Key result
ACS before CABG links to impaired mental quality of life without affecting depression or anxiety.
Why the study?
Depression and anxiety are more frequent in acute coronary syndrome, but whether experiencing acute coronary syndrome prior to open heart surgery affects psychological outcomes and quality of life remained to be determined.
Does experiencing acute coronary syndrome prior to coronary bypass surgery affect psychiatric status and quality of life in patients?
Observational (n=63)
Does experiencing acute coronary syndrome prior to coronary bypass surgery affect psychiatric status and quality of life in patients?
Experiencing acute coronary syndrome before coronary artery bypass surgery impairs mental quality of life but does not significantly alter levels of depression, hopelessness, anxiety, or fear of death compared to those without prior ACS.
Pre-CABG ACS may impair mental QoL; leaves open targeted screening or support in this observational subgroup.
Objective: The incidence of depression and anxiety is higher in patients with acute coronary syndrome. The aim of this study is to determine whether experiencing acute coronary syndrome prior to open heart surgery affects patients in terms of depression, hopelessness, anxiety, fear of death and quality of life. Methods: The study included 63 patients who underwent coronary bypass surgery between January 2015 and January 2016. The patients were divided into two groups: those diagnosed after acute coronary syndrome (Group 1) and those diagnosed without acute coronary syndrome (Group 2). Beck depression scale, Beck hopelessness scale, Templer death anxiety scale and death depression scale, State-Trait anxiety inventory and WHOQOL-Bref quality of life scale were applied. Results: There was no significant difference between the two groups in terms of the total score obtained from Beck depression scale, Beck hopelessness scale - future-related emotions, loss of motivation, future-related expectations subgroups, death anxiety scale, the death depression scale, State-Trait Anxiety Inventory - social and environmental subgroups. The mental quality of life sub-scores of group 2 were significantly higher. The patients in both groups were found to be depressed and hopeless about the future. Anxiety levels were found to be significantly higher in all of the patients in both groups. Conclusion: Acute coronary syndrome before coronary artery bypass surgery impairs more the quality of life in mental terms. But unexpectedly there are no differences in terms of depression, hopelessness, anxiety and fear of death.
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Yüksel et al. (2016) conducted an observational in Coronary bypass surgery (n=63). Acute coronary syndrome prior to surgery vs. No acute coronary syndrome prior to surgery was evaluated on Psychiatric status including depression, hopelessness, anxiety, fear of death, and quality of life. Experiencing acute coronary syndrome before coronary artery bypass surgery significantly impaired mental quality of life, but did not affect depression, hopelessness, anxiety, or fear of death.
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