COMPARATIVE ANALYSIS OF LIFE QUALITY OF PATIENTS OLDER THAN 75 WITH CHRONIC HEART FAILURE OF ISHEMIC GENESIS IN COMBINATION WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Abstract

To carry out a comparative evaluation of the qualtity of life of senile patients with chronic heart failure (CHF) of the II-III functional classes of ischemic genesis depending on the presence of chronic obstructive pulmonary disease (COPD) and to study the spread of depressive disturbances in subpopulation of senile patients with CHF of ischemic genesis, 158 senile patients with ischemic cardiac disease and signs of CHF of the II-III functional classes were examined. According to the results of spirography with bronchodilatation test all the patients were divided into two groups: with presence and absence of COPD. The study of quality of life with the use of specialized Minnesota Questionnaire «Living with Heart Failure Questionnaire» for patients with CHF and Questionnaire for the presence of depression CES-D (Center for Epidemiological Studies Depression Scale) was done. It was established that patients of senile age with ischemic cardiac disease and COPD disease evaluate their life quality associated with CHF both at the time of involvement into the investigation and in a year at the time of control (49.5±5.2 scores and 44.0±1.7 scores, respectively) higher than patients without COPD (52.6±2.7 scores and 52.3±3.4 scores, respectively). CHF-associated depressive symptoms of the patients with ischemic cardiac disease and COPD were less expressed (at the moment of involvement into the investigation the quantity of the patients without depressive symptoms was 59.5%, in a year at the time of control it was 56.3%) than in the patients without COPD (40.5 and 35.7%, respectively). Patients of senile age with ischemic cardiac disease and COPD are characterized by better self-evaluation of their quality of life associated with CHF and less expressed depressive symptoms associated with CHF.