What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Coronary heart disease (n=7589). Intervention: Psychosocial risk factors assessment. Primary outcome: Prevalence of anxiety and depression symptoms.

What question did this study set out to answer?

To evaluate the prevalence of depression and anxiety symptoms and their associations with other cardiovascular risk factors following hospitalisation for coronary heart disease events.

May 23, 2017European Journal of Preventive Cardiology

Psychosocial risk factors in relation to other cardiovascular risk factors in coronary heart disease: Results from the EUROASPIRE IV survey. A registry from the European Society of Cardiology

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Key result

Largely undertreated anxiety or depression affects ~26% of patients following a CHD event.

n=7,589

Why the study?

What is the prevalence of anxiety and depression and their association with other risk factors in patients after coronary heart disease events?

Population

7589 patients from 24 European countries examined at a median of 1.4 years after hospitalisation due to…

Design

Cross-sectional

Follow-up

median 1.4 years after hospitalisation

Authors

NPNana PogosovaPreventive Cardiology KKKornelia KotsevaPreventive Cardiology DBDirk De BacquerPreventive Cardiology

Discussion

Member takes

Implication

Undertreated anxiety and depression symptoms persist after CHD events; leaves open whether routine screening improves outcomes.

Key Points

To evaluate the prevalence of depression and anxiety symptoms and their associations with other cardiovascular risk factors following hospitalisation for coronary heart disease events.
Cross-sectional survey of 7,589 patients across 24 European countries assessed at a median of 1.4 years after coronary heart disease hospitalisation.
Anxiety and depression symptoms were measured using the Hospital Anxiety and Depression Scale (HADS, cutoff score ≥8) alongside lifestyle, clinical, and medication data.
Anxiety symptoms occurred in 26.3% of participants (39.4% in women vs 22.1% in men), while depression symptoms occurred in 22.4% (30.6% in women vs 19.8% in men).
Only 2.4% of patients received antidepressants at discharge (2.7% at follow-up), and 5.0% were taking anti-anxiety medications at follow-up.
Both conditions were linked to female sex, lower education, and sedentary lifestyle, with depression additionally associated with current smoking, central obesity, and self-reported diabetes.

Study Design

Type

Cross-Sectional (n=7,589)

Multicenter

Yes

Structured PICO

What is the prevalence of anxiety and depression and their association with other risk factors in patients after coronary heart disease events?

Population

7589 patients from 24 European countries examined at a median of 1.4 years after hospitalisation due to coronary heart disease events

Outcome

Prevalence of depression and anxiety (assessed using the Hospital Anxiety and Depression Scale) and their associations with other risk factorspatient reported

A substantial proportion of patients experience undertreated anxiety and depression after coronary heart disease events, which are associated with other cardiovascular risk factors and poor lifestyle compliance.

Cite This Study

Pogosova et al. (2017) conducted a cross-sectional in Coronary heart disease (n=7,589). Psychosocial risk factors assessment was evaluated on Prevalence of anxiety and depression symptoms. Symptoms of anxiety and depression were present in 26.3% and 22.4% of patients, respectively, at a median of 1.4 years after a coronary heart disease event, but were largely undertreated.

synapsesocial.com/papers/6a0a57e7fdd00ab7863dcaeb https://doi.org/10.1177/2047487317711334

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Psychosocial risk factors in relation to other cardiovascular risk factors in coronary heart disease: Results from the EUROASPIRE IV survey. A registry from the European Society of Cardiology

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Psychosocial risk factors in relation to other cardiovascular risk factors in coronary heart disease: Results from the EUROASPIRE IV survey. A registry from the European Society of Cardiology

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Also Consider

Also Consider