Titulo |
Association between anxiety and depression in patients with acute coronary syndromes due financial crisis. |
Autoría |
Lampropoulos K, Kavvouras C, Megalou E, Tsikouri P, Kafkala C, Derka D, Bonou M, Barbetseas J. |
Fuente |
Kardiol Pol. 2016 May 10. doi: 10.5603/KP.a2016.0059. [Epub ahead of print] |
Resumen |
BACKGROUND:
The effect of anxiety and depression on patients with acute coronary syndromes (ACS) virtues investigation especially during periods of economic crisis. This study aims to investigate the relation between anxiety and depression in patients presented with acute coronary syndromes due financial crisis and to investigate whether these two entities could predict long-term cardiovascular mortality.
METHODS AND RESULTS:
Anxiety and Depression symptoms were assessed in 350 patients (210 men), presented with ACS, with 70pts (20%) showing elevated scores (Hellenic Heart Failure Protocol). Over a mean follow-up of 48 months, there were 36 (10%) cardiovascular deaths. Cox proportional hazards models adjusted for other prognostic factors (including age, sex, marital status, creatinine levels, left ventricular ejection fraction, heart failure, atrial fibrillation, previous hospitalization, and baseline medications) showed that elevated anxiety and depression scores significantly predicted cardiovascular mortality (primary outcome), and all-cause mortality.
CONCLUSIONS:
Elevated anxiety and depression symptoms are related to cardiovascular mortality due probably financial crisis, even after adjustment for other prognostic indicators in patients with acute coronary syndrome who received optimized medical treatment. |
URL |
www.ncbi.nlm.nih.gov/pubmed/27160172 |
Tipo de documento |
Artículo cientifico |
Impacto en el sistema sanitario |
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Impacto en la salud |
Salud mental, Enfermedades crónicas |