[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.
Objective:
To compare the incidence of emotional disorder in patients with acute or stable coronary heart disease.
Methods:
A total of 298 patients with suspected coronary heart disease (CHD) were designed into three groups based on of coronary angiography results: acute coronary syndrome (ACS, n = 128), stable angina pectoris (SAP, n = 108) and non-CHD (n = 62). All patients were evaluated by Zung Self-rating Depression Scale (SDS), Zung Self-rating Anxiety Scale(SAS) and Hamilton Depression Rating Scale (HRSD) for depression and anxiety before coronary angiography (CAG), 3 days after CAG, and 1 day before discharge.
Results:
Incidences of depression and anxiety were significantly higher the ACS group (65.6%and 78.9% before CAG; 60.9% and 70.3% 3 days post CAG; 45.3%and 64.8% before discharge) compared patients with SAP (18.5% and 26.9% before CAG; 17.6% and 28.7% 3 days post CAG; 15.7% and 26.9% before discharge, all P < 0.05 vs. ACS) and non-CHD patients (32.3% and 25.8% before CAG; 27.4% and 24.2% 3 days post CAG; 29.0% and 30.6% before discharge, all P < 0.05 vs. ACS) while the depression and anxiety incidences were similar between patients with SAP and non-CHD in this cohort (P > 0.05).
Conclusion:
Emotional disorder is common in patients with suspected heart diseases, especially in patients with ACS. Psychological distress of patients with suspected heart disease should be evaluated and treated.
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