The effect of specialized management of acute coronary syndrome on patient's quality of life: A tertiary care centre study.

OBJECTIVES: To assess the impact of Acute Coronary Syndrome (ACS) on quality of life (QoL) among patients at King Abdulaziz Medical City in Western Jeddah. Acute Coronary Syndrome significantly affect patients' QoL. Many individuals experience challenges post-ACS. While previous research has identified baseline QoL, access to specialized care, and assessment tools as important factors influencing recovery, limited studies have examined how baseline QoL affects long-term outcomes. METHODS: This hybrid cross-sectional study included ACS patients treated at King Abdulaziz Medical City. A sample size of 268 was calculated using RAOSOFT. A culturally tailored questionnaire, derived from the SF-36, was developed, validated, and administered through phone interviews. Data was analyzed using SPSS, applying descriptive statistics. Statistical significance was set at p<0.05. RESULTS: A total of 311 patients participated. The mean QoL score was 9.7 (±3.4). Age was found to be a statistically significant predictor of QoL classification (p=0.001), with an odds ratio of 1.04. However, there is an inverse correlation between the quality-of-life score and age and years since diagnosis. CONCLUSION: The ACS negatively affects social participation, religious practices, fasting during Ramadan, and willingness to return to work. Higher age was associated with better improvement in QoL after ACS. Additionally, we found a weak but significant invers correlation between age and QoL, and longer time since diagnosis and QoL.