Quality of life and related factors of patients with Brugada syndrome type 1 at King Chulalongkorn Memorial Hospital
Keywords:
Brugada syndrome, quality of life, anxiety, depression, cognitionAbstract
Background: Brugada syndrome (BrS) is a rare cardiac arrhythmic syndrome which can increase the risk of sudden cardiac death in patients without structural heart disease. BrS may affect patients’ quality of life due to long-term follow-up.
Objective: To identify the quality of life and related factors in patients with BrS.
Methods: Twenty-nine patients with BrS from King Chulalongkorn Memorial Hospital were recruited between August 2019 to April 2020. We collected demographic data, evaluated depression/anxiety with Thai-HADS test, and administered cognitive tests and the quality of life questionnaires (MacNew and SF-36). Descriptive and multiple linear regression were used to analyze the data.
Results: There were 28 male and 1 female subjects. The average age was 45.2 13.8 years old. The result of MacNew questionnaire score was 5.6 0.8. For SF-36, the physical component score was 49.8 6.4 and mental component score was 52.9 6.3. The score of anxiety and depression from HADS was 4.4 2.9 and 3.3 3.3, respectively. For the cognitive test, the following results were observed; the Grooved Pegboard on dominant (78.4 27.9 seconds) and non-dominant (84.5 26.0 seconds), Trail A (53.7 20.7 seconds) and B (181.0 80.9 seconds), and memory tests (Word List Memory 21.0 4.4 words; recall 7.2 2.6 words; and recognition 9.6 1.0 words). From multiple regression analysis, only the anxiety score from HADS had a statistically significant impact on the quality of life.
Conclusion: Most BrS patients had a moderate quality of life and anxiety was an essential predictor for quality of life in BrS patients.
Downloads
References
Priori SG, Wilde AA, Horie M, Cho Y, Behr ER, Berul C, et al. HRS/EHRA/APHRS expert consensus statement on the diagnosis and management of patients with inherited primary arrhythmia syndromes: document endorsed by HRS, EHRA, and APHRS in May 2013 and by ACCF, AHA, PACES, and AEPC in June 2013. Heart Rhythm 2013;10:1932-63. https://doi.org/10.1016/j.hrthm.2013.05.014
Brugada J, Campuzano O, Arbelo E, SarquellaBrugada G, Brugada R. Present Status of Brugada Syndrome. JACC State-of-the-Art Review. J Am Coll Cardiol 2018;72:1046-59. https://doi.org/10.1016/j.jacc.2018.06.037
Gourraud JB, Barc J, Thollet A, Le Marec H, Probst V. Brugada syndrome: Diagnosis, risk stratification and management. Arch Cardiovasc Dis 2017;110:188-95. https://doi.org/10.1016/j.acvd.2016.09.009
Sieira J, Dendramis G, Brugada P. Pathogenesis and management of Brugada syndrome. Nat Rev Cardiol 2016;13:744-56.
https://doi.org/10.1038/nrcardio.2016.143
Lundgren-Nilsson A, Rosen H, Hofgren C, Sunnerhagen KS. The first year after successful cardiac resuscitation: function, activity, participation and quality of life. Resuscitation 2005;66:285-9. https://doi.org/10.1016/j.resuscitation.2005.04.001
Moulaert VR, Verbunt JA, van Heugten CM, Wade DT. Cognitive impairments in survivors of out-ofhospital cardiac arrest: a systematic review. Resuscitation 2009;80:297-305. https://doi.org/10.1016/j.resuscitation.2008.10.034
Dhamapurkar SK, Wilson BA, Rose A, Florschutz G. Brugada syndrome and the story of Dave. Neuropsychol Rehabil 2018;28:259-67. https://doi.org/10.1080/09602011.2017.1323649
Probst V, Plassard-Kerdoncuf D, Mansourati J, Mabo P, Sacher F, Fruchet C, et al. The psychological impact of implantable cardioverter defibrillator implantation on Brugada syndrome patients. Europace 2011;13:1034-9.
https://doi.org/10.1093/europace/eur060
Duangsakul W, Choowattanapakorn T. Factors related to health related quality of life in elderly people with permanent pacemaker. Thai J Cardio-Thoracic Nurs 2018;29: 29-41.
Hofer S, Lim L, Guyatt G, Oldridge N. The MacNew Heart Disease health-related quality of life instrument: a summary. Health Qual Life Outcomes 2004;2:3. https://doi.org/10.1186/1477-7525-2-3
Valenti L, Lim L, Heller RF, Knapp, J. An improved questionnaire for assessing quality of life after myocardial infarction. Qual Life Res 1996;5:151-61. https://doi.org/10.1007/BF00435980
Vecchis RD, Ariano C. The MacNew Questionnaire: A tool to predict unplanned rehospitalization after coronary revascularization. Int J Cardiovasc Sci 2016;29:303-3 https://doi.org/10.5935/2359-4802.20160047
Lortajakul C, Yunibhand J, Jitpanya C. The development of the quality of life instrument in Thai patients with post myocardial infarction. Thai J Nurs Res 2007;11:166-76.
Ware JE, Kosinski M, Keller SD. SF-36 Physical and mental health summary scales: a user's manual. Boston, MA: Health Assessment Lab; 1994
Leurmarnkul W, Meetam P. Properties Testing of the Retranslated SF36 Thai version. Thai J Pharm Sci 2005;29:69-88.
Jirarattanaphochai K, Jung S, Sumananont C, Saengnipanthkul S. Reliability of the Medical Outcomes Study Short-Form Survey Version 2.0 (Thai version) for the Evaluation of Low Back Pain Patients. J Med Assoc Thai 2005;88:1355-61.
Snaith RP. The hospital anxiety and depression scale. Health Qual Life Outcomes 2003;1:29. https://doi.org/10.1186/1477-7525-1-29
Nilchaikovit T, Lortrakul M, Phisansuthideth U. Development of Thai version of Hospital Anxiety and Depression Scale in cancer patients. J Psychiatr Assoc Thailand 1996;41:18-30.
Reitan RM. Validity of the trail making test as an indicator of organic brain damage. Percept Mot Skills 1958;8:271-6.
https://doi.org/10.2466/pms.1958.8.3.271
Chompukum P, wongpat P. The normal performance of the trail making test-Thai modification. J Thai Rehabili Med 2007;17:26-30.
Lafayette Instrument. Grooved pegboard test manual [Internet]. 2002 [cited 2020 Jul 31]. Available from: https://www.advys.be/docs/GroovedPegboardTest Manual.pdf.
Tangwongchai S, Hemrungrojn S, Likitjaroen Y, Worakul P, Tepmongkol S, Tunvirachaisakul C. Development of the CERAD for assessment and registry of Thai elderly with Alzheimer's disease [dissertation]. Bangkok: Chulalongorn University;2015.
Fillenbaum GG, van Belle G, Morris JC, Mohs RC, Mirra SS, Davis PC, et al. Consortium to establish a registry for Alzheimer's disease (CERAD): The first twenty years. Alzheimers Dement 2008;4:96-109. https://doi.org/10.1016/j.jalz.2007.08.005
Sieira J, Brugada P. Brugada syndrome: Defining the risk in asymptomatic patients. Arrhythm Electrophysiol Rev 2016;5:164-9.
https://doi.org/10.15420/aer.2016:22:3
Kongsakon R, Silpakit C, Udomsubpayakul U. Thailand normative data for the SF-36 health survey: Bangkok Metropolitan. Asian J Psychiatr 2007;8:131-7.
Höfer S, Saleem A, Stone J, Thomas R, Tulloch H, Oldridge N. The MacNew Heart Disease HealthRelated Quality of Life Questionnaire in patients with angina and patients with ischemic heart failure. Value Health 2012;15:143-50.
https://doi.org/10.1016/j.jval.2011.07.003
Alphin S, Hofer S, Perk J, Slordahl S, Zwisler AO, Oldridge N. The MacNew Heart Disease HealthRelated Quality of Life Questionnaire: A Scandinavian validation study. Soc Indic Res 2015;122:519-37. https://doi.org/10.1007/s11205-014-0694-7
Uchmanowicz I, Gobbens RJ. The relationship between frailty, anxiety and depression, and healthrelated quality of life in elderly patients with heart failure. Clin Interv Aging 2015;10:1595-600. https://doi.org/10.2147/CIA.S90077
Hwang SL, Liao WC, Huang TY. Predictors of quality of life in patients with heart failure. Jpn J Nurs Sci. 2014;11:290-8.
https://doi.org/10.1111/jjns.12034
Suetrong A, Choowattanapakorn T. Factors predicting quality of life in older persons with heart failure. Thai J Cardio-Thorac Nurs 2016;27:58-70.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Chulalongkorn Medical Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.