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Depression in patients with hypertrophic cardiomyopathy: is there any relation with the risk factors for sudden
Artemis Igoumenou1, Giorgos Alevizopoulos2, Aris Anastasakis3
1Oxford Health NHS Foundation Trust, Oxford, UK.
Insights
Patients with hypertrophic cardiomyopathy (HCM) experience more depression than the general population. However, depressive symptoms are not linked to sudden death risk factors in HCM patients.
Area of Science:
- Cardiology
- Psychiatry
- Clinical Research
Background:
- Hypertrophic cardiomyopathy (HCM) is a significant cause of sudden cardiac death.
- The psychological impact of chronic cardiac conditions, including depression, requires further investigation.
- Understanding the relationship between mental health and cardiac risk factors is crucial for comprehensive patient care.
Purpose of the Study:
- To determine if depressive symptoms correlate with risk factors for sudden death in patients diagnosed with hypertrophic cardiomyopathy (HCM).
- To compare depression levels in HCM patients with the general population.
- To explore the relationship between disease duration and depressive symptoms in HCM.
Main Methods:
- A longitudinal study involving 121 patients diagnosed with HCM.
- Assessment of depressive symptomatology using the Beck Depression Inventory and the Center for Epidemiological Studies Depression Scale (CES-D).
- Structured Clinical Interview for DSM-III/DSM-III-R used for interviews; statistical analysis performed using SPSS.
Main Results:
- Patients with HCM exhibit higher rates of depression compared to the general population.
- No significant positive correlation was found between depressive symptoms and the risk factors for sudden death in HCM patients.
- Patients identified as high-risk for sudden death did not report more severe depressive symptoms than lower-risk patients.
- The duration of the cardiac disease diagnosis was not associated with the presence or severity of depressive symptoms.
Conclusions:
- Depressive symptoms are more prevalent in patients with HCM than in the general population.
- Depressive symptoms and sudden death risk factors appear to be independent in HCM patients.
- Routine screening for mood disorders in HCM patients is recommended for early diagnosis and psychiatric treatment.
Objectives:
The aim of this study was to investigate whether depressive symptoms are related to the risk factors for sudden death in patients with hypertrophic cardiomyopathy (HCM).
Design:
121 patients diagnosed as having HCM were assessed for depressive symptomatology using the Beck Depression Inventory and the Center for Epidemiological Studies Depression Scale (CES-D) and followed up for a period of 2 years. For the interview, the authors used the Structured Clinical Interview for DSM-III/DSM-III-R. A multidimensional longitudinal study was carried out with both somatic and psychological symptoms and signs taken into consideration. SPSS was used for the statistical analysis.
Results:
(1) Patients with HCM are more depressed than the general population. (2) There is no positive correlation between the occurrence of depressive symptoms and the risk factors for sudden death in patients with HCM. (3) Patients at high risk for sudden death are not more depressed than the others. (4) Time from diagnosis of the cardiac disease is not related to the presence and severity of depressive symptoms.
Conclusions:
Patients with HCM are more depressed than the general population. The authors suggest that depressive symptoms and risk factors for sudden death in these patients are not related. It is important to screen for mood disorders in this patient population in order to provide an early diagnosis and treatment of the psychiatric disease.
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