Reliability of Thai version of SF-36 questionnaire for the evaluation of quality of life in cardiac patients.

Quality of life is an important measurement of medical outcomes. Reliability of a Thai version of the SF-36 questionnaire has never been reported. The objective of this study was to determine the reliability of a Thai version of the SF-36 questionnaire in cardiac patients. We developed a Thai version of the SF-36 questionnaire and tested it in 212 cardiac patients. Reliability of the Thai version of the SF-36 questionnaire was assessed by internal consistency using Cronbach's Alpha statistic and inter-item correlation. We demonstrated that Cronbach's Alpha coefficient of every aspect of QOL exceeded 0.7, and all inter-item correlation exceeded 0.4. In conclusion, the Thai version of the SF-36 questionnaire is a valuable tool in assessing medical outcomes and medical research in Thai patients with cardiac disease. Whether it can be used in other diseases remains unknown.

Effect of atenolol on symptomatic ventricular arrhythmia without structural heart disease.

Ventricular arrhythmia (VA) from right ventricular outflow tract (RVOT) is a common problem. Symptomatic patients are usually treated with beta-blockers. There is little data on the systematic evaluation of the drug efficacy. The objectives of this study were 1) To determine proportion of exercise induced ventricular arrhythmia among patients with symptomatic ventricular arrhythmia and 2) to determine the response to beta blockers and the correlation between the response to betablockers and exercise induced VA. We prospectively studied 46 consecutive patients with symptomatic ventricular arrhythmia. Patients recorded their symptom scores underwent exercise testing and 24-hour ambulatory monitoring before treatment and 1 month after atenolol. Exercise induced ventricular arrhythmia was demonstrated in 28 per cent of patients with symptomatic ventricular arrhythmia. Atenolol improves symptoms, decreases PVC count from ambulatory monitoring, increases exercise duration and suppresses malignant form of VA during exercise. These effects are at a similar extent in both groups of patients: those with and without exercise induced VA. However, the effect on ventricular arrhythmia suppression during exercise of atenolol was seen only in patients with increased PVC during exercise. In conclusion, atenolol is a good option in treating patients with symptomatic VA from RVOT regardless of the pattern of PVC response to exercise. Atenolol can suppress PVC during exercise testing better in patients with exercise induced VA compared to those without.