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Depression and anxiety as predictors of recurrent cardiac events 12 months after percutaneous coronary interventions

Jin-Hee Park1, Seung-Jea Tahk, Sun Hyoung Bae

  • 1Jin-Hee Park, PhD, RN Associate Professor, College of Nursing, Ajou University, Suwon, Gyeonggi-Do, Republic of Korea. Seung-Jea Tahk, PhD, MD Professor, School of Medicine, Department of Cardiology, Ajou University, Suwon, Gyeonggi-Do, Republic of Korea. Sun Hyoung Bae, PhD, RN Assistant Professor, College of Medicine, Department of Nursing, Dong-A University, Busan, Republic of Korea.

The Journal of Cardiovascular Nursing
|April 26, 2014
PubMed

Insights

High anxiety and depression levels significantly increase the risk of recurrent cardiac events after percutaneous coronary interventions (PCI) in Korean patients. Screening and psychoeducational support are crucial for improving outcomes in patients with coronary artery disease (CAD).

Area of Science:

  • Cardiology
  • Psychiatry
  • Public Health

Background:

  • Anxiety and depression are linked to recurrent cardiac events post-percutaneous coronary interventions (PCI).
  • Limited research exists on the impact of these mental health conditions on cardiac event recurrence in Korean populations.
  • Coronary artery disease (CAD) patients undergoing PCI represent a key demographic for this investigation.

Purpose of the Study:

  • To investigate the relationship between depression, anxiety, and recurrent cardiac events in Korean patients with CAD following PCI.
  • To identify anxiety and depression as potential predictors of adverse cardiac events in this specific patient group.

Main Methods:

  • A prospective longitudinal study involving 133 Korean CAD patients who underwent PCI.
  • Data collection included self-report questionnaires (Hospital Anxiety and Depression Scale) and medical records from August 2009 to September 2010, with follow-up through 2011.
  • Recurrent cardiac events were monitored for 12 months post-discharge via patient interviews and medical records.

Main Results:

  • Eighteen participants (13.5%) experienced recurrent cardiac events within 12 months of discharge.
  • Moderate to severe anxiety (Hazard Ratio: 6.21) and moderate to severe depression (Hazard Ratio: 4.32) were identified as independent predictors of recurrent cardiac events.
  • These findings remained significant after adjusting for sociodemographic and clinical characteristics.

Conclusions:

  • Elevated levels of anxiety and depression are significant risk factors for recurrent cardiac events in CAD patients post-PCI.
  • Routine screening for anxiety and depression should be integrated into post-PCI care, alongside traditional risk factor assessment.
  • Psychoeducational interventions aimed at reducing anxiety and depression may improve long-term health outcomes for these patients.
Abstract

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