Predictive factors of mental disorders in patients with suspected ischaemic cardiopathy
I Ramos1, F Fernandez-Palacín, I Failde
1Preventive Medicine and Public Health Area, University of Cádiz, Spain.
Insights
Female sex, prior ischemic heart disease, and hypertension predict mental disorders in patients with suspected Ischaemic Cardiopathy (IC). Early screening and intervention are crucial for managing these conditions.
Area of Science:
- Cardiology
- Psychiatry
- Epidemiology
Background:
- Ischaemic Cardiopathy (IC) is a significant cardiovascular condition.
- Mental health disorders are prevalent in patients with cardiovascular diseases.
- Identifying risk factors for mental disorders in IC patients is crucial for comprehensive care.
Purpose of the Study:
- To determine the predictive factors associated with mental disorders in individuals suspected of having Ischaemic Cardiopathy (IC).
Main Methods:
- A cohort of 185 patients admitted for suspected IC was evaluated.
- Mental health status was assessed using the GHQ-28 questionnaire, with a score of >= 6 indicating a probable psychiatric case.
- Logistic regression analysis identified predictive variables for mental disorders.
Main Results:
- Nearly half (49.2%) of the patients were identified as probable psychiatric cases.
- Female sex (OR: 2.5), a history of IC (OR: 2.3), and arterial hypertension (OR: 2.0) were significant predictors.
- Age and comorbidity did not predict psychiatric case status.
Conclusions:
- A high prevalence of probable psychiatric cases exists among patients with suspected IC.
- Routine screening for mental disorders in this population is recommended.
- Interventions targeting identified risk factors are advised for improved patient outcomes.
Objective:
To identify the predictive factors of mental disorders in patients with suspected Ischaemic Cardiopathy (IC).
Method:
The patients admitted to the Cardiology Service of an University Hospital (SW Spain) for acute thoracic pain with suspected IC were studied. Patients were classified into four diagnostic groups (acute myocardial infarction, unstable angina, non-ischaemic cardiological process, non-cardiological) based on clinical, electrocardiographical and biochemical data. The sociodemographic and clinical variables were obtained by a 'ad hoc' questionnaire and the clinical records of the patient. The GHQ-28 questionnaire was used to assess the status of mental health, and a score of > or = 6 was taken as the cut-off point for being a 'probable psychiatric case'. Crude odds ratios (OR +/- 95% CI), and adjusted OR according to a logistic model, were calculated in order to study the variables associated with the mental disorders. The tabulation and analysis of data was carried out with the SPSS v.8 (for Windows) program.
Results:
From June 1996 to November 1997, 185 patients were studied; 72% were males and the mean age was 60.2 years (SD = 10.4). 49.2% of the patients were scored at > or = 6 on the GHQ-28, and the sub-scale accounting for the highest scores was that of somatic symptoms of psychological origin. The adjusted ORs showed that female sex (OR: 2.5; 95% CI: 1.2-5.0), previous personal history of IC (OR: 2.3; 95% CI: 1.1-4.4), and the presence of arterial hypertension (OR: 2.0; 95% CI: 1.1-3.9), were the predictive variables for being a 'probable psychiatric case', whereas neither age nor comorbidity were predictive.
Conclusions:
The percentage of subjects considered to be a 'probable psychiatric case' among patients with suspected ischaemic cardiopathy was high. Screening for mental disorders and intervention to control the risk factors associated are measures recommended in these patients.
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