Quality of Life and Psychological Distress in an Egyptian Sample of Patients with Dilated Cardiomyopathy

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Background: Cardiovascular diseases are the leading cause of death globally. They also cause severe problems in psychological and social aspects. Those with Dilated Cardiomyopathy (DCM) have substantial limitations in daily activities; moreover, the poor prognosis may result in emotional distress among patients and their families. Results: Patients with DCM had a worse quality of life with lower mean SF-36 score (47.910.59) compared to the control group (69.98.1). They also had worse HADS (35.218.73) compared to the control group (17.3 15.3). SF-36 score had strong positive correlation with left ventricular systolic function measured by ejection fraction (LVEF) with (r: 0.777, R2: 60.3%, p<0.001). While HAD scale had a strong negative one with (r: -0.734, R2: 53.9%, p<0.001). Conclusions: Patients with DCM have a worse quality of life as well as psychological distress (anxiety and depression symptoms) compared to healthy control with standardized references of 69.98.1 and 17.315. 3 for SF-36 and HAD scale respectively. Patients with lower LVEF are at higher risk.

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