Prevalence of Anxiety and Depression Symptoms in Patients with Myocardial Infarction with Non-Obstructive Coronary Arteries

被引：56

作者：

Daniel, Maria ^{[1
]}

Agewall, Stefan ^{[2
]}

Berglund, Felix ^{[1
]}

Caidahl, Kenneth ^{[3
,4
]}

Collste, Olov ^{[1
]}

Ekenback, Christina ^{[5
]}

Frick, Mats ^{[1
]}

Henareh, Loghman ^{[6
]}

Jernberg, Tomas ^{[5
]}

Malmqvist, Karin ^{[5
]}

Schenck-Gustafsson, Karin ^{[7
,8
]}

Spaak, Jonas ^{[5
]}

Sundin, Orjan ^{[9
]}

Sorensson, Peder ^{[7
]}

Y-Hassan, Shams ^{[6
]}

Hofman-Bang, Claes ^{[5
]}

Tornvall, Per ^{[1
]}

机构：

[1] Karolinska Inst, Sodersjukhuset, Dept Clin Sci & Educ, Stockholm, Sweden

[2] Univ Oslo, Inst Clin Sci, Oslo, Norway

[3] Karolinska Inst, Dept Mol Med & Surg, Stockholm, Sweden

[4] Univ Gothenburg, Sahlgrenska Acad, Inst Med, Depatment Mol & Clin Med, Gothenburg, Sweden

[5] Danderyd Hosp, Dept Clin Sci, Danderyd, Sweden

[6] Dept Med, Huddinge, Sweden

[7] Dept Med, Cardiac Unit, Solna, Sweden

[8] Karolinska Inst, Ctr Gender Med, Stockholm, Sweden

[9] Mid Sweden Univ, Ostersund, Sweden

来源：

AMERICAN JOURNAL OF MEDICINE | 2018年 / 131卷 / 09期

基金：

瑞典研究理事会;

关键词：

Beck Depression Inventory; Hospital Anxiety and Depression Scale; Myocardial infarction; Myocardial infarction with non-obstructive coronary arteries; Takotsubo syndrome; HOSPITAL ANXIETY; HEART-DISEASE; RISK-FACTOR; SCALE; ASSOCIATION; PERSISTENCE; MORTALITY; OUTCOMES; MARKERS; COMMON;

D O I：

10.1016/j.amjmed.2018.04.040

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

BACKGROUND: Myocardial infarction with non-obstructive coronary arteries is a working diagnosis for several heart disorders. Previous studies on anxiety and depression in patients with myocardial infarction with non-obstructive coronary arteries are lacking. Our aim was to investigate the prevalence of anxiety and depression among patients with myocardial infarction with non-obstructive coronary arteries. METHODS: We included 99 patients with myocardial infarction with non-obstructive coronary arteries together with age- and sex-matched control groups who completed the Beck Depression Inventory and the Hospital Anxiety and Depression Scale (HADS) 3 months after the acute event. RESULTS: Using the Beck Depression Inventory, we found that the prevalence of depression in patients with myocardial infarction with non-obstructive coronary arteries (35%) was higher than in healthy controls (9%; P = .006) and similar to that of patients with coronary heart disease (30%; P = .954). Using the HADS anxiety subscale, we found that the prevalence of anxiety in patients with myocardial infarction with non-obstructive coronary arteries (27%) was higher than in healthy controls (9%; P = .002) and similar to that of patients with coronary heart disease (21%; P = .409). Using the HADS depression subscale, we found that the prevalence of depression in patients with myocardial infarction with non-obstructive coronary arteries (17%) was higher than in healthy controls (4%; P = .003) and similar to that of patients with coronary heart disease (13%; P = .466). Patients with myocardial infarction with non-obstructive coronary arteries and takotsubo syndrome scored higher on the HADS anxiety subscale than those without (P = .028). CONCLUSIONS: This is the first study on the mental health of patients with myocardial infarction with non obstructive coronary arteries to show that prevalence rates of anxiety and depression are similar to those in patients with coronary heart disease. (C) 2018 Elsevier Inc. All rights reserved.

引用

页码：1118 / 1124

页数：7

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