Study of prevalence of depression and impact of depression in patients following acute myocardial infarction

Hmar, Bobby; Bhagabati, Dipesh

doi:10.5958/2394-2061.2016.00035.5

Cited by 1 publication

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“…Hmar and Bhagabati evaluating in a cohort of fifty patients with acute MI (AMI) found depression to be highly prevalent (34%). [ 11 ] On literature search, it was found that very few follow-up studies have been reported from India to date. [ 12 ] From the West, several reports document that psychosocial factors play an important role in the prognosis of the condition and prognostic role for depression and anxiety (6/6 studies), psychosocial work characteristics (1/2 studies), and social support (9/10 studies).…”

Section: Discussionmentioning

confidence: 99%

Psychiatric comorbidities in acute coronary syndromes: Six-month follow-up study

Shruthi

Kumar

Desai

et al. 2018

Indian J Psychiatry

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Introduction:Acute coronary syndrome (ACS) caused by coronary atherosclerosis include ST-segment elevation myocardial infarction (STEMI), non-STEMI, and unstable angina. The relation between psychiatric disorders and coronary artery disease is a complex one which includes the effect of the psychosocial factors on heart and vice versa. Point prevalence studies have been reported, but there is paucity of follow-up studies from India.Materials and Methods:The study is a follow-up evaluation at discharge of 248 consecutive patients presented with ACS at JSS Hospital, Mysuru, Karnataka, over a period of 6 months to assess the psychiatric comorbidities. The patients were assessed on a structured and validated pro forma before discharge, at 3 months, and at 6 months. Screening of psychiatric disorders was done using Mini International Neuropsychiatric Interview PLUS 5.0.0 and assessment of depression was done using Hamilton Depression Rating Scale. ANOVA, Student's t-test, and SPSS 21 were used for statistical analysis.Results:The most common psychiatric comorbidities include major depressive disorder (44%), it persisted at the end of 3 (P < 0.001) and 6 (P < 0.001) months. A spectrum of anxiety disorders including panic disorder (12.10%), dysthymia (3.60%), agoraphobia (2.40%), social phobia (2%), obsessive-compulsive disorder (1.6%), specific phobia (1.2%), and posttraumatic stress disorder (0.8%) in descending order at the end of 6 months were found. Significant reduction in substance use of nicotine (66.1%) and alcohol (56.0%) was reported on follow-up.Conclusion:Depression, anxiety, and substance use occur in patients with ACS which persist on follow-up. Early recognition at discharge and appropriate counseling on follow-up improve the clinical outcomes.

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Section: Discussionmentioning

confidence: 99%