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A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

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Depression in acute coronary syndrome

Damir Kozmar1, Katija Catipović-Veselica, Andrea Galić

  • 1Department of Medicine, University of J. J. Strossmayer Osijek, Clinical Hospital Osijek, Croatia.

Psychological Reports
|February 10, 2004
PubMed

Insights

Patients with acute coronary syndrome show higher depression scores. However, acute myocardial infarction with ventricular fibrillation indicates a better prognosis, suggesting lower depression scores correlate with improved outcomes.

Area of Science:

  • Cardiology
  • Psychiatry
  • Medical Psychology

Background:

  • Depression is a common comorbidity in patients with acute coronary syndrome (ACS).
  • Understanding the relationship between depression and ACS subtypes is crucial for prognosis.
  • The Emotion Profile Index (EPI) can assess emotional states in cardiac patients.

Purpose of the Study:

  • To determine the prevalence of depression in ACS patients using the EPI.
  • To investigate the association between depression and ACS type, and ischemic heart disease severity.
  • To explore the prognostic value of depression scores in ACS patients.

Main Methods:

  • A cross-sectional study involving 200 patients with ACS.
  • Depression was assessed using the Emotion Profile Index of Plutchik.
  • Comparison of depression scores between ACS patients and a control group.
  • Analysis of depression scores based on ACS type and left ventricular failure presence.

Main Results:

  • Patients with ACS exhibited significantly higher depression scores than the control group.
  • No significant differences in depression scores were found based on ACS type or left ventricular failure.
  • Patients with acute myocardial infarction (AMI) and ventricular fibrillation (VF) had lower depression scores compared to other AMI patients and controls.

Conclusions:

  • Elevated depression is prevalent in ACS patients.
  • Lower depression scores in patients with AMI and VF are associated with a good prognosis.
  • Depression assessment may aid in predicting hospitalization and long-term outcomes in ACS.

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