[Emotional disorder in patients with acute or stable coronary heart disease]

Mei-yan Liu1, Rong-huan Jiang, Da-yi Hu

  • 1Cardiology Department, Peking University People's Hospital, Beijing 100044, China.

Insights

Patients with acute coronary syndrome (ACS) experience significantly higher rates of depression and anxiety compared to stable angina or non-coronary heart disease patients. Early evaluation and treatment of psychological distress in suspected heart disease patients are crucial.

Area of Science:

  • Cardiology
  • Psychiatry
  • Psychological distress in cardiovascular disease

Context:

  • Coronary heart disease (CHD) diagnosis involves assessing patient well-being.
  • Emotional disorders are frequently observed in patients with cardiovascular conditions.
  • Distinguishing psychological impacts across different CHD severities is essential.

Purpose:

  • To compare the incidence of emotional disorders between patients with acute coronary syndrome (ACS) and stable angina pectoris (SAP).
  • To assess the prevalence of depression and anxiety in patients with suspected coronary heart disease (CHD) undergoing coronary angiography (CAG).

Summary:

  • A study of 298 patients (ACS, SAP, non-CHD) utilized depression and anxiety scales (SDS, SAS, HRSD) pre-CAG, post-CAG, and pre-discharge.
  • Results indicated significantly higher depression and anxiety incidences in the ACS group compared to SAP and non-CHD groups across all assessment points (P < 0.05).
  • No significant difference in depression and anxiety rates was found between SAP and non-CHD patients (P > 0.05).

Impact:

  • Emotional disorders are highly prevalent in patients with suspected heart disease, particularly those with ACS.
  • Highlights the need for systematic psychological distress evaluation and management in cardiovascular patient care.
  • Informs clinical practice regarding the psychological burden associated with acute versus stable coronary heart disease.
Abstract

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