Psychological state in patients undergoing coronary artery bypass grafting surgery or percutaneous coronary

Hamidreza Roohafza1, Masoumeh Sadeghi, Azam Khani

  • 1Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Insights

Cardiac patients and their spouses experience reduced stress, anxiety, and depression after percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG). Psychological well-being improved for both groups regardless of the procedure type.

Area of Science:

  • Cardiology
  • Psychology
  • Health Outcomes

Background:

  • Coronary artery disease (CAD) necessitates interventions like percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG).
  • Patients and their spouses often face significant psychological distress, including anxiety, depression, and stress, surrounding these cardiac procedures.

Purpose of the Study:

  • To evaluate the changes in anxiety, depression, and stress levels in patients undergoing PCI or CABG and their spouses.
  • To compare the psychological impact of PCI versus CABG on patients and their partners.

Main Methods:

  • A study involving 196 patients scheduled for PCI or CABG and their spouses.
  • Utilized the Hospital Anxiety and Depression Scale (HADS) and the General Health Questionnaire-12 (GHQ-12) for assessments.
  • Data collected pre-procedure and one month post-procedure.

Main Results:

  • Significant reductions in anxiety, depression, and stress were observed in both patients and their spouses over time.
  • No statistically significant differences in psychological outcomes were found between the percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) groups.
  • A correlation was noted between the psychological stress levels of patients and their spouses.

Conclusions:

  • Both PCI and CABG procedures lead to improvements in psychological well-being for patients and their families.
  • Providing comprehensive information about cardiac procedures to patients and their spouses can aid in managing psychological states.
  • Interventions aimed at psychological support are crucial for patients and families undergoing major cardiac surgery or intervention.

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