Depression and Anxiety following Coronary Artery Bypass Graft: Current Indian Scenario

Suprakash Chaudhury1, Rajiv Saini2, Ajay Kumar Bakhla3

  • 1Department of Psychiatry, Pravara Institute of Medical Sciences (Deemed University), Loni, Maharashtra 413736, India.

Insights

Screening for depression and anxiety after coronary artery bypass graft (CABG) surgery in India is crucial. Early identification of these mental health issues can lead to prompt intervention and improved patient outcomes.

Area of Science:

  • Cardiology
  • Psychiatry
  • Public Health

Background:

  • Coronary artery disease (CAD) is highly prevalent in the Indian population.
  • Coronary artery bypass graft (CABG) surgery is increasingly performed in India to improve cardiac function.
  • Post-CABG depression and anxiety negatively impact patient prognosis.

Purpose of the Study:

  • To identify early symptoms of depression and anxiety post-CABG in the Indian context.
  • To emphasize the importance of prompt intervention for better patient outcomes.
  • To review the management of post-CABG depression and anxiety.

Main Methods:

  • This is a review article.
  • Evidence supporting screening for depression and anxiety post-CABG was established.

Main Results:

  • Firm evidence supports the need for screening for depression and anxiety following CABG.
  • Early identification of symptoms is key for timely intervention.

Conclusions:

  • Screening for depression and anxiety after CABG is strongly recommended in India.
  • Prompt intervention based on early symptom identification can improve outcomes for CABG patients.

Related Concept Videos

Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
395
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
431
Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
545
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
500
Angina IV: Management01:26

Angina IV: Management

IntroductionThe management of angina requires a comprehensive approach that includes pharmacological therapies, medical procedures, and lifestyle modifications.Pharmacological TherapiesAntiplatelet agents, such as aspirin, clopidogrel, prasugrel, and ticagrelor, play a pivotal role in preventing thrombus formation in patients with angina. These medications inhibit platelet aggregation and reduce the likelihood of myocardial infarction and other cardiovascular events.Anticoagulants, including...
408
Coronary Artery Disease IV: Preventive Measures01:26

Coronary Artery Disease IV: Preventive Measures

Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
837