Anxiety Predicts Mortality and Morbidity After Coronary Artery and Valve Surgery—A 4-Year Follow-Up Study

Székely, Andrea; Balog, Piroska; Benkö, E.; Breuer, Tamás; Székely, Judit; Kertai, Miklós D.; Horkay, Ferenc; Kopp, Mária; Thayer, Julian F.

doi:10.1097/psy.0b013e31814b8c0f

Cited by 167 publications

(153 citation statements)

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“…These scores are higher compared to the 29% in the study of Jiang [31] and lower compared to the 45% in the study of Friedmann [10]. In a study on patients after coronary artery or valve surgery, Szekely [12] found that 42% of these patients presented clinically significant anxiety symptoms. These results stress the importance to screen for anxiety as well as for depression.…”

Section: Discussionmentioning

confidence: 93%

“…Both depression and anxiety relate to negative health outcomes such as recurrent cardiac events, impaired well being and quality of life and increased health care costs in these patient populations [8][9][10][11][12]. Early identification and accurate treatment are considered important in view of the patient's health and well being and from the perspective of cost-effectiveness.…”

Section: Introductionmentioning

confidence: 99%

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The Advisory Brought to Practice Routine Screening on Depression (and Anxiety) in Coronary Heart Disease; Consequences and Implications

Luttik

Jaarsma

Sanderman

et al. 2011

European Journal of Cardiovascular Nursing

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The advisory brought to practice; routine screening on depression (and anxiety) in coronary heart disease; Consequences and implications Luttik, M.L.; Jaarsma, T.; Sanderman, R.; Fleer, J. Link to publication in University of Groningen/UMCG research database Citation for published version (APA): Luttik, M. L., Jaarsma, T., Sanderman, R., & Fleer, J. (2011). The advisory brought to practice; routine screening on depression (and anxiety) in coronary heart disease; Consequences and implications. European Journal of Cardiovascular Nursing, 10(4), 228-233. CopyrightOther than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons).Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Abstract Introduction: Following the evidence, the American Heart Association recently published a Science Advisory with the recommendation that patients with Coronary Heart Disease (CHD) should be screened for depressive symptoms and depression. Also the Heart Failure Guidelines recommend routine screening for depressive symptoms. Screening for anxiety was not included in these recommendations, despite findings in literature suggesting that cardiac patients are at risk for high levels of anxiety.Objective: The aim of the current study is to obtain a realistic estimation of the consequences and implications of this advice for clinical practice.Method: Data on anxiety, and depression, need for help, demographics and disease related variables were collected in a cross-sectional study within a 2-month period (July-August 2008) at the cardiac outpatient clinic of the University Medical Center Groningen (The Netherlands). Patients: Data of 217 patients were analyzed, mean age was 58 years (± 16) and 62% of the respondents were male. Results: Of 217 patients, 26% indicated to have depressive symptoms and 42% indicated elevated levels of anxiety. About 35-50% of these patients indicated a moderate to high need for help. The prevalence of anxiety and depression was mainly associated with demographic factors and the occurrence of stressful life events. Conclusion: Routine screening will put an increased demand on psychosocial diagnostics and treatment, therefore the availability of professionals should be guaranteed in advance.

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Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

The Advisory Brought to Practice Routine Screening on Depression (and Anxiety) in Coronary Heart Disease; Consequences and Implications

Luttik

Jaarsma

Sanderman

et al. 2011

European Journal of Cardiovascular Nursing

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show abstract

“…Subsequent epidemiological studies have also showed a correlation between major depressive episodes and increased incidence of cardiovascular events both in a population of healthy subjects and in people with known cardiovascular disease [20][21][22][23][24]. However, growing bodies of studies have failed to detect this relation in patients with ischemic heart disease [25][26][27][28]. The conflicting results can be due to the usage of different depression scales for classifying participants as depressed.…”

Section: Emotional Disordersmentioning

confidence: 79%

Stress as a Risk Factor for Cardiovascular Events

C¹

2015

Cardiol Pharmacol

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“…Although anxiety and depression were positively and highly correlated in these patients, only anxiety was associated with increased mortality and morbidity. In addition trait anxiety was significantly higher in patients hospitalized with arrhythmia, congestive heart failure or myocardial infarction during a 4 year period after cardiac (CABG and valve) surgery [27]. In another study of our workgroup depression, anxiety, education, social isolation and mortality together were investigated 7.5 years after cardiac surgery.…”

Section: Anxiety and Cabgmentioning

confidence: 99%

Short and Long Term Effects of Psychosocial Factors on the Outcome of Coronary Artery Bypass Surgery

Cserép¹,

Székely²,

Merkely³

2013

Artery Bypass

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Anxiety Predicts Mortality and Morbidity After Coronary Artery and Valve Surgery—A 4-Year Follow-Up Study

Abstract: The results of the present study suggest that the assessment of psychosocial factors, particularly the ongoing assessment of anxiety, could help in risk stratification and identification of patients at risk of mortality and cardiovascular morbidity after cardiac surgery.

Cited by 167 publications

References 38 publications

The Advisory Brought to Practice Routine Screening on Depression (and Anxiety) in Coronary Heart Disease; Consequences and Implications

The Advisory Brought to Practice Routine Screening on Depression (and Anxiety) in Coronary Heart Disease; Consequences and Implications

Stress as a Risk Factor for Cardiovascular Events

Short and Long Term Effects of Psychosocial Factors on the Outcome of Coronary Artery Bypass Surgery

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