Presurgical Depression Predicts Medical Morbidity 6 Months After Coronary Artery Bypass Graft Surgery

Abstract

Depression is an important independent contributor to medical and psychosocial morbidity up to 6 months after CABG. These findings warrant replication with larger and more diverse populations.

Patients with Depression are at Increased Risk for Secondary Cardiovascular Events after Lower Extremity Revascularization

“…[5][6][7] For patients with acute coronary syndromes, depression is a risk factor for recurrent cardiovascular events and mortality. [8][9][10] After coronary artery bypass surgery, it is associated with increased risk for recurrent cardiovascular events, 4,11 rehospitalization for cardiac events, 12 repeat coronary revascularization, 4 and death. 3,13,14 For patients with symptomatic PAD, we have previously described an association between depression and worse outcomes in the revascularized leg.…”

Untreated preoperative depression is not associated with postoperative arrhythmias in CABG patients

“…Preoperative depression is common among patients undergoing heart surgery [1][2][3] and is an independent risk factor for short-and long-term mortality after valve 4 or coronary artery bypass graft (CABG) surgeries. 1,5,6 Patients with preoperative depression have longer hospital length of stay, higher rates of readmission, and increased need for repeat procedures.…”

“…1,5,6 Patients with preoperative depression have longer hospital length of stay, higher rates of readmission, and increased need for repeat procedures. 1,[6][7][8][9] The mechanism by which depression affects outcome following cardiac surgery is not completely understood but may involve arrhythmias. 10,11 Atrial and ventricular arrhythmias usually occur within three to four days after the surgery.…”

Psychiatric Factors Which Impact Coronary Heart Disease and Influence Outcomes Post-Coronary Artery Bypass Grafting Surgery

“…Those with depression have higher rates of mortality as well as an overall risk of major cardiac events Carney et al, 1988;Connerney et al, 2001). Specifically, depressive symptoms also significantly predict mortality 2 to 5 years after Coronary Artery Bypass Grafting surgery, independent of medical and operative factors Burg et al, 2003a;Burg et al, 2003b. Unlike depression, the impact of other psychological conditions, such as Post-traumatic Stress Disorder on outcomes after Coronary Artery Bypass Grafting surgery has received less attention in research.…”