[Emotional disorder in patients with acute or stable coronary heart disease].
OBJECTIVE
To compare the incidence of emotional disorder in patients with acute or stable coronary heart disease.


METHODS
A total of 298 patients with suspected coronary heart disease (CHD) were designed into three groups based on of coronary angiography results: acute coronary syndrome (ACS, n = 128), stable angina pectoris (SAP, n = 108) and non-CHD (n = 62). All patients were evaluated by Zung Self-rating Depression Scale (SDS), Zung Self-rating Anxiety Scale(SAS) and Hamilton Depression Rating Scale (HRSD) for depression and anxiety before coronary angiography (CAG), 3 days after CAG, and 1 day before discharge.


RESULTS
Incidences of depression and anxiety were significantly higher the ACS group (65.6%and 78.9% before CAG; 60.9% and 70.3% 3 days post CAG; 45.3%and 64.8% before discharge) compared patients with SAP (18.5% and 26.9% before CAG; 17.6% and 28.7% 3 days post CAG; 15.7% and 26.9% before discharge, all P < 0.05 vs. ACS) and non-CHD patients (32.3% and 25.8% before CAG; 27.4% and 24.2% 3 days post CAG; 29.0% and 30.6% before discharge, all P < 0.05 vs. ACS) while the depression and anxiety incidences were similar between patients with SAP and non-CHD in this cohort (P > 0.05).


CONCLUSIONS
Emotional disorder is common in patients with suspected heart diseases, especially in patients with ACS. Psychological distress of patients with suspected heart disease should be evaluated and treated.
Cardiology Department, Peking University People's Hospital, Beijing 100044, China.
Mei-yan
MY
Liu
Rong-huan
RH
Jiang
Da-yi
DY
Hu
Xin
X
Yu
Qian
Q
Fan
Min-ru
MR
Zheng
Li-gang
LG
Xu
D054058:Acute Coronary Syndrome / Q000523:psychology*; D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000209:etiology*; D003327:Coronary Disease / Q000523:psychology*; D003866:Depressive Disorder / Q000209:etiology*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors