Özet:

Objective: There is a limited number of studies on the health-related quality of life and the relationship of mortality. In our study, we aimed at assessing the relationship of life quality with mortality of patients with ST upward myocardial infarction (STMI) treated with percutaneous coronary initiative (PKG).  Patients and Method: The study included 92 patients who were diagnosed with acute STYMI and primary PKG and followed 6 months. In the sixth month of the clinical visit, demographic and clinical data were collected after international validity and in Turkey the validity study in acute coronary syndrome, the EQ5D quality of life scale was filled by patients. The data were analyzed after five years of patient followings were completed. Patients who did not have a clinical visit or the relatives of these patients were called by telephone to assess mortality.  The findings: Our study is the first study that studies the relationship between quality of life and long-term survival in STYMI patients. The average age of 92 patients followed for five years was 56.96 ± 12.61 and 81 (88%) were male. At the end of the five years, 12 patients were killed. The index score average was 0.903 ± 0.145 and the visual analog scale (VAS) score average was 80.58 ± 16.03. The index score and VAS score average were lower in patients with mortality (respectively, p = 0.008, p = 0.011). Both the index score and VAS score were related to mortality in a way that would be meaningful (respectively, p = 0.002, ki-quare = 9.918; p = 0.008, ki-quare = 7.112). Using the backward step Cox regression analysis, it was found that the index score ≤ 0.9 was associated with mortality [p= 0.005; HR= 5.546 (1.668-18.443)]. Result: According to our analysis, low health-related quality life scores are associated with mortality. The EQ5D index score is an independent indicator of long-term mortality in STYMI patients treated with PKG.

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