[Depression and Acute Coronary Syndromes: gender-related differences]
Glória Heloise Perez1, José Carlos Nicolau, Bellkiss Wilma Romano
1Instituto do Coração, Hospital das Clínicas, FMUSP, São Paulo, SP. psigloria@incor.usp.br
Arquivos Brasileiros De Cardiologia
|December 17, 2005
Summary
Anxiety and being female or under 50 increase depression risk in Acute Coronary Syndrome (ACS) patients. These factors are key indicators for depression screening in cardiac care.
Area of Science:
- Cardiology
- Psychiatry
- Public Health
Context:
- Acute Coronary Syndrome (ACS) is a critical cardiovascular condition.
- Depression is a common comorbidity in ACS patients, impacting outcomes.
- Understanding depression predictors in ACS is crucial for targeted interventions.
Purpose:
- To investigate the association between various patient characteristics and depression in Acute Coronary Syndrome (ACS) patients.
- To stratify these associations by gender.
- To identify key demographic, clinical, and psychological factors linked to depression in this population.
Summary:
- This study analyzed 345 ACS patients, assessing sociodemographics, smoking, alcohol use, depression, and anxiety.
- Depression was significantly associated with female gender, age under 50, and higher trait and state anxiety scores.
- Multivariate analysis confirmed age and trait anxiety as independent predictors of depression in men, and trait anxiety in women.
Impact:
- The findings highlight that women, men under 50, and individuals with anxiety are at higher risk for depression following ACS.
- This underscores the importance of screening for anxiety and depression in specific ACS patient subgroups.
- Early identification and management of depression can potentially improve recovery and long-term prognosis in ACS patients.
More Related Videos
Related Concept Videos
01:30Acute Coronary Syndrome I: Introduction
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
01:19Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
01:30Acute Coronary Syndrome III: Diagnostic Studies
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
01:28Acute Coronary Syndrome IV: Interprofessional Care
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
01:26Acute Coronary Syndrome V: Nursing Management
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
01:27Panic Disorder
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...