慢性心力衰竭中焦虑和抑郁的时间演变及其与临床结果的关联
S Abou Kamar1, B Oostdijk2, K Andrzejczyk2
1Department of Cardiology, Erasmus University Medical Center, Rotterdam, the Netherlands; Department of Cardiology, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands.
International journal of cardiology
|June 16, 2024
概括
在慢性心力衰竭 (HF) 患者中反复测量焦虑和抑郁症状,可以识别那些患有不良事件风险较高的人. 在临床实践中,建议定期对这些心理健康状况进行查.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 临床研究 临床研究
背景情况:
- 焦虑和抑郁与慢性心力衰竭 (HF) 的不良结果有关.
- 有限的数据存在于HF患者这些症状的时间变化.
- 这项研究调查了慢性HF发展中的抑郁和焦虑症状与临床结果之间的关系.
研究的目的:
- 检查重复测量抑郁和焦虑症状与慢性心力衰竭患者不良临床结果之间的关联.
- 评估随着时间的推移连续症状得分的预测值.
主要方法:
- 对362名慢性HF门诊患者进行了前性观察性研究,长达2.5年的随访时间.
- 医院焦虑和抑郁量表 (HADS) 每六个月进行一次.
- 考克斯和联合模型分析了HADS得分与HF住院,心血管死亡,心脏移植或LVAD植入物复合终点之间的关联.
主要成果:
- 焦虑得分保持稳定,而抑郁症得分随着时间的推移而增加.
- 较高的基线抑郁症得分显著预测了不良结果 (HR 1.68).
- 重复测量显示,焦虑 (HR 1.57) 和抑郁 (HR 2.04) 显著与不良事件相关.
结论:
- 对抑郁和焦虑症状的连续评估有效地识别了患有慢性HF患者的风险增加.
- 建议在慢性HF的临床治疗中进行抑郁和焦虑的常规查.
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