Assessment of the dynamics of depressive disorders in patients with coronary heart disease depending on the method of restoration of blood supply to the heart.
Keywords:ischemic heart disease, myocardial revascularization, depression
The aim of the study was to assess the symptoms of depression during a 1-years observation in patients with coronary heart disease, depending on the method of restoration of blood supply to the heart. The study included 215 patients with ischemic heart disease who during 2010-2016 received treatment in the departments of cardiology, interventional cardiology and cardiac surgery of KU «Dnepropetrovsk Regional Clinical Center of Cardiology and Cardiosurgery DOR». All patients underwent invasive coronary angiography and were administered conservative or surgical treatment - aortocoronary bypass grafting or stenting of the coronary arteries. The level of depression was determined by Zung’s Self-Rating Depression Scale – SDS three times: at the initial stage of treatment, after three months and 1 year after treatment. It was determined that in patients with IHD, the frequency of depressive states and conditions close to them varies from 81.97% (95% CI 70.53 to 89.62) in patients who are prescribed bypass and to 98.55% (95% CI 92.24 - 99.74) in patients with conservative treatment. The vast majority of patients in all groups are represented by patients with mild or masked depression. 4.71% of cases of true depression in the coronary artery stenting group and 5.8% – in the conservative treatment group were revealed. According to the correlation analysis, the dependence of the average depression level on the chosen treatment method was found (ρ=0.19; р=0.027). The choice of a surgical or conservative method of treatment can affect general level of mood and indirectly – quality of life in the long-term period.
Dukel's'kyj OO. [Peculiarities of clinical course and therapy of depressive disorders in patients with ischemic heart disease, who underwent stenting surgery of coronary arteries]. [dissertation]. Harkiv. 2011;21. Ukrainian.
Agajev NA, KokunOM, Pishko IO. [Collection of techniques for diagnosing negative mental states of servicemen: Methodical manual]. Kyiv. 2016;234. Ukrainian.
Kornatskyi VM, Klymenko VI. [Diseases of the circulatory system and mental health]. Kyiv. 2009;176. Ukrainian.
Kuimov AD, Jarohno NN, Shilmurzaev BS. [Treatment of depressive syndrome in patients with ischemic heart disease]. RMZh. 2011;14(408):874-6. Russian.
[On approval and introduction of medical and technological documents on standardization of medical care in case of depression: Order of the Ministry of Health of Ukraine No. 1003 dated December 25, 2014]. Kyiv. 2015;2:44-80. Ukrainian.
Sokolov MJu, Talajeva TV, Lishhyshyna OM. [Stable ischemic heart disease (Adapted evidence-based clinical guidelines, 2016)]. Arterialna hipertenziia. 2016;2:113-26. Ukrainian.
[Unified clinical protocol of primary, secondary (specialized) and tertiary (highly specialized) medical care. Stable ischemic heart disease: Order of the Ministry of Health N 152 dated February 3, 2016]. Kyiv. 2016;4:53-92. Ukrainian.
FedakMB. [Violation of the emotional sphere in patients with ischemic heart disease and their medical and psychological rehabilitation]. [dissertation]. Harkiv. 2012;20. Ukrainian.
[Annual report on the health of the population, the sanitary and epidemiological situation and the results of the health system inUkraine]. Kyiv. 2017;516. Ukrainian.
Cserép Z, Székely А, Merkely B. (2013) Short and Long Term Effects of Psychosocial Factors on the Outcome of Coronary Artery Bypass Surgery. Artery Bypass. ed. by W.S. Aronow.Croatia: InTech.
Lichtman JH, Bigger JTJr, Blumenthal JA. Depression and coronary heart disease: recommendations for screening, referral, and treatment: a science advisory from the American Heart Association Prevention Committee of the Council on Cardiovascular Nursing, Council on Clinical Cardiology, Council on Epidemiology and Prevention, and Interdisciplinary Council on Quality of Care and Outcomes Research: endorsed by the American Psychiatric Association. Circulation. 2008;118(17):1768-75. doi: 10.1161/CIRCULATIONAHA.108.190769
Thombs BD, Roseman M, Coyne JC. Does Evidence Support the American Heart Association's Recommendation to Screen Patients for Depression in Cardiovascular Care? An Updated Systematic Review. PLoS One. 2013;8(1):e52654. doi: 10.1371/journal.pone.0052654
Dunstan DA, Scott N, Todd AK. Screening for anxiety and depression: reassessing the utility of the Zung scales. BMC Psychiatry. 2017;17:329. doi: 10.1186/s12888-017-1489-6
Foss-Nieradko B, Stepnowska M, Piotrowicz R. Effect of the dynamics of depression symptoms on outcomes after coronary artery bypass grafting. Kardiol Pol. 2012;70(6):591-7.
Garganeeva N, Belokrylova M. Features of coronary heart disease course in patients with depressive disorders. European Psychiatry. 2017;41:235. doi: https://doi.org/10.1016/j.eurpsy.2017.01.2250
Fountoulakis KN, Lacovides A, Samolis S. Reliability, validity and psychometric properties of the Greek translation of the Zung depression rating scale. BMC Psychiatry. 2001;1:6. Published online 2001 Oct 29. doi: 10.1186/1471-244X-1-6
Brown JM, Stewart JC, Stump TE, Callahan CM. Risk of coronary heart disease events over 15 years among older adults with depressive symptoms Am J Geriatr Psychiatry. Am J Geriatr Psychiatry. 2011;19(8):721-9. doi: 10.1097/JGP.0b013e3181faee19
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