Presence of depressive symptoms in patients with a first episode of acute Coronary Syndrome

Dessotte, Carina Aparecida Marosti; Silva, Fernanda Souza e; Bolela, Fabiana; Rossi, Lídia Aparecida; Dantas, Rosana Aparecida Spadoti

doi:10.1590/s0104-11692013000100006

Cited by 11 publications

(12 citation statements)

References 17 publications

(18 reference statements)

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“…Most of our patients had mild/low levels of anxiety and depression, results similar to other studies (7,(16)(17)(18) . According to AHA, approximately 20% of patients hospitalized for ACS meet the criteria of the Diagnostic and Statistical Manual of Mental Disorders-V (DSM-V) for major depression (5) .…”

Section: Discussionsupporting

confidence: 92%

Impact of anxiety and depression on morbidity and mortality of patients with coronary syndrome

et al. 2018

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Objective: Evaluate the impact of anxiety and depression on morbidity and mortality of patients with acute coronary syndrome. Method: Retrospective cohort study, with follow-up of two years, conducted with 94 patients. The morbidity and mortality (readmission, myocardial revascularization, and death) was evaluated immediately after discharge and after one and two years. Anxiety and depression were evaluated by the State-Trait Anxiety Inventory and by Beck’s Depression Inventory. The Kaplan-Meier estimator and the Logrank test were used. The significance level adopted was 0.05. Results: We observed that 76.6% of the patients did not present symptoms of depression or had mild signs, while 78.8% had low to moderate anxiety. The symptoms of depression and anxiety were not related to morbidity (need for MR p=0.098 and 0.56, respectively; readmission p=0.962 and 0.369, respectively) and mortality (p=0.434 and 0.077, respectively). Conclusion: No relationship was found between levels of anxiety and depression with the morbidity and mortality of patients.

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Section: Discussionsupporting

confidence: 92%

Impact of anxiety and depression on morbidity and mortality of patients with coronary syndrome

et al. 2018

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“…6 In São Paulo, Brazil, a study using the Beck Depression Inventory reports symptoms of depression in 43.5% of the patients hospitalized with ACS. 7 Another study 8 found a similar prevalence rate, 46.7%, and concluded that women, men under 50 years of age and people suffering from anxiety are more likely to show signs of depression when screened for depression [ Primary Care Evaluation of Mental Disorders (Prime MD) and BDI], trait anxiety and state anxiety (IDATE), and alcohol consumption (AUDIT). These rates depict the greater sensitivity of screening tools.…”

Section: Introductionmentioning

confidence: 94%

Major Depression and Acute Coronary Syndrome-Related Factors

Figueiredo¹,

Silva²,

Pereira³

et al. 2017

Arquivos Brasileiros De Cardiologia

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BackgroundMajor Depressive Disorder (MDD) is one of the most common mental illnesses in psychiatry, being considered a risk factor for Acute Coronary Syndrome (ACS).ObjectiveTo assess the prevalence of MDD in ACS patients, as well as to analyze associated factors through the interdependence of sociodemographic, lifestyle and clinical variables.MethodsObservational, descriptive, cross-sectional, case-series study conducted on patients hospitalized consecutively at the coronary units of three public hospitals in the city of Rio de Janeiro over a 24-month period. All participants answered a standardized questionnaire requesting sociodemographic, lifestyle and clinical data, as well as a structured diagnostic interview for the DSM-IV regarding ongoing major depressive episodes. A general log-linear model of multivariate analysis was employed to assess association and interdependence with a significance level of 5%.ResultsAnalysis of 356 patients (229 men), with an average and median age of 60 years (SD ± 11.42, 27-89). We found an MDD point prevalence of 23%, and a significant association between MDD and gender, marital status, sedentary lifestyle, Killip classification, and MDD history. Controlling for gender, we found a statistically significant association between MDD and gender, age ≤ 60 years, sedentary lifestyle and MDD history. The log-linear model identified the variables MDD history, gender, sedentary lifestyle, and age ≤ 60 years as having the greatest association with MDD.ConclusionDistinct approaches are required to diagnose and treat MDD in young women with ACS, history of MDD, sedentary lifestyle, and who are not in stable relationships.

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“…Recent studies have investigated factors related to ACS according to its clinical manifestation in patients hospitalized following the first episode ( 8 - 9 ) . However, there are no studies investigating the relationship between the different presentations of ACS and cardiovascular risk factors.…”

Section: Introductionmentioning

confidence: 99%

Association of cardiovascular risk factors with the different presentations of acute coronary syndrome

Brunori

Lopes

Cavalcante

et al. 2014

Rev. Latino-Am. Enfermagem

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OBJECTIVE: to identify the relationship between different presentations of acute coronary syndrome and cardiovascular risk factors among hospitalized individuals. METHOD: cross-sectional study performed in a teaching hospital in São Paulo, in the State of São Paulo (SP). Socio-demographic, clinical and anthropometric data of 150 individuals hospitalized due to acute coronary syndrome were collected through interviews and review of clinical charts. Association between these data and the presentation of the syndrome were investigated. RESULTS: there was a predominance of ST segment elevation acute myocardial infarction. There was significant association of systemic hypertension with unstable angina and high values of low density lipoprotein with infarction, without influence from socio-demographic characteristics. CONCLUSION: arterial hypertension and high levels of low-density lipoprotein were associated with different presentations of coronary syndrome. The results can provide support for health professionals for secondary prevention programs aimed at behavioural changing.

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Presence of depressive symptoms in patients with a first episode of acute Coronary Syndrome

Cited by 11 publications

References 17 publications

Impact of anxiety and depression on morbidity and mortality of patients with coronary syndrome

Impact of anxiety and depression on morbidity and mortality of patients with coronary syndrome

Major Depression and Acute Coronary Syndrome-Related Factors

Association of cardiovascular risk factors with the different presentations of acute coronary syndrome

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