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[Psychological status prior coronary angiography in patients with and without coronary artery disease]

Jian-hua He1, Cong-jia Li, Xin Lu

  • 1Department of Neurology, Beijing Anzhen Hospital Affiliated to Capital University of Medical Science, Beijing 100029, China. jianhuahe09199@yahoo.com.cn

Zhonghua Xin Xue Guan Bing Za Zhi
|January 22, 2008
PubMed

Insights

Chest pain patients often experience anxiety and depression before coronary angiography. Anxiety levels were notably higher in patients without coronary artery disease compared to those with it.

Area of Science:

  • Cardiology
  • Psychiatry
  • Medical Psychology

Background:

  • Chest pain is a common symptom requiring investigation.
  • Coronary artery disease (CAD) diagnosis often involves coronary angiography (CAG).
  • Psychological distress, including anxiety and depression, can impact patients awaiting cardiac procedures.

Purpose of the Study:

  • To compare the psychological status of patients before CAG.
  • To investigate differences in anxiety and depression levels between patients with and without CAD.

Main Methods:

  • Ninety-nine chest pain patients scheduled for CAG were assessed.
  • Hamilton Anxiety Rating Scale (HAMA) and HAMD-17 were used 24 hours prior to CAG.
  • CAD diagnosis was confirmed via CAG, and CAD risk factors were evaluated.

Main Results:

  • 46 out of 99 patients were diagnosed with CAD.
  • Anxiety (HAMA score ≥ 14) was observed in 43 patients, depression (HAMD-17 score ≥ 14) in 18.
  • Patients without CAD showed significantly higher HAMA scores than those with CAD (14.1 vs. 11.1, P < 0.05).

Conclusions:

  • High incidences of anxiety and depression are present in chest pain patients awaiting CAG.
  • Anxiety prevalence before CAG is significantly higher in patients ultimately diagnosed without CAD.
  • Pre-procedural psychological assessment may be crucial for chest pain patients undergoing CAG.
Abstract

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