evrazkarЕвразийский Кардиологический ЖурналEurasian heart journal2225-16852305-0748Евразийская ассоциация кардиологов10.38109/2225-1685-2012-1-49-56evrazkar-5440Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL PAPERSПРОБЛЕМА КАЧЕСТВА ЖИЗНИ ПРИ ХРОНИЧЕСКОЙ СЕРДЕЧНОЙ НЕДОСТАТОЧНОСТИTHE PROBLEM OF THE QUALITY OF LIFE IN CHRONIC HEART FAILUREКоваленкоВ. Н.KovalenkoV. N.noemail@neicon.ruВоронковЛ. Г.VoronkovL. G.lgvoronkov@gmail.comНациональный научный центр «Институт кардиологии им. акад. НД. Стражеско АМН Украины»Ukraine201230032012014956Copyright © Коваленко В.Н., Воронков Л.Г., 20122012Коваленко В.Н., Воронков Л.Г.Kovalenko V.N., Voronkov L.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.heartj.asia/jour/article/view/5440

Наличие клинически манифестной хронической сердечной недостаточности (ХСН) сопряжено с существенным снижением качества жизни (КЖ) пациентов, обусловленным как снижением их функциональных возможностей, так и психоэмоциональным дискомфортом. Наиболее информативными предикторами качества жизни у пациентов с ХСН являются ее коронарогенная природа, возраст, функциональный класс (ФК), женский пол, тахикардия в состоянии покоя, клиренс креатинина, уровни гемоглобина и мочевой кислоты в крови, концентрация холестерина в плазме, средняя и тяжелая степень психической депрессии. Данные стандартизованных опросников MHFLQ и SF-36 характеризуются достаточно высокой информативностью в отношении прогноза 1-5-летней выживаемости пациентов с ХСН одного и того же ФК и, соответственно, могут быть использованы для стратификации риска пациентов с ХСН, близких по своим функциональным возможностям.

Clinically manifested chronic heart failure (CHF) is associated with significant decrease of patients' qualityoflife(QL)caused by their functional capability as well as their psychoemotional discomfort. Most informative predictors of QL in CHF are its ischemic origin, age, female sex, NYHA functional class (FC), tachycardia at rest, creatinine clearance, Hb, uric acid and plasma cholesterol levels, moderate-to-severe depression. Data of Minnesota Heart Failure Life Quality/SF-36 questionnaires demonstrate high prognostic value in regard of 1 - 5 year survival in CHF patients with the same NYHA class and so may be useful in risk stratification of patients with comparable functional status.

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The authors declare that there are no conflicts of interest present.