Emotional disorder in patients with acute or stable coronary heart disease
10.3760/cma.j.issn.0253-3758.2009.10.011
- VernacularTitle:心脏急症与稳定性冠心病患者合并心理问题现状分析
- Author:
Mei-Yan LIU
1
;
Rong-Huan JIANG
;
Da-Yi HU
;
Xin YU
;
Qian FAN
;
Min-Ru ZHENG
;
Li-Gang XU
Author Information
1. 北京大学人民医院
- Keywords:
Coronary heart disease;
Depression;
Anxiety
- From:
Chinese Journal of Cardiology
2009;37(10):904-907
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the incidence of emotional disorder in patients with acute or stable coronary heart disease. Methods A total of 298 patients with suspected coronary heart disease (CHD) were designed into three groups based on of coronary angiography results: acute coronary syndrome (ACS, n=128), stable angina pectoris (SAP, n=108) and non-CHD (n=62). All patients were evaluated by Zung Self-rating Depression Scale (SDS), Zung Self-rating Anxiety Scale(SAS) and Hamilton Depression Rating Scale (HRSD) for depression and anxiety before coronary angiography (CAG), 3 days after CAG, and 1 day before discharge. Results Incidences of depression and anxiety were significantly higher the ACS group (65.6% and 78.9% before CAG; 60. 9% and 70. 3% 3 days post CAG; 45.3%and 64. 8% before discharge) compared patients with SAP (18.5% and 26.9% before CAG; 17.6% and 28.7% 3 days post CAG; 15.7% and 26.9% before discharge, all P <0.05 vs. ACS) and non-CHD patients (32.3% and 25.8% before CAG; 27.4% and 24.2% 3 days post CAG; 29.0% and 30.6% before discharge, all P<0.05 vs. ACS) while the depression and anxiety incidences were similar between patients with SAP and non-CHD in this cohort (P>0.05). Conclusion Emotional disorder is common in patients with suspected heart diseases, especially in patients with ACS. Psychological distress of patients with suspected heart disease should be evaluated and treated.
