Prevalence and influence factors of anxiety and depression in elderly patients with myocardial bridge

Wang Jiangang; Xi Jiantang; Zhao Xiaokui; Li Jinsong; He Jing

doi:10.3760/j.issn.1673-4777.2019.07.004

Abstract：Objective To analyze the prevalence and risk factors of anxiety and depression in elderly patients with myocardial bridge.Methods Seventy-six elderly patients with myocardial bridge admitted to Workers' Hospital of Changqing Oilfield from June 2015 to June 2017 were enrolled.Characteristics of myocardial bridge were measured by coronary CT angiography.Mental state of patients was assessed by Hospital Anxiety and Depression Scale.Influence factors of anxiety and depression were analyzed by univariate and multivariate logistic regression.Results There were 65 cases (85.5％) of superficial myocardial bridge and 11 cases (14.5％) of deep myocardial bridge;with mostly mild to moderate vascular compression,30 cases of Nobel stage 1 (39.5％),40 cases of Nobel stage 2 (52.6％) and 6 cases of Nobel stage 3 (7.9％).Prevalence rates of anxiety and depression were 61.8％ (47 cases) and 26.3％ (20 cases),respectively;prevalence rate of anxiety with depression was 11.8％ (9 cases).Multivariate logistic regression analysis showed that abnormality in electrocardiogram,deep myocardial bridge,Nobel stage of vascular compression 2-3 and medical history of nitrates were risk factors of anxiety;female,poor education (below junior high school),coronary atherosclerosis (＜ 50％),annual visits to hospital≥ 4 and somatic symptoms of cardiovascular disease were risk factors of depression (all P ＜ 0.05).Conclusions Anxiety and depression are comorbidities in elderly patients with myocardial bridge.Electrocardiogram abnormality,deep myocardial bridge,vascular compression,use of nitrates,female,poor education,coronary atherosclerosis,frequent visits to hospital and somatic symptoms are the risk factors.