Related Experiment Video
Updated: Apr 18, 2026
14:14
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
15.0K
Prevalence and risk analysis for depression after open-heart valve replacement surgery
Joana Faria1, Maria Gomes, Gabriela Costa
1Departamentos de Anestesiologia do Centro Hospitalar do Tâmega e Sousa, Penafiel, do Centro Hospitalar do Alto Ave, Guimarães e do Centro Hospitalar de Vila Nova de Gaia/Espinho, Portugal.
Summary
Depression is common after heart valve surgery, affecting over half of patients. Postoperative complications, lower hemoglobin, and longer hospital stays predict this depression, highlighting the need for screening.
Area of Science:
- Cardiology
- Psychiatry
- Geriatrics
Background:
- Cardiac surgery can lead to long-term complications like depression.
- The Geriatric Depression Scale (GDS) is a validated tool for assessing depressive symptoms.
Purpose of the Study:
- To determine the prevalence of depression after open-heart valve replacement surgery.
- To identify predictors of postoperative depression in a Portuguese population.
Main Methods:
- A prospective observational study included 52 patients undergoing elective open-heart valve replacement.
- The Geriatric Depression Scale (GDS) was administered at 6-month follow-up.
- Data on cardiovascular risk factors, medical history, cardiac function, medications, and hospital stay were collected.
Main Results:
- Over half of patients (51.9%) showed symptoms of depression (GDS score >10).
- Predictors of depression included postoperative complications (p=0.045), lower hemoglobin (p=0.015), and longer hospitalization (p=0.020).
- Only a small percentage of depressed patients were on antidepressants.
Conclusions:
- Depression is a frequent and often overlooked complication following open-heart valve replacement.
- Systematic screening and early intervention are crucial for improving patient outcomes and quality of life.
Related Concept Videos
01:22Mitral Valve Prolapse II: Assessment and Management
1.3K
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
1.3K
01:27Mitral Stenosis IV: Nursing Management
396
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
396
01:19Mitral Valve Prolapse III: Nursing Management
545
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
545
01:27Mitral Valve Prolapse I: Introduction
1.0K
IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
1.0K
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
442
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
442
01:22Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
1.2K
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
1.2K