Key result
Patients with coronary heart disease and persistent atrial fibrillation exhibited significantly higher mean anxiety (11.47 vs 7.57) and depression (10.80 vs 6.26) scores compared to those without rhythm disturbances.
Why the study?
Correct outpatient management and timely diagnostics of heart rhythm disturbances reduce complications and mortality, but the relationship with psycho-emotional disorders in postinfarction patients needed investigation.
Is there a relationship between psycho-emotional status (HADS score) and progression of rhythm disturbances in outpatients with prior myocardial infarction?
Observational (n=62)
No
Is there a relationship between psycho-emotional status (HADS score) and progression of rhythm disturbances in outpatients with prior myocardial infarction?
p-value: p=<0.001
Testing for anxiety and depression using HADS in outpatients with prior MI and rhythm disturbances may help in early detection of psycho-emotional disorders to potentially reduce cardiovascular complications.
May warrant HADS screening in post-MI outpatients with AF; leaves open causal links to rhythm progression.
Today, cardiac rhythm disturbances are quite common in the adult population. The correct tactics of outpatient management as well as timely diagnostics of heart rhythm disturbances considerably reduces the percentage of patients suffering from complications of heart rhythm disturbances, improves quality of life of patients and reduces risks of lethal outcome. The aim of our study was to detect psycho-emotional disorders among outpatients with heart rhythm disturbances who had myocardial infarction. 62 patients diagnosed with coronary heart disease (CHD), postinfarction cardiosclerosis (PICD) and various types of rhythm disturbances were studied in Samarkand 3rd family polyclinic. The mean age of the patients was 62.8±12.1 years. During the study we have established the relationship between the progression of signs of rhythm disturbances and psycho-emotional status of the patients based on the HADS score interpretation. Conclusions: thus, our study proves that all patients, in particular myocardial infarction patients, should be tested with Hospital Anxiety and Depression Scale - HADS already in the outpatient phase for early detection of psychoemotional disorders to reduce cardiovascular complications, as well as to provide timely targeted care already in the primary care.
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Негматовна et al. (2023) conducted an observational in Coronary heart disease, postinfarction cardiosclerosis, and rhythm disturbances (n=62). Cardiac rhythm disturbances (persistent atrial fibrillation or extrasystoles) vs. No rhythm disturbances was evaluated on Mean anxiety and depression scores (HADS) (p=<0.001). Patients with coronary heart disease and persistent atrial fibrillation exhibited significantly higher mean anxiety (11.47 vs 7.57) and depression (10.80 vs 6.26) scores compared to those without rhythm disturbances.
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