Influence of anxiety-depression on prognosis in patients with coronary heart disease after percutaneous coronary intervention
WANG Fei
XU Jing-jing
ZHU Shi-jun
ZHAO Ji-hong
LIU Jun-xiang
ZHU Miao
Abstract:Objective To investigate the influence of anxiety-depression status on the prognosis in patients with coronary heart disease (CHD) after percutaneous coronary intervention (PCI).Methods CHD patients (n=96, male 58, female 38 and average age=57.0±10.4) were chosen from the Department of Cardiovascular Diseases in the Affiliated Hospital of Logistics University of People's Armed Police from Jan. 2013 to Oct. 2013. All patients were given appraisals by using self-rating anxiety scale (SAS) and self-rating depressive scale (SDS) within 3 d after PCI, and then they were divided, according to the results of the appraisals, into anxiety-depression group (n=25) and control group (n=71). The occurrence of major adverse cardiovascular events (MACE) was followed up in 2 groups within 12 m after PCI.Results The scores of SAS and SDS increased in anxiety-depression group compared with control group (allP<0.05). The incidence of MACE was higher in anxiety-depression group than that in control group (28.0%vs. 14.1%,P<0.01). The results of multi-factor COX regression analysis showed that anxiety-depression status (OR=1.58, 95%CI: 1.053~2.364), smoking (OR=1.78, 95%CI: 1.387~2.926), hypertension (OR=1.87, 95%CI: 1.453~2.961), and type 2 diabetes mellitus (T2DM,OR=2.13, 95%CI: 1.642~3.215) were independent risk factors of MACE in CHD patients within 12 m after PCI.Conclusion The status of anxiety-depression is an influencing factor on prognosis in CHD patients after PCI.
Keywords:Coronary heart diseaseAnxiety-depressionMajor adverse cardiovascular events
Publication Date:2017-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:3( 703-704,708 )