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Christopoulou G, Sigala E, Aragiannis D, Stamatopoulou E, Manthou P, Gkiata P, Vlachopoulos C, Trantalis G, Drakopoulou M, Toutouzas K, Tsioufis K. Short-term health-related quality of life in patients with ischaemic stroke after PFO closure. Eur J Cardiovasc Nurs 2021. [DOI: 10.1093/eurjcn/zvab060.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Introduction/Purpose: Patent foramen ovale (PFO) is common in asymptomatic adults and is associated with cryptogenic stroke (CS). We sought to evaluate the impact of PFO closure in health-related quality of life (HRQoL) in PFO patients with CS.
Method
In this pilot study, 19 patients (mean age 47 ± 7.7; 13 male) who underwent PFO closure at our center were invited to a short-term clinical follow up (mean follow-up period 6-10 months). All patients had suffered an ischaemic stroke and their disability level was assessed using the Modified Rankin Scale (MRS, no significant disability 63%). HRQoL was assessed using the 36-Item Short Form Survey (SF-36) and the European Quality of Life-5 Dimensions Questionnaire (EQ-5D) preoperatively and at follow-up.
Results
Both SF36 and EQ-5D scores improved after the operation as shown by the self-rating scores (20,67% and 40,52% higher scores, respectively). Patients with major mobility problems were more likely to be current smokers (r = 0.481) and those who had lower scores on the MRS scale (r=-0.571) rated higher their scale diagram. The categories of energy/fatigue (r = 0.459; p = 0.048), social functioning (r = 0.547; p = 0.015) and pain (r = 0.550; p = 0.015) were positively correlated with physical function. Finally, there was a positive correlation between role limitations due to emotional problems and energy/fatigue (r = 0,519; p = 0.023), and between energy/fatigue and emotional well-being (r = 0.519; p = 0,023).
Conclusions
The results of our study indicate that shortly after PFO, subjects perceive improvements in their QoL. However, it seems that poorly rated physical function was more common in active smokers, and affects patients" social life and their emotional state. Health care professionals should encourage these patients to participate in rehabilitation and psychological support programs postoperatively.
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Affiliation(s)
| | - E Sigala
- Ippokrateio General Hospital of Athens, Athens, Greece
| | - D Aragiannis
- Ippokrateio General Hospital of Athens, Athens, Greece
| | | | - P Manthou
- Sotiria Regional Chest Diseases Hospital, Athens, Greece
| | - P Gkiata
- Ippokrateio General Hospital of Athens, Athens, Greece
| | | | - G Trantalis
- Ippokrateio General Hospital of Athens, Athens, Greece
| | - M Drakopoulou
- Ippokrateio General Hospital of Athens, Athens, Greece
| | - K Toutouzas
- Ippokrateio General Hospital of Athens, Athens, Greece
| | - K Tsioufis
- Ippokrateio General Hospital of Athens, Athens, Greece
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Kasiakogias A, Tsioufis C, Dimitriadis K, Konstantinidis D, Koutra E, Kyriazopoulos K, Kyriazopoulos I, Liatakis I, Mantzouranis M, Philippou C, Galanakos S, Andrikou I, Michas C, Aragiannis D, Tousoulis D. P1540Comparison of the European Society of Hypertension stratification and European Society of Cardiology HeartScore for prediction of coronary artery disease and stroke in essential hypertension. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p1540] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- A Kasiakogias
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - C Tsioufis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - K Dimitriadis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - D Konstantinidis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - E Koutra
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - K Kyriazopoulos
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - I Kyriazopoulos
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - I Liatakis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - M Mantzouranis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - C Philippou
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - S Galanakos
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - I Andrikou
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - C Michas
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - D Aragiannis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - D Tousoulis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
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Konstantinidis D, Tsioufis C, Dimitriadis K, Kasiakogias A, Galanakos S, Iliakis P, Nikolopoulou L, Liatakis I, Aragiannis D, Kyriazopoulos K, Andrikou E, Koutra E, Tousoulis D. P4479Isolated systolic hypertension and combined systolic-diastolic hypertension for prediction of new-onset diabetes mellitus: Data from a 8-year-follow-up study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p4479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- D Konstantinidis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - C Tsioufis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - K Dimitriadis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - A Kasiakogias
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - S Galanakos
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - P Iliakis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - L Nikolopoulou
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - I Liatakis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - D Aragiannis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - K Kyriazopoulos
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - E Andrikou
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - E Koutra
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
| | - D Tousoulis
- First Cardiology Clinic, University of Athens,Hippokration Hospital, Athens, Greece
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Kasiakogias A, Tsioufis C, Kyriazopoulos K, Annousis G, Aragiannis D, Dimitriadis K, Tousoulis D. [PP.05.15] THE IMPACT OF SWITCHING FROM PROTOTYPE TO GENERIC ATORVASTATIN ON PERSISTENCE AND COMPLIANCE IN GREECE. J Hypertens 2017. [DOI: 10.1097/01.hjh.0000523317.25842.54] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Tsioufis C, Dimitriadis K, Kasiakogias A, Konstantinidis D, Kalos T, Mantzouranis M, Aragiannis D, Anoussis G, Fragoulis C, Kontantinou K, Tousoulis D. P4429Acute detrimental effects of electronic cigarette and tobacco cigarette smokingon blood pressure and sympathetic nerve activity in healthy subjects. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p4429] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Kalos T, Tsioufis C, Dimitriadis K, Kasiakogias A, Konstantinidis D, Syrmali K, Andrikou E, Kyriazopoulos K, Koufakis N, Anoussis G, Aragiannis D, Vogiatzakis N, Thomopoulos C, Tousoulis D. 5034Comparison of the predictive role of left ventricular mass and arterial stiffness for coronary artery disease in patients with essential hypertension: Data from a Greek 8-year-follow-up study. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.5034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Kasiakogias A, Tsioufis C, Kordalis A, Thomopoulos C, Dimitriadis K, Tsiachris D, Kefala A, Antonakis V, Aragiannis D, Stefanadis C. Patterns of exposure to resistant hypertension and cardiovascular morbidity: a 4-year prospective study. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht309.3614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Kasiakogias A, Tsioufis C, Thomopoulos C, Kintis K, Antonakis V, Leontsinis I, Aragiannis D, Makris T, Tousoulis D, Stefanadis C. Switching to evening antihypertensive drug dosing improves nighttime blood pressure and dipping status in non-sleepy patients with obstructive sleep apnea. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht310.p5652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Kasiakogias A, Tsioufis K, Thomopoulos C, Aragiannis D, Kordalis A, Andrikou I, Bafakis I, Kintis K, Hatziyiannis P, Tousoulis D, Stefanadis C. LONG-TERM CONTINUOUS POSITIVE AIRWAY PRESSURE DOES NOT IMPROVE BLOOD PRESSURE CONTROL IN HYPERTENSIVES WITH SLEEP APNEA: A 3-YEAR FOLLOW-UP STUDY. J Am Coll Cardiol 2012. [DOI: 10.1016/s0735-1097(12)61874-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Syrseloudis D, Tsioufis C, Aragiannis D, Soulis D, Stefanadi E, Spanos A, Mihas C, Tousoulis D, Kallikazaros I, Stefanadis C. The dominant role of the systolic component of nondipping status on target-organ damage in never-treated hypertensives. Am J Hypertens 2011; 24:292-8. [PMID: 21127469 DOI: 10.1038/ajh.2010.234] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND Blood pressure (BP) nondipping has been associated with target-organ damage (TOD) and adverse outcomes in hypertension. Diverse definitions of nondipping status appear in the literature, regarding the BP components taken into account. Aim of this study was to compare the effects of isolated nondipping of systolic, diastolic and combined systolic and diastolic BP on various indices of TOD. METHODS From 630 consecutive subjects with never-treated essential hypertension stage I-II, we selected 279 subjects who were consistently isolated systolic nondippers (SND, n=76) isolated diastolic nondippers (DND, n=64) and combined systolic and diastolic nondippers (SDND, n=139) in two ambulatory BP monitoring sessions. All three subgroups were subjected to echocardiographic examination, carotid-femoral pulse wave velocity (PWV(c-f)) and albumin-to-creatinine ratio (ACR) determination. Metabolic profile was determined in a morning blood sample. RESULTS SND compared to DND and SDND exhibited higher left ventricular mass/height(2.7) (42.4 ± 9.9 vs. 38.0 ± 9.1 vs. 40.9 ± 11.0 g/m(2.7), P < 0.05), higher log(10)(PWV(c-f)) (0.94 ± 0.07 vs. 0.86 ± 0.05 vs. 0.91 ± 0.07 m/s, P < 0.005), and higher log(10)(ACR) (1.2 ± 0.5 vs. 0.9 ± 0.3 vs. 1.1 ± 0.4 mg/g, P < 0.05). Isolated systolic BP nondipping was an independent determinant of all the studied indices of TOD whereas isolated diastolic BP nondipping was not. CONCLUSIONS Isolated systolic as compared to diastolic and to combined systolic/diastolic BP nondipping is associated with higher left ventricular mass, stiffer arteries, and pronounced urinary albumin excretion.
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