Key result
Among 541 patients with coronary artery disease, 30% had mild-to-moderate depressive symptoms, with 89% of those affected being older than 50 years.
Why the study?
Depression and cardiovascular diseases are prevalent noncommunicable diseases leading to poor quality of life, with higher rates of depressive episodes seen in coronary artery disease.
Cross-Sectional (n=541)
No
A significant proportion (30%) of patients with coronary artery disease experience mild-to-moderate depressive symptoms, highlighting the need for routine assessment of mental health and quality of life in this population.
Supports consideration of depression screening in CAD; leaves open whether routine assessment improves outcomes.
Background Globally, coronary artery disease (CAD) was the leading cause of health losses. The emergence of revascularization has brought a major change in the management of CAD. Depression and cardiovascular diseases (CVD) are the two highly prevalent noncommunicable diseases (NCD), which lead to poor quality of life and high socio-economic loss for the patient. The rate of depressive episodes was higher in CAD population in comparison to population with other heart problems. Objectives The primary objective of the current study is to determine the proportion of those with depressive symptoms through Patient Health Questionnaire-9 (PHQ-9) among CAD patients in a tertiary care public hospital. Methods It was a cross-sectional analytical design, which assess the percentage of patients with depressive symptoms among CAD patients, using a pretested, semistructured questionnaire. The PHQ-9 and EuroQoL five-dimensional three-level (EQ-5D-3L) questionnaire, a quality-of-life instrument (five items), were used, which was validated in the Tamil version. Statistical Analysis Categorical variables was expressed as proportion. We used Chi-square as a statistical test to calculate the p value and risk estimation with 95% CI. Results Out of 541 patients, 159 (30%) patients had mild-to-moderate depressive symptoms, of which 144 (89%) participants were greater than 50 years. In EQ-5D-3L, around one-third of the participants reported pain or discomfort and anxiety or depression. Conclusion The study concludes that the assessment of health-related quality of life (HRQoL) is becoming increasingly important in the management of CAD patients. Studies have shown that depression predicts subsequent quality of life, while others have shown that HRQoL is a risk factor for ongoing depression. Treatment of depression may improve subsequent physical HRQoL; hence, it is vital to address both during their follow-up to improve outcomes among patients with CAD.
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Senthilkumar et al. (2021) conducted a cross-sectional in Coronary artery disease (n=541). Coronary artery disease was evaluated on Proportion of patients with depressive symptoms through Patient Health Questionnaire-9 (PHQ-9). Among 541 patients with coronary artery disease, 30% had mild-to-moderate depressive symptoms, with 89% of those affected being older than 50 years.
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