Effects of Percutaneous Coronary Intervention on Depressive Symptoms in Chronic Stable Angina Patients.
- Author:
Mahn Won PARK
1
;
Ji Hun KIM
;
Sung Ho HER
;
Jung Sun CHO
;
Min Seok CHOI
;
Tae Geun GWEON
;
Il Nam JU
;
Ju Yeol BAEK
;
Ki Bae SEUNG
;
Hyojin GO
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. hhhsungho@naver.com
- Publication Type:Original Article
- Keywords:
Depression;
Angioplasty;
Coronary artery disease
- MeSH:
Angina, Stable;
Angioplasty;
Cardiovascular Diseases;
Coronary Angiography;
Coronary Artery Disease;
Depression;
Humans;
Insurance, Health;
Joint Diseases;
Outpatients;
Percutaneous Coronary Intervention;
Prospective Studies;
Risk Factors;
Stroke
- From:Psychiatry Investigation
2012;9(3):252-256
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: Depression is present in 1 of 5 outpatients with coronary artery disease (CAD), and a well-documented risk factor for recurrent cardiac events and mortality. We examined the impact of percutaneous coronary intervention (PCI), on depressive symptoms, in chronic stable angina (CSA) patients. METHODS: On prospective and non-randomized trial, consecutive CSA patients (n=171), who had undergone coronary angiography from January 2006 to December 2007, were included. Patients were subdivided into PCI and non-PCI groups, and then completed 21-item the Beck Depression Inventory II (BDI-II), at the baseline and pre-discharge, to assess the depressive symptoms. RESULTS: A total of 108 (63%) patients were assigned to the non-PCI group, and 63 (37%) patients to the PCI group. Using an independent t-test, we found that patients with PCI were significantly older (non-PCI vs. PCI; 57+/-11 vs. 64+/-10, years, p<0.001), had more joint disease (12.0 vs. 27.0%, p=0.013), more stroke history (5.6 vs. 17.5%, p=0.012) and higher incident of family history of cardiovascular disease (28.7 vs. 46.0%, p=0.025), but less religion (54.6 vs. 36.5%, p=0.002) and private health insurance (43.5 vs. 20.6%, p=0.002). The mean difference of BDI-II score between the baseline and pre-discharge was higher in patients with PCI (OR: 1.266; 95% CI: 1.146-1.398, p<0.001). CONCLUSION: In conclusion, PCI contributes independently to higher risk of developing depressive symptoms in CSA patients during hospitalization; Routine assessment and management of PCI related depressive symptoms are justified.
