PMID- 19439375 OWN - NLM STAT- MEDLINE DCOM- 20100608 LR - 20100309 IS - 1872-6976 (Electronic) IS - 0167-4943 (Linking) VI - 50 IP - 3 DP - 2010 May-Jun TI - Psychological functioning and health-related quality of life (HRQoL) in older patients following percutaneous closure of the secundum atrial septal defect (ASD). PG - e5-8 LID - 10.1016/j.archger.2009.04.003 [doi] AB - To characterize quality of life and psychological well-being in the new growing population of older patients who underwent trans-catheter closure of the secundum ASD. Twenty-seven patients, aged 60 years and older, who underwent trans-catheter ASD closure and 27 age and gender matched controls answered the hospital anxiety and depression scale and the cardiac-specific module of the health-related quality of life (HRQoL) questionnaire. Pre- and post-ASD closure pulmonary artery pressure (Pap), and the New York Heart Association (NYHA) functional capacity class were recorded from medical records. Almost 77% improvement in Pap and 57% improvement in functional status were found. More than 70% reported low/mild depressive symptoms and 59% reported low/mild anxiety in both groups. Almost 78% of ASD patients and 89% of controls reported high/very high levels of HRQoL. Significantly better QoL was reported by the controls. Lower post-ASD closure Pap scores were associated with better QoL, but were not significantly related to levels of depression and anxiety scores. Preoccupation with the ASD closure was related to higher pre-closure Pap scores, worse QoL, and higher depressive and anxiety symptoms. Following ASD closure, depression and anxiety symptoms were in the low range, and HRQoL scores for most patients were in the high range. CI - Copyright (c) 2009 Elsevier Ireland Ltd. All rights reserved. FAU - Cohen, Miri AU - Cohen M AD - Department of Gerontology, Faculty of Social Welfare and Health Sciences, University of Haifa, and Pediatric Cardiology and Adults with Congenital Heart Disease, Meyer Children's Hospital, Haifa 31905, Israel. FAU - Daniela, Mansoor AU - Daniela M FAU - Yalonetsky, Sergey AU - Yalonetsky S FAU - Gagin, Roni AU - Gagin R FAU - Lorber, Avraham AU - Lorber A LA - eng PT - Journal Article DEP - 20090512 PL - Netherlands TA - Arch Gerontol Geriatr JT - Archives of gerontology and geriatrics JID - 8214379 SB - IM MH - *Adaptation, Psychological MH - Aged MH - Aged, 80 and over MH - Case-Control Studies MH - Female MH - *Health Status MH - Heart Septal Defects, Atrial/psychology/*surgery MH - Humans MH - Israel MH - Male MH - Matched-Pair Analysis MH - Middle Aged MH - *Quality of Life EDAT- 2009/05/15 09:00 MHDA- 2010/06/09 06:00 CRDT- 2009/05/15 09:00 PHST- 2008/12/10 00:00 [received] PHST- 2009/04/02 00:00 [revised] PHST- 2009/04/06 00:00 [accepted] PHST- 2009/05/15 09:00 [entrez] PHST- 2009/05/15 09:00 [pubmed] PHST- 2010/06/09 06:00 [medline] AID - S0167-4943(09)00092-2 [pii] AID - 10.1016/j.archger.2009.04.003 [doi] PST - ppublish SO - Arch Gerontol Geriatr. 2010 May-Jun;50(3):e5-8. doi: 10.1016/j.archger.2009.04.003. Epub 2009 May 12.