Assistant Lecturer of Cardiology. Cardiology Department, Cairo University Hospitals. Cairo, Al Qahirah, Egypt
Prevalence of Anxiety and Depression among Acute coronary syndrome patients.. Hatem Abdelgawad, Msc.
Background: Coronary artery disease (CAD) is a major cause of morbidity and mortality worldwide. Acute coronary syndrome (ACS) is the commonest cardiovascular emergency encountered in hospitals. In addition to other major risk factors, anxiety and depression are independently related to ACS.
Purpose: The aim of this study was to assess the magnitude of the burden of anxiety and depression among ACS patients in comparison to other variables. Patients and
Methods: A convenient sample of 100 patients with ACS at Cairo University hospitals were enrolled in this study. All patients undertook the Beck anxiety and depression inventory screening tool.
Results: The mean age of the study population was 58.09 (+/-) 8.60 years. The mean scores of anxiety and depression were 22.85 and 20.20 respectively. The prevalence of moderate degrees of anxiety and depression were 43% and 29% respectively. Mean anxiety and depression scores among female patients were 28.57 and 24.86 respectively which are much higher than among male patients 20.63 and 18.39 (p=0.002, 0.006). There was a positive correlation between anxiety and depression (correlation coefficient= 0.618, p<0.001). Anxiety levels were higher among Dyslipidemic patients (p=0.002) and Depression levels were higher among Hypertensive patients (p=0.014). Anxiety and Depression scores did not vary significantly among different ACS types and were not related to type of angina or severity of coronary lesions.
Conclusion: The occurrence of an episode of ACS is closely tied with the presence of heightened levels of anxiety and depression as a triggering factor over the few weeks preceding the event. Both conditions tend to coexist and interact together. Female sex is an independent predictor and risk factor for Anxiety and Depression. Dyslipidemia is an independent risk factor and predictor for Anxiety as Hypertension is for Depression.