{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T19:10:47Z","timestamp":1769022647414,"version":"3.49.0"},"reference-count":11,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2003,1,1]],"date-time":"2003-01-01T00:00:00Z","timestamp":1041379200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2003,1,1]],"date-time":"2003-01-01T00:00:00Z","timestamp":1041379200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom"],"published-print":{"date-parts":[[2003]]},"abstract":"<jats:p>&lt;i&gt;Background:&lt;\/i&gt; Chronic heart failure (CHF) is a socially relevant condition carrying an adverse prognosis. Systematic analysis is needed of the relationship between quality of life (QoL) \u2013 what patients are most interested in \u2013 and objective parameters of CHF severity \u2013 which largely determines physicians\u2019 care. &lt;i&gt;Methods:&lt;\/i&gt; We prospectively investigated QoL, as ascertained by the Minnesota Living with Heart Failure Questionnaire, alongside all the currently used objective clinical\/instrumental (electrocardiographic, echocardiographic, hemodynamic and functional capacity) indicators of disease severity in 106 consecutive CHF patients. &lt;i&gt;Results:&lt;\/i&gt; Besides persistence of sinus rhythm (p = 0.007), the only objective parameters that correlated with QoL were NYHA class (p &lt; 0.001) and distance covered during the six minutes walking test (p &lt; 0.001) (two indications of patients\u2019 ability to attend to their daily needs). Presence of left bundle branch block was associated with a worse QoL only in patients with CHF due to ischemic heart disease (p = 0.032). All the other clinical\/instrumental parameters showed no relation with QoL (p &gt; 0.150 in all cases). &lt;i&gt;Conclusions:&lt;\/i&gt; Objective indicators of disease severity, which largely determine physicians\u2019 care, appear to have little bearing on QoL, suggesting that current treatment for CHF fails to satisfy patients\u2019 perceived needs. The possibility of cost-effective nonpharmaceutical therapeutic protocols (e.g. psychological interventions) specifically designed to improve patients\u2019 QoL deserves investigation as a much needed new approach to the management of CHF.<\/jats:p>","DOI":"10.1159\/000069734","type":"journal-article","created":{"date-parts":[[2003,4,17]],"date-time":"2003-04-17T07:31:53Z","timestamp":1050564713000},"page":"166-170","source":"Crossref","is-referenced-by-count":26,"title":["Distance between Patients\u2019 Subjective Perceptions and Objectively Evaluated Disease Severity in Chronic Heart Failure"],"prefix":"10.1159","volume":"72","author":[{"given":"Francesco","family":"Grigioni","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuela","family":"Carigi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvana","family":"Grandi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciano","family":"Potena","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Coccolo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Letizia","family":"Bacchi-Reggiani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaia","family":"Magnani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eliana","family":"Tossani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna Chiara","family":"Musuraca","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo","family":"Magelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelo","family":"Branzi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2003,4,18]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199603283341306"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1054\/jcaf.2001.24664"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.1999.1712"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200103223441202"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.154.10.1143"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1159\/000056284"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1159\/000056271"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.1999.1821"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1159\/000056249"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1159\/000056250"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1159\/000049354"}],"container-title":["Psychotherapy and Psychosomatics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/69734","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/69734","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T03:47:07Z","timestamp":1745466427000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000069734"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003]]},"references-count":11,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2003,6,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000069734","archive":["Portico"],"relation":{},"ISSN":["0033-3190","1423-0348"],"issn-type":[{"value":"0033-3190","type":"print"},{"value":"1423-0348","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003]]}}}