Anxiety and depression in ACS patients after PCI reduce rehabilitation effectiveness, lower LVEF and 6-min walk test results, and increase MACE incidence (P<0.05).
Does the presence of anxiety and depression worsen cardiac rehabilitation outcomes and increase MACE in patients with ACS after PCI?
Anxiety and depression after PCI for ACS are associated with poorer cardiac rehabilitation outcomes and an increased risk of MACE.
Absolute Event Rate: 0% vs 0%
Abstract Background Acute coronary syndrome (ACS) is a common cardiovascular critical condition that occurs rapidly and changes rapidly. If clinical diagnosis and treatment cannot be obtained quickly, it can easily induce cardiogenic symptoms and seriously threaten the patient's life and health. Currently, percutaneous coronary intervention (PCI) is one of the main methods for treating ACS. After PCI, perioperative psychological stress, economic pressure, and concerns about treatment effectiveness can all have emotional impacts on patients, many patients may experience negative emotions such as anxiety and depression due to their fear of the disease and lack of relevant medical knowledge. However, due to the similar clinical symptoms of depression and heart disease, the symptoms of depression after PCI are often overlooked by clinical physicians, and patients may resist screening due to a sense of shame. Therefore, the recognition rate of cardiovascular disease patients with depression disorders in clinical practice is only 20%. ACS is also considered a physical and mental illness, and there is an important connection between psychological disorders and heart disease, with the two influencing each other. Purpose This study was designed to explore the impact of anxiety and depression on postoperative cardiac rehabilitation in patients with ACS undergoing PCI. Methods A total of 40 ACS patients with anxiety and depression status after PCI were selected as the observation group, and another 50 ACS patients without anxiety and depression status after PCI as the control group. The treatment outcomes, left ventricular ejection fraction (LVEF), 6-minute walk test, and incidence of major cardiovascular adverse events (MACE) were compared between two groups of patients. Results The treatment effect of the observation group was significantly lower than that of the control group (P0.05). After rehabilitation, both groups showed significant increases in LVEF and 6-minute walking test, but after intervention, LVEF and 6-minute walking test in the observation group were significantly lower than those in the control group (P0.05). The incidence of MACE in the observation group was significantly higher than that in the control group (P0.05). Conclusion Anxiety and depression can reduce the effectiveness of PCI treatment and cardiac rehabilitation in ACS patients, and increase the incidence of MACE, providing reference for improving the prognosis of ACS.
Wang et al. (Thu,) reported a other. Anxiety and depression in ACS patients after PCI reduce rehabilitation effectiveness, lower LVEF and 6-min walk test results, and increase MACE incidence (P<0.05).