Anxiety and depression relationship with coronary slow flow
| Autor: | Amr A. Abdelhalim, Mohamed E Amin Arafa, Ahmed Elamragy, Yasser Baghdady |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Epidemiology Physiology Beck Anxiety Inventory Emotions Myocardial Infarction Social Sciences Coronary Artery Disease 030204 cardiovascular system & hematology Anxiety Cardiovascular Medicine Vascular Medicine Body Mass Index Diagnostic Radiology Coronary artery disease 0302 clinical medicine Risk Factors Medicine and Health Sciences Coronary Heart Disease Psychology 030212 general & internal medicine Myocardial infarction Cardiovascular Imaging Depression (differential diagnoses) Coronary Arteries Multidisciplinary medicine.diagnostic_test Depression Radiology and Imaging Angiography Arteries Middle Aged Prognosis Anxiety Disorders medicine.anatomical_structure Physiological Parameters Medicine Female medicine.symptom Anatomy Research Article medicine.medical_specialty Imaging Techniques Science Cardiology Research and Analysis Methods 03 medical and health sciences Diagnostic Medicine Internal medicine Coronary Circulation Mental Health and Psychiatry medicine Humans Depressive Disorder business.industry Mood Disorders Body Weight Beck Depression Inventory Biology and Life Sciences medicine.disease Coronary arteries Cross-Sectional Studies Medical Risk Factors Cardiovascular Anatomy Blood Vessels Lipid profile business |
| Zdroj: | PLoS ONE, Vol 14, Iss 9, p e0221918 (2019) PLoS ONE |
| ISSN: | 1932-6203 |
| Popis: | BackgroundPsychiatric disorders (depression / anxiety) are linked to coronary artery disease (CAD). Coronary slow flow (CSF) is a relatively common form of CAD with the same underlying mechanisms that are attributed to many anatomic and pathophysiologic factors. However, the relationship between psychiatric disorders and CSF is less well-established; and this is the aim of this study.MethodsThis cross-sectional observational study was conducted on the first 50 consecutive patients diagnosed with CSF by elective coronary angiography (CAG). They were compared with another 50 consecutive patients showing normal coronaries by CAG. Beck Anxiety Inventory and Beck Depression Inventory were used for assessment. CSF was diagnosed by coronary angiography "Thrombolysis In Myocardial Infarction" frame count. Lipid profile was obtained for all patients.ResultsTraditional risk factors (male gender, smoking, total cholesterol, low-density lipoproteins and triglycerides) were higher in the CSF group. Depression and anxiety scores were also higher in the CSF group. On multivariate analysis, male gender, depression and high triglycerides were the only significant independent predictors of CSF. A significant correlation existed between CSF and both anxiety and depression scores. Both scores were also significantly higher in multivessel vs single vessel affection.ConclusionPsychiatric depression, male gender and high triglycerides are highly associated with CSF in patients undergoing elective CAG. There is a significant correlation between CSF severity and the severity of both anxiety and depression. Further studies are warranted to explore the impact of psychological intervention on CSF and its long-term outcome. |
| Databáze: | OpenAIRE |
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