ASSESSMENT OF QUALITY OF LIFE IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION AND ATRIAL FIBRILLATION

Asror Olimkulovich Lakhanov, Tashkenbaeva Eleonora Negmatovna, Nasyrova Zarina Akbarovna

We studied 124 patients with acute myocardial infarction (AMI) and atrial fibrillation (AF) who were treated in the intensive care unit of Samarkand regional branch of the Republican Specialised Scientific and Practical Medical Centre of Cardiology. To determine the quality of life of AMI and FP patients we developed a software product "Assessment of patients' quality of life and their compliance to treatment". The study revealed that out of 124 patients with AMI and FP 37 (29,8%) patients had unsatisfactory quality of life, 35 (28,2%) patients had satisfactory, 28 (22,5%) patients had good and 24 (19,35%) patients had excellent quality of life. The quality of life was much higher in patients without FP, i.e. 28 (33.3%) patients had excellent quality of life, 30 (35.7%) patients had good quality of life, 19 (22.6%) patients had satisfactory quality of life and 7 (8.3%) patients rated their condition as unsatisfactory. Thus, the results of our study showed that patients with AMI without FP had good QoL in contrast to patients with AMI+FP. This indicates that FP causes deterioration of QOL indicators in the form of increased severity of disease symptoms, restriction of physical activity, disorders in the psycho-emotional sphere. The condition of patients with AMI+FP is assessed as uncompliant, whereas patients with isolated AMI were less compliant. Occurrence of atrial fibrillation paroxysms may have been associated with the lack of compliance to the medications prescribed by the attending physician and reduced quality of life of patients.

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