Activities of Daily Living Index in elderly patients with hypertension and frailty syndrome after nonST segment elevation myocardial infarction

Abstract

Aim. To analyze Barthel Index of Activities of Daily Living (ADL) in elderly patients with hypertension (HTN) and frailty 6 months after nonST segment elevation myocardial infarction nonSTEMI). Material and methods. ADL was studied in 114 elderly patients (6074 years old) with nonSTEMI, HN and frailty and 80 patients of the same age with nonSTEMI and HTN, but without frailty. ADL was determined 6 months after suffering nonSTEMI. Results. ADL in patients with frailty was reduced to a greater extent (55,8 [52,457,9]) than in nonfrail patients (72,9 [70,378,6]) (p<0,01). According to factor analysis, ADL reduction in frail patients compared with nonfrail patients was mainly due to bedchair transfer — 6,4 [6,26,8] vs 9,8 [8,111,5] (p<0,001), walking test — 8,1 [8,08,5] vs 10,6 [9,412,7] (p<0,001), stair climbing — 5,3 [5,15,7] vs 7,4 [6,88,9] (p<0,001). ADL in patients with frailty and blood pressure (BP) <160/100 mm Hg was 62,1 [60,369,9], which is significantly higher than in frail patients with BP ≥160/100 mm Hg (48,0 [36,353,2]) (p<0,01). Conclusion. In frail patients aged 6074 years, compared with nonfrail patients, 6 months after nonSTEMI, ADL was significantly lower in such components as stair climbing, walking, and bedchair transfer. In patients with frailty and BP <160/100 mm Hg, ADL is significantly higher than in patients with higher blood pressure.