Anxiety, Depression, and General Psychological Distress in Patients with Coronary Slow Flow

Abstract

BackgroundThe relationship between psychiatric illness and heart disease has been frequently discussed in the literature. The aim of the present study was to investigate the relationship between anxiety, depression and overall psychological distress, and coronary slow flow (CSF).MethodsIn total, 44 patients with CSF and a control group of 50 patients with normal coronary arteries (NCA) were prospectively recruited. Clinical data, admission laboratory parameters, and echocardiographic and angiographic characteristics were recorded. Symptom Checklist 90 Revised (SCL-90-R), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI) scales were administered to each patient.ResultsThe groups were comparable with respect to age, sex, and atherosclerotic risk factors. In the CSF group, BAI score, BDI score, and general symptom index were significantly higher than controls (13 [18.7] vs. 7.5 [7], p = 0.01; 11 [14.7] vs. 6.5 [7], p = 0.01; 1.76 [0.81] vs. 1.1[0.24], p = 0.01; respectively). Patients with CSF in more than one vessel had the highest test scores. In univariate correlation analysis, mean thrombolysis in myocardial infarction (TIMI) frame counts were positively correlated with BAI (r = 0.56, p = 0.01), BDI (r = 0.47, p = 0.01), and general symptom index (r = 0.65, p = 0.01). The psychiatric tests were not correlated with risk factors for atherosclerosis.ConclusionOur study revealed higher rates of depression, anxiety, and overall psychological distress in patients with CSF. This conclusion warrants further studies.

Anxiety and depression relationship with coronary slow flow

“…Previous studies showed that obese and overweight people were more likely to have anxiety and depression than those with normal weight. [38] CNF patients were overweight, whereas patients with CSF were obese (as measured by BMI)[14]. In the present study, CSF severity is weakly correlated with BMI.…”

“…[10] Moreover, some studies indicate that patients with CSF have increased psychological distress compared with patients having coronary normal flow (CNF). [14] However, to our knowledge, very few data are available on the relationship between CSF and psychological disorders; and that is the aim of this study.…”

The Effect of Psychotherapy on Anxiety, Depression, and Quality of Life of Patients with Heart Failure: A Randomized Clinical Trial

“…4 This association makes adherence to treatment more difficult, increases hospitalizations, and elevates morbidity and mortality. 9 The coexistence between depressive and anxiety symptoms directly impacts quality of life. 10 Thus, it is essential that health professionals detect and treat such conditions early, in addition to developing new studies to define effective interventions.…”

Use of the Terminological Subset "Community Nursing" for Hypertensive and/or Diabetic Users

“…Anxiety was also evaluated in a study, which identified that users with higher levels of anxiety had higher progression of cardiovascular diseases. 18 The "Verbal report of sleep alteration" was identified by the diagnosticians as a clinical indicator for the hypertensive and/or diabetic population is considered a predictor for the ND "Impaired sleep (10027226)". These findings corroborate the literature, which presents a study that, when evaluating the sleep quality of hypertensive patients, identified that hypertensive individuals have worse sleep quality, and another study that, with the objective of identifying sleep quality in diabetics, identified that sleep problems are common in this population.…”