Occurrence of symptoms and depressive mood among working-aged coronary heart disease patients.
BACKGROUND
The typical symptoms of coronary heart disease (CHD), chest pain and breathlessness, are well-known. They are considered quite dramatic, and can thus be fairly reliably mapped by a survey. However, people might have other clearly unpleasant symptoms impairing quality of life. The aim of this study is to evaluate the appearance of these complaints of working-aged people with self-reported CHD.


METHODS
The study consists of a postal questionnaire of randomly selected Finns in age groups 30-34, 40-44 and 50-54, a response rate of 39% (N = 15,477). The subjects were asked whether or not a doctor had told them that they had angina pectoris or had had myocardial infarction. Four randomly selected age and sex matched controls were chosen for every patient. The occurrence of self-reported dyspnoea, chest pain during anger or other kind of emotion, palpitation and perspiration without physical exercise, irregular heartbeats, flushing, trembling of hands and voice, jerking of muscles, depression and day-time sleepiness were examined. Odds ratios (OR) with 95% confidence intervals (CI), between occurrence of symptoms and CHD with and without heart infarction, were computed by multivariate logistic regression analysis.


RESULTS
The sample eventually comprised 319 CHD patients. Dyspnoea, chest pain during anger or other kind of emotion, palpitation, perspiration without physical exercise, irregular heartbeats daily or almost daily, trembling of hands and voice, and jerking of muscles occurred statistically significantly more frequently among CHD patients than among controls. The CHD patients also reported more depressive mood according to Beck's inventory scores and poorer sleep and more frequent day-time sleepiness than controls. In the multivariate logistic regression analysis chest pain during anger or other kind of emotion (ORs 4.12 and 3.61) and dyspnoea (ORs 2.33 and 3.81) were the symptoms most associated with CHD.


CONCLUSIONS
Working-aged people with self-reported coronary heart disease evince a number of symptoms limiting the quality of their every day life. This aspect should be paid attention to when evaluating functional capacity of these patients.
Sumanen
Markku P T
MP
Kangasala Health Centre, Finland. markku.sumanen@kolumbus.fi
Suominen
Sakari B
SB
Koskenvuo
Markku J
MJ
Sillanmäki
Lauri H
LH
Mattila
Kari J
KJ
D000328:Adult; D000787:Angina Pectoris / Q000503:physiopathology / Q000523:psychology; D001145:Arrhythmias, Cardiac / Q000453:epidemiology / Q000209:etiology; D002637:Chest Pain / Q000453:epidemiology / Q000209:etiology; D016001:Confidence Intervals; D003327:Coronary Disease / Q000503:physiopathology* / Q000523:psychology*; D003866:Depressive Disorder / Q000453:epidemiology / Q000209:etiology; D004417:Dyspnea / Q000453:epidemiology; D005260:Female; D005387:Finland / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000453:epidemiology / Q000209:etiology; D009203:Myocardial Infarction / Q000503:physiopathology / Q000523:psychology; D016017:Odds Ratio; D011788:Quality of Life / Q000523:psychology*; D018434:Sickness Impact Profile; D012893:Sleep Wake Disorders / Q000453:epidemiology / Q000209:etiology; D013035:Spasm / Q000453:epidemiology / Q000209:etiology; D011795:Surveys and Questionnaires