Key result
Comorbid depression and/or PTSD in patients with ischemic heart disease was associated with higher cardiac rehabilitation participation compared to those without (11% vs 8%; P<0.001).
Why the study?
Although cardiac rehabilitation is recommended for ischemic heart disease, whether patients with mental health conditions are willing to participate in these programs is unknown.
Does comorbid depression and/or PTSD affect cardiac rehabilitation participation in patients with ischemic heart disease?
Cohort (n=86,537)
Yes
Does comorbid depression and/or PTSD affect cardiac rehabilitation participation in patients with ischemic heart disease?
Absolute Event Rate: 11% vs 8%
p-value: p=<0.001
Contrary to expectations, patients with ischemic heart disease and comorbid depression and/or PTSD have higher rates of participation in cardiac rehabilitation compared to those without these mental health conditions.
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Challenges assumptions of mental health barriers to cardiac rehabilitation; leaves open causality and generalizability pending prospective studies.
Krishnamurthi et al. (2019) conducted a cohort in Ischemic heart disease (n=86,537). Comorbid depression and/or PTSD vs. Without PTSD or depression was evaluated on Cardiac rehabilitation participation during the 12 months after hospital discharge (p=<0.001). Comorbid depression and/or PTSD in patients with ischemic heart disease was associated with higher cardiac rehabilitation participation compared to those without (11% vs 8%; P<0.001).