4. Gastelurrutia P. Lupon J, Altimir S, de Antonio M, Gonzalez B, Cabanes R, Cano L, Urrutia A, Domingo M, Zamora E, Diez C, Coll R, Bayes-Genis A. Effect of Fragility on Quality of Life in Patients with Heart Failure. Am J Cardiol. 2013;112:1785-9.
  5. Gastelurrutia P, Lupón J, Altimir S, de Antonio M, González B, Cabanes R, Rodríguez M, Urrutia A, Domingo M, Zamora E, Díez C, Coll R, Bayes-Genis A. Fragility is a key determinant of survival in heart failure patients. Int J Cardiol. 2014;175(1):62-6.
  6. Gastelurrutia P, Lupón J, Moliner P, Yang X, Cediel G, de Antonio M, Domingo M, Altimir S, González B, Rodríguez M, Rivas C, Díaz V, Fung E, Zamora E, Santesmases J, Núñez J, Woo J, Bayes-Genis A. Comorbidities, Fragility, and Quality of Life in Heart Failure Patients With Midrange Ejection Fraction. Mayo Clin Proc Inn Qual Out 2018;2(2):176–185.
  7. Fung E, Yang X, Newton PJ, Ferguson C, Gastelurrutia P, Lupón J, Bayés-Genís A, Jha S, Macdonald PS. Letter by Fung et al Regarding Article, "Frailty and Clinical Outcomes in Heart Failure: A Systematic Review and Meta-analysis". J Am Med Dir Assoc. 2018 Dec;19(12):1143-1146.
  8. Yang X, Lupón J, Vidán MT, Ferguson C, Gastelurrutia P, Newton PJ, Macdonald PS, Bueno H, Bayés-Genís A, Woo J, Fung E. Impact of Frailty on Mortality and Hospitalization in Chronic Heart Failure: A Systematic Review and Meta-Analysis. J Am Heart Assoc. 2018 Dec 4;7(23):e008251.
  9. Gastelurrutia P, Zamora E, Domingo M, Ruiz S, González-Costello J, Gomez-Batiste X. Palliative Care Needs in Heart Failure. a Multicenter Study Using the NECPAL Questionnaire. Rev Esp Cardiol (Engl Ed). 2019 Mar 5. pii: S1885-5857(19)30036-2. [Epub ahead of print] English, Spanish.

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