Iranian Journal of Public Health 2016. 45(6):748-753.

A Comparative Study of the Efficacy and Psychological States be¬tween Patients with Senile Ischemic Heart Failure Undergone ICU and Conventional Therapies
Changli DU


Background: Our aim was to forward an effective therapeutic approach by comparing efficacy and psychological states between patients with senile ischemic heart failure undergone ICU and conventional therapies.

Methods: We selected 64 patients from Hospital of Traditional Chinese Medicine of Rizhao (Shandong, China) between June 2013 and June 2014. The patients had ischemic heart disease, and were monitored for one-year time span. They were randomly divided into the experiment and control group, each of which of 32 cases. The experimental group received an ICU therapy, whereas the control group was treated with conventional therapy. The result of patients’ cardiac function, SDSSAS index and clinical efficacies were monitored and compared.

Results: Both groups, especially the experiment group showed significant improvement in the left ventricular end-diastolic diameter, left ventricular ejection fraction and cardiac NYHA rating (P<0.05). The experiment group needed less hospital stay and hence significantly more cost effective in comparison to control group (P<0.05). The therapy in terms of stent implantation, coronary artery bypass surgery and pure medication was not of statistical significant (P>0.05). In comparison to control group, the experiment group showed significantly lower mortality rate in short and long term (P<0.05). The SDSSAS rating of the 2 groups, especially the control group was significantly increased (P< 0.05).

Conclusion: We observed improvement in clinical efficacy and depressed anxiety among patients with serious senile ischemic heart failure, after specialized ICU therapy.




ICU, Ischemic heart failure, SDSSAS scale

Full Text:



Singer RB (2000). Mortality in two recent reports of clin¬ical trials on patients with congestive heart fail¬ure compared with mortality in three previous clinical trials. J Insur Med, 32:254-261.

Macauley K (2012). Physical therapy man-agement of two patients with stage d heart failure in the cardi-ac medical intensive care unit. Cardiopulm Phys Ther J, 23 (3):37-45.

Thorvaldsen T, Benson L, Dahlstrom U, Edner M, Lund LH (2016). Use of evi-dence-based therapy and survival in heart failure in Sweden 2003-2012. Eur J Heart Fail, 18(5):503-11.

Shah KB, Smallfield MC, Tang DG, Mal-hotra R, Cooke RH, Kasirajan V (2014). Mechanical circulatory support devices in the ICU. Chest, 146 (3):848-57.

Schell CO, Castegren M, Lugazia E, Blixt J, Mulungu M, Konrad D, Baker T (2015). Se¬verely deranged vital signs as triggers for acute treatment modifications on an inten¬sive care unit in a low-income coun-try. BMC Res Notes, 8 (1):313.

Sohn S, Helms TM, Pelleter JT, Muller A, Krot¬tinger AI, Schoffski O (2012). Costs and ben¬efits of personalized healthcare for patients with chronic heart failure in the care and edu¬cation program “tele-medicine for the heart.” Telemed J E Health, 18 (3):198–204.

Dendale P, De Keulenaer G, Troisfontaines P, Weytjens C, Mullens W, Elegeert I, Ec-tor B, Houbrechts M, Willekens K, Han-sen D (2012). Effect of a telemonitoring-facilitated collaboration between general practitioner and heart failure clinic on mortality and rehospital¬ization rates in severe heart failure: The TEMA-HF 1 (Tele monitoring in the Manage¬ment of heart failure) study. Eur J Heart Fail, 14 (3):333–340.

Boisen AB, Dalager-Pedersen M, Søgaard M, Mortensen R, Thomsen RW (2014). Relation¬ship between death and infec-tions among pa¬tients hospitalized in in-ternal medicine depart¬ments: A preva-lence and validation study. Am J Infect Con-trol, 42(5):506-10.

Sahin S, Doğan U, Ozdemir K, Gök H (2012). Evaluation of clinical and demo-graphic char¬acteristics and their associa-tion with length of hospital stay in pa-tients admitted to cardi-ac intensive care unit with the diagnosis of acute heart failure. Anadolu Kardiyol Derg, 12 (2):123-31.

Johnson JT, Tani LY, Puchalski MD, Bards-ley TR, Byrne JL, Minich LL, Pinto NM (2014). Admission to a dedicated cardiac intensive care unit is associated with de-creased resource use for infants with prenatally diagnosed congeni¬tal heart dis-ease. Pediatr Cardiol, 35 (8):1370-8.

Miller SJ, Desai N, Pattison N, Droney JM, King A, et al. (2015). Quality of transition to end-of-life care for cancer patients in the intensive care unit. Ann Intensive Care, 5:18.

Kozub E, Hibanada-Laserna M, Harget G, Ecoff L (2015). Redesigning Orientation in an Inten¬sive Care Unit Using 2 Theo-retical Models. AACN Adv Crit Care, 26(3):204-14.

McElroy LM, Macapagal KR, Collins KM, Abe¬cassis MM, Holl JL, Ladner DP, Gordon EJ (2015). Clinician perceptions of operating room to intensive care unit handoffs and im¬plications for pa-tient safety: a qualitative study. Am J Surg, 210(4):629-35.

Terzi B, Kaya N (2015). A planned admis-sion protocol application in intensive care units. Nurs Crit Care, doi: 10.1111/nicc.12194.

Giménez EC, Sánchez-Luna M (2015). Providing parents with individualized support in a neona¬tal intensive care unit reduced stress, anxiety and depres-sion. Acta Paediatr, 104(7):e300-5.

Porhomayon J, Joude P, Adlparvar G, El-Solh AA, Nader ND (2015). The Impact of High Versus Low Sedation Dosing Strategy on Cog¬nitive Dysfunction in Survivors of Intensive Care Units: A Sys-tematic Review and Meta-Analysis. J Car-diovasc Thorac Res, 7 (2):43-8.


  • There are currently no refbacks.

Creative Commons Attribution-NonCommercial 3.0

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.