Effects of Percutaneous Coronary Intervention on Depressive Mood in Elderly Patients.
10.4235/jkgs.2011.15.2.107
- Author:
Seong Gyu YOON
1
;
Mo Eun JUNG
;
Sung Ho HER
;
Mahn Won PARK
;
Jung Sun CHO
;
Ju Yeol BAEK
;
Sung Jun KIM
;
Seung Kyoung KIM
;
Ki Bae SEUNG
;
Jong Ho LEE
;
Jong Bum KWON
;
Keon Yeop KIM
Author Information
1. Department of Cardiology, Daejeon St. Mary's Hospital, The Catholic University of Korea School of Medicine, Daejeon, Korea. ysk111@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Depression;
Aged;
Coronary artery disease;
Angioplasty
- MeSH:
Aged;
Angina, Stable;
Angioplasty;
Coronary Artery Disease;
Depression;
Humans;
Joints;
Lung;
Percutaneous Coronary Intervention;
Prevalence;
Risk Factors
- From:Journal of the Korean Geriatrics Society
2011;15(2):107-112
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Depression is a common comorbid condition in patients with coronary artery disease and a well-documented risk factor for recurrent cardiac events and mortality. We examined the impact of percutaneous coronary intervention (PCI) on depressive mood in elderly patients with chronic stable angina. METHODS: Consecutive patients with chronic stable angina (n=171) who had undergone elective PCI from January 2010 to May 2010 were included in this study. Patients were divided into elderly (> or =65 years) and non-elderly groups (<65 years) and then completed the 21-item Beck Depression Inventory I (BDI-I) at baseline and prior to discharge to assess for depressive symptoms. RESULTS: Seventy-three (43%) patients were assigned to the elderly group and 98 (57%) to the non-elderly group. Using multivariate regression analysis, we found that the elderly group had a higher prevalence of joint, lung, and gastrointestinal diseases; were less religious and less likely to be employed; had lower rates of private health insurance; and were, less frequently, users of regular alcohol, current smokers, and regular exercisers compared to the non-elderly patients. The mean difference in BDI-I scores at baseline and pre-discharge was higher in elderly patients. CONCLUSION: Our study showed a correlation between the extent of depression and elective PCI, especially in elderly patients. This population should be assessed routinely for depressive symptoms and managed accordingly.
