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Gender psycho-emotional difference of patients with coronary artery disease in depending of treatment of Ukrainian cohort

Session Poster Session 3

Speaker Maryna Dolzhenko

Congress : EuroPrevent 2019

  • Topic : coronary artery disease, acute coronary syndromes, acute cardiac care
  • Sub-topic : Coronary Artery Disease - Other
  • Session type : Poster Session
  • FP Number : P741

Authors : M Dolzhenko (Kyiv,UA), L Lyudmila (Kyiv,UA)

Authors:
M Dolzhenko1 , L Lyudmila1 , 1National Medical Academy of Postgraduate Education - Kiev - Ukraine ,

Citation:

Aim. To determine the gender prevalence of anxiety and depression in patients (pts) with coronary artery disease (CAD) in depending of treatment.

Methods: 266 men and women (mean age -59.8 ± 9.8) with CAD in EUROASPIRE IV of the Ukrainian cohort were studied. Pts were divided into two groups. The first group (45.1%) included pts after myocardial infarction (MI) and unstable angina (UA). The second group (54.9%) had pts after PCI or CABG. The assessment of depression and anxiety was performed using the special Hospital Anxiety and Depression Scale (HADS). When evaluating the scores, the HADS <7 scores were normal, the scores 8–10 were mild anxiety or depressive symptoms, and the scores> 10 were moderate or severe symptoms of anxiety or depression. HADS-A (anxiety) was consistent with the pts anxiety result, and HADS-D (depression) was a depression score.

Results: Men and women were divided in proportion 3:1 (73% of men and 27% of women). In the first group 31.7% of pts had symptoms of anxiety and depression. The mild symptoms of anxiety had 16.2% and sever anxiety had 13.5%. Mild depressive disorders were observed in every fifth (20%) and severe depression had 11.7% of pts.

In the second group, every one of five pts had signs of anxiety (21.9%) and every fourth pts had signs of depression (28.1%). Mild anxiety symptoms were detected in 18% of pts. Moderate or severe anxiety was reported in 7.5% of pts. Mild depressive disorders were observed in every fifth (19.9%) pts and severe depression had 8.3% of pts. Mild anxiety symptoms were more common in women (28%) than in men (20%) in two groups. Signs of depression were also more common in women (40%) than in men (28%) in two groups.

Conclusion.

1. Patients who had MI or UA are more prone to depression and anxiety than those who have undergone CABG or PCI.

2. Women are more prone to psycho-emotional status disorders than men.

3. Women have depressive symptoms more often than symptoms of anxiety.

4. It is necessary to conduct an early diagnosis of anxiety and depression in pts with CAD.



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