Eur J Cardiovasc Nurs. 2021 Dec 11; doi: 10.1093/eurjcn/zvab116. Epub 2021 Dec 11.

Predictive value of baseline cognitive functioning on health-related quality of life in individuals with coronary artery disease: a 5-year longitudinal study.

European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology

Nijole Kazukauskiene, Naomi A Fineberg, Adomas Bunevicius, Nicolás Francisco Narvaez Linares, Marilou Poitras, Helene Plamondon, Aiste Pranckeviciene, Julija Gecaite-Stonciene, Julija Brozaitiene, Giedrius Varoneckas, Narseta Mickuviene, Julius Burkauskas

PMID: 34894138 DOI: 10.1093/eurjcn/zvab116

Abstract

AIMS: Emerging studies suggest an association exists between coronary artery disease (CAD) and the development of neurodegenerative diseases, with CAD acting as a precursor. Our study aimed to investigate the relationship between baseline measures of cognitive functioning and long-term health-related quality of life (HRQoL) in individuals with CAD with specification to Type D personality traits and sex.

METHODS AND RESULTS: This prospective observational cohort study consisted of 864 participants (mean age 58 SD = 9 years, 74.0% men) with CAD after acute coronary syndrome. Baseline characteristics included comprehensive cognitive testing, measures of sociodemographic and clinical factors, and psychological assessment scales, such as Type D personality scale and the Hospital Anxiety and Depression scale. The Minnesota Living with Heart Failure Questionnaire assessed participants' HRQoL, conducted through phone interviews at baseline, every 6 months for up to 2 years, and after 5 years. Cognitive functioning correlated with HRQoL at all time intervals over the 5-year follow-up. Regarding sex and Type D personality, significant differences emerged in associations between impaired cognitive functioning at baseline and HRQoL measured over the period of 5 years. Men participants with characteristics of Type D personality were especially vulnerable to impaired cognitive functioning affecting the 5-year quality of life.

CONCLUSION: Men with CAD who obtained scores indicating characteristics of Type D personality were significantly more likely to have lower baseline cognitive functions and long-term HRQoL outcomes. This information could inform healthcare practitioners to screen for personality characteristics and closely follow-up those at a greater risk.

Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2021. For permissions, please email: [email protected].

Keywords: Cognition; Coronary artery disease; Health-related quality of life; Type D personality

Publication Types

• Journal Article

Grant support

• 09.3.3-LMT-K-712-19-0127/European Social Fund
• RG203596-13/Natural Sciences and Engineering Research Council (NSERC) of Canada
• Fonds de recherche du Québec - Nature et technologies (FRQNT)