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EN
Purpose: To analyse knowledge of patients in the Interventional Cardiology Department in the field of theory of the disease entity, i.e. myocardial infarction and factors predisposing to its occurrence. Materials and methods: The study was carried out at the Interventional Cardiology Department of the Regional Specialist Hospital in BiałaPodlaska between 3.11.2017 and 20.12.2017. Sixty respondents were included, 62% women and 38% men. The largest group were patients between 46 and 60 years of age. The work involved an anonymous questionnaire, which contained 28 questions, including two open ones. Patients participated in the study were informed that the study was voluntary and the questionnaire was anonymous. Results: According to the respondents, the main cause of myocardial infarction is atherosclerosis (43.4%). The respondents indicate that cardiovascular diseases (including myocardial infarction) which are on the third place in Poland, right after cancer and injuries, cause death (63.3%). As the main factor that influences the occurrence of myocardial infarction is overweight and obesity (79.8%). More than half of the respondents assess their knowledge of myocardial infarction on average, while 18.3 % said that they have very good knowledge. Conclusions: Patients with myocardial infarction have quite a good knowledge about the risk factors for this disease. A large group of respondents tries to counteract the risk factors for myocardial infarction. A small part of the respondents undergoes regular blood tests (blood glucose level, total cholesterol and its fractions, measurement of blood pressure).
EN
Objectives To investigate the aspects of return to work, socio-economic and quality of life aspects in 145 employed patients under 60 years of age treated with primary percutaneous coronary intervention for acute ST-elevation myocardial infarction. Material and Methods During hospital treatment demographic and clinical data was collected. Data about major adverse cardiovascular events, rehabilitation, sick leave, discharge from job and retirement, salary, major life events and estimation of quality of life after myocardial infarction were obtained after follow-up (mean: 836±242 days). Results Average sick leave was 126±125 days. Following myocardial infarction, 3.4% of patients were discharged from their jobs while 31.7% retired. Lower salary was reported in 17.9% patients, major life events in 9.7%, while 40.7% estimated quality of life as worse following the event. Longer hospitalization was reported in patients transferred from surrounding counties, those with inferior myocardial wall and right coronary artery affected. Age, hyperlipoproteinemia and lower education degree were connected to permanent working cessation. Significant salary decrease was observed in male patients. Employer type was related to sick leave duration. Impaired quality of life was observed in patients who underwent in-hospital rehabilitation and those from surrounding counties. Longer sick leave was observed in patients with lower income before and after myocardial infarction. These patients reported lower quality of life after myocardial infarction. Conclusions Inadequate health policy and delayed cardiac rehabilitation after myocardial infarction may lead to prolonged hospitalization and sick leave as well as lower quality of life after the event, regardless of optimal treatment in acute phase of disease.
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