2024-09-122024-09-122024-07-08AUGUSTO, Laura Porto; GUARÁ, Pedro Teixeira; SIMÃO, Victor Cordeiro. Avaliação da qualidade de vida relacionada à saúde de pacientes pós-implante de marca-passo em hospital universitário brasileiro. 2024. 74 f. Trabalho de Conclusão de Curso (Bacharelado em Medicina) – Faculdade de Medicina, Universidade Federal de Goiás, Goiânia, 2024.http://repositorio.bc.ufg.br//handle/ri/25489INTRODUCTION: Health-related quality of life (HRQoL) is an important subjective parameter that considers an individual's perception of their place in life and cultural context. For patients with pacemakers (PM), assessing HRQoL is crucial because the device aims to improve the well-being and living conditions of patients. Thus, understanding the factors that can influence HRQoL is essential. OBJECTIVES: To evaluate the HRQoL of PM patients at a tertiary university hospital in Goiânia. METHODOLOGY: This cross-sectional study included a sample of 57 patients monitored at the PM outpatient clinic of a tertiary university hospital in Goiânia. Data collection was conducted between October 2023 and March 2024 using the AQUAREL and SF-36 questionnaires, as well as a clinical questionnaire that addressed activities that may be considered safe or unsafe for PM patients. Statistical tests were used to investigate the association of HRQoL with sociodemographic variables (gender, age, marital status, income, ethnicity, education) and clinical variables (time since PM implantation and presence of Chagas disease). Additionally, ordinal logistic regression was performed to identify and estimate odds ratios between sociodemographic, clinical variables, and the worsening of HRQoL assessment. The significance level was set at 5%. RESULTS: The sample consisted predominantly of elderly patients (71.9%), female (57.9%), without a partner (52.6%), mixed race (47.4%), retired (61.4%), with a family income of ≤ 2 minimum wages (66.7%), and with completed primary education (45.6%). In 41 patients (71.9%), the time since PM implantation was less than 10 years, and Chagas disease was the main reason for PM implantation, with 29 patients (50.9%). Most patients (87.7%) considered the care in the outpatient clinic as "excellent" or "very good". It was identified that many did not find it safe or were unaware of the safety of various daily activities, such as using cell phones (38.6%), microwave ovens (63.2%), and physical activities (40.3%). The best HRQoL results were observed in the domains "Chest Discomfort" and "Arrhythmia" of the AQUAREL, and "Social Aspects" and "Mental Health" of the SF-36. Chagas disease was associated with poorer evaluations in the domains "Arrhythmia" and "Dyspnea on Effort" of the AQUAREL. The presence of Chagas disease was considered a factor associated with poorer scores in the AQUAREL. The odds of a patient without Chagas disease having a higher category in HRQoL scores on the AQUAREL were 2.7 times for the Chest Discomfort domain, 7.9 times for the Arrhythmia domain, and 4.4 times for the Dyspnea on Effort domain. Age was negatively correlated with the "Mental Component" of the SF-36 and also represented higher chances of poor HRQoL scores on the SF-36, but there was no significant association between HRQoL and gender, marital status, income, ethnicity, or education. CONCLUSION: The HRQoL of patients evaluated in the PM outpatient clinic of the tertiary university hospital is reasonable, according to the analysis of the AQUAREL and SF-36 questionnaire scores. Most patients consider the care satisfactory, but many still have uncertainties and insecurities about risk activities. The main factors for poorer scores were Chagas disease in the AQUAREL and being older and having lower education in the SF-36.porAcesso AbertoMarcapasso artificialQualidade de vidaDoença de ChagasPacemaker artificialQuality of lifeChagas diseaseTrabalho de conclusão de curso de graduação (TCCG)