Analysis of psychological status and clinical characteristics of patients with acute chest pain

WANG Weiquan; WANG Xiongming; LI Saimei

doi:10.3969/j.issn.1671-6450.2015.11.015

Abstract：Objective To explore the mental status and clinical characteristics of patients with acute chest pain. Methods From February 2012 to February 2015, 287 cases of patients with chest pain in emergency department of the hospi-tal were selected, according to the etiology, they were divided into cardiaa chest pain group ( CCP group, n =67 cases) and non-cardiac chest pain group ( NCCP group, n =220 cases) .The Hamilton anxiety scale ( HAMA) and the Hamilton depres-sion rating table (HAMD-17) were used to assess the psychological state of the patients in the two groups, HAMA score >14 points, HAMD 17 score >7 points were used to be determined as anxiety and depression, compared the two groups’ patients’ psychological state and its clinical characteristics.Results The average age of the patients in the NCCP group was (42.1 ± 10.8) years old, which was younger than those in CCP group (56.7 ±12.3) years old ( t =-1.847, P <0.05); CCP group’s mean HAMA score (13.24 ±4.28) was significantly lower than in NCCP group (16.54 ±5.85points, t =2.293, P <0.05); CCP group’ s anxiety and depression rate were 40.3% (27/67) and 29.9% (20/67), NCCP group were 66.4%(146/220) and 29.5% (65/220), NCCP group’ s incidence of anxiety was significantly higher than that of CCP group (χ2 =4.394, P <0.05), NCCP group’s patients’s fear of death, fear, hyperventilation, feeling out of control, numb-ness and other symptoms were significantly higher than CCP group, and the occurrence of more than 4 kinds of symptoms were higher than CCP group ( P <0.05), NCCP group’s course more than 6 months’ proportion was significantly higher than CCP group (χ2 =4.904, P <0.05).Conclusion The anxiety state of emergency patients with chest pain is more prominent, the majority was patients with NCCP, and the clinical features included younger age, no obvious abnormalities of ECG, the char-acteristics symptoms associated with chest pain.