Relation of depression, anxiety, and quality of life with outcome after percutaneous transluminal coronary angioplasty

Suprakash Chaudhury, Kalpana Srivastava, Suprakash Chaudhury, Kalpana Srivastava

Abstract

Background: Despite, increasing number of percutaneous transluminal coronary angioplasty (PTCA) being performed, there is a paucity of Indian studies on the psychological effects of PTCA. Aim. To study the relation of anxiety, depression, and health related quality of life with outcome after PTCA.

Methods: A total of 35 patients undergoing PTCA were included in the present project with their informed consent. All patients filled a specially designed proforma, the Hospital Anxiety and Depression Scale, Coronary Scale, Seattle Angina Questionnaire, and a health related quality of life measure (EQ 5D) one day before undergoing PTCA. Three days after PTCA patients were reassessed with the Hospital anxiety & depression scale, Seattle angina questionnaire and the EQ 5D.

Results: Analysis showed that 46% had significant anxiety and 32.1% had significant depression before PTCA. Following successful PTCA, none of the patients had significant anxiety, and only 2 (3.6%) had significant depression. On the Seattle Angina Questionnaire, physical limitation reduced from 67.9 to 48. Disease perception improved from 21.2 to 37.1. On the EQ5D, the health status improved from 42.7 before PTCA to 78.7 after PTCA.

Conclusion: Successful PTCA resulted in significant reduction in anxiety, depression, and physical limitation and improvement in disease perception and health status.

References

    1. Schmidt MM, Quadros AS, Abelin AP, et al. Psychological characteristics of patients undergoing percutaneous coronary interventions. Arquivos Brasileiros de Cardiologia. 2011;97(4):331–337.
    1. Milani RV, Lavie CJ. Reducing psychosocial stress: a novel mechanism of improving survival from exercise training. American Journal of Medicine. 2009;122(10):931–938.
    1. Burton HJ, Kline SA, Cooper BS, Rabinowitz A, Dodek A. Assessing risk for major depression on patients selected for percutaneous transluminal coronary angioplasty: is it a worthwhile venture? General Hospital Psychiatry. 2003;25(3):200–208.
    1. Junior RF, Ramadan ZB, Pereira AN, Wajngarten M. Cardiovascular risk factors in depression: the role of depression with post cardiac procedures. Psychosomatics. 2003;37:31–37.
    1. Boutin-Foster C, Charlson ME. Do recent life events and social support explain gender differences in depressive symptoms in patients who had percutaneous transluminal coronary angioplasty? Journal of Women’s Health. 2007;16(1):114–123.
    1. Astin F, Jones K, Thompson DR. Prevalence and patterns of anxiety and depression in patients undergoing elective percutaneous transluminal coronary angioplasty. Heart and Lung. 2005;34(6):393–401.
    1. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica. 1983;67(6):361–370.
    1. Marusic A, Starc R, Marusic D. Constructing a coronary scale for ischemic heart disease: case-control study. Croatian Medical Journal. 2002;43:690–695.
    1. Spertus JA, Winder JA, Dewhurst TA, et al. Development and evaluation of the Seattle Angina Questionnaire: a new functional status measure for coronary artery disease. Journal of the American College of Cardiology. 1995;25(2):333–341.
    1. EuroQoL Group. EuroQoL: a new facility for the measurement of health related quality of life. Health Policy. 1990;16:196–208.
    1. Appels A, van Elderen T, Bär F, et al. Effects of a behavioural intervention on quality of life and related variables in angioplasty patients. Results of the EXhaustion Intervention Trial. Journal of Psychosomatic Research. 2006;61(1):1–10.
    1. Linden W, Phillips MJ, Leclerc J. Psychological treatment of cardiac patients: a meta-analysis. European Heart Journal. 2007;28(24):2972–2984.
    1. Seskevich JE, Crater SW, Lane JD, Krucoff MW. Beneficial effects of noetic therapies on mood before percutaneous intervention for unstable coronary syndromes. Nursing Research. 2004;53(2):116–121.
    1. Rugulies R. Depression as a predictor for coronary heart disease: a review and meta-analysis. American Journal of Preventive Medicine. 2002;23(1):51–61.
    1. Schulman JK, Muskin PR, Shapiro PA. Psychiatry and cardiovascular disease. Focus. 2005;3:208–224.
    1. Pfiffner D, Hoffmann A. Psychosocial predictors of death for low-risk patients after a first myocardial infarction: a 7-year follow-up study. Journal of Cardiopulmonary Rehabilitation. 2004;24(2):87–93.
    1. Duits AA, Boeke S, Taams MA, Passchier J, Erdman RAM. Prediction of quality of life after coronary artery bypass graft surgery: a review and evaluation of multiple, recent studies. Psychosomatic Medicine. 1997;59(3):257–268.
    1. Tofighi S, Kiadaliri AA, Sadeghifar J, Raadabadi M, Mamikhani J. Health-related quality of life among patients with coronary artery disease: a post-treatment follow-up study in Iran. Cardiology Research and Practice. 2012;2012:6 pages.973974

Source: PubMed

Sponzoři a spolupracovníci

Zdravotní podmínky

Drogové intervence

3
Předplatit