{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T01:44:59Z","timestamp":1777081499738,"version":"3.51.4"},"reference-count":31,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T00:00:00Z","timestamp":1623715200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The aim of this study was to investigate how physical limitations after ACS influence patients\u2019 quality of life and health perception. This was a longitudinal clinical study. We recruited 146 patients diagnosed with ACS. The patients performed a stress test (Bruce\u2019s protocol) for the evaluation of physical limitations and were classified according to the test result: without physical limitations (more than 10 METS), with some physical limitations (7 to 9 METS), and with high physical limitations (less than 6 METS). Significant differences were found between the three groups immediately after the diagnosis of ACS and after a period of three months, regarding health perception, anxiety, depression, sexual relationships, distress, and adjustment to disease. These differences resulted larger between the group with less limitations and the group with higher limitations. After 3 months, however, there was an overall improvement in all variables. In conclusion, physical limitations after ACS seem to influence perceived quality of life determined by measuring general health, vitality, total adaptation, emotional role, social adaptation, depression, and anxiety. Therefore, the highest the physical limitations, the poorer the psychological conditions and vice versa, even 3 months after ACS diagnosis.<\/jats:p>","DOI":"10.3390\/ijerph18126473","type":"journal-article","created":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T11:00:33Z","timestamp":1623754833000},"page":"6473","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Psychological State after an Acute Coronary Syndrome: Impact of Physical Limitations"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6574-4532","authenticated-orcid":false,"given":"Miguel-\u00c1ngel","family":"Serrano-Rosa","sequence":"first","affiliation":[{"name":"Department of Psychobiology, University of Valencia, 46010 Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1480-706X","authenticated-orcid":false,"given":"Eva","family":"Le\u00f3n-Zarce\u00f1o","sequence":"additional","affiliation":[{"name":"Departamento de Ciencias del Comportamiento y Salud, Universidad Miguel Hern\u00e1ndez de Elche, 03202 Elche, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Giglio","sequence":"additional","affiliation":[{"name":"Department of Psychobiology, University of Valencia, 46010 Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7647-7767","authenticated-orcid":false,"given":"Salvador","family":"Boix-Vilella","sequence":"additional","affiliation":[{"name":"Facultad de Humanidades y Ciencias Sociales, Universidad Isabel I. Burgos, 09003 Burgos, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Moreno-Tenas","sequence":"additional","affiliation":[{"name":"Departamento de Ciencias del Comportamiento y Salud, Universidad Miguel Hern\u00e1ndez de Elche, 03202 Elche, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3408-3150","authenticated-orcid":false,"given":"Lidia","family":"Pamies-Aubalat","sequence":"additional","affiliation":[{"name":"Departamento de Ciencias del Comportamiento y Salud, Universidad Miguel Hern\u00e1ndez de Elche, 03202 Elche, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7371-910X","authenticated-orcid":false,"given":"Vicente","family":"Arrarte","sequence":"additional","affiliation":[{"name":"Cardiology Unit, Hospital of Alicante, 03010 Alicante, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,6,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Fishbein, G.A., Fishbein, M.C., and Buja, L.M. 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