Depression After Myocardial Infarction

Echols, Melvin R.; O’Connor, Christopher M.

doi:10.1007/s11897-010-0024-6

Cited by 9 publications

(8 citation statements)

References 52 publications

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“…We did not detect a significant increase in the presence of substantial depressive symptoms after MI hospitalization 38 when controlling for depressive symptoms prior to the acute event, similar to previous MI research. 15 Still, we observed that having a higher number of functional impairments after acute MI or stroke was independently associated with substantial depressive symptoms, consistent with studies of other acute medical events like pneumonia and sepsis.…”

Section: Discussionsupporting

confidence: 89%

Functional Disability and Cognitive Impairment After Hospitalization for Myocardial Infarction and Stroke

Levine

Davydow

Hough

et al. 2014

Circ: Cardiovascular Quality and Outcomes

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Background We assessed the acute and long-term impact of MI and stroke on post-event functional disability and cognition while controlling for survivors’ changes in functioning over the years before the event. Methods and Results Among participants in the nationally-representative Health and Retirement Study with linked Medicare data (1998-2010), we determined within-person changes in functional limitations (basic and instrumental activities of daily living) and cognitive impairment after hospitalization for stroke (n=432) and MI (n=450), controlling for pre-morbid functioning using fixed-effects regression. In persons without baseline impairments, an acute MI yielded a mean increase of 0.41 functional limitations (95% CI, 0.18-0.63) with a linear increase of 0.14 limitations/year in the following decade. These increases were 0.65 limitations (95% CI, 0.07-1.23) and 0.27 limitations/year afterwards for those with mild-to-moderate impairment at baseline. Stroke resulted in an increase of 2.07 (95% CI, 1.51-2.63) limitations due to the acute event and an increase of 0.15 limitations/year afterwards for those unimpaired at baseline. There were 2.65 new limitations (95% CI, 1.86-3.44) and 0.19/year afterwards for those with baseline mild-to-moderate impairment. Stroke hospitalization was associated with greater odds of moderate-to-severe cognitive impairment (odds ratio, 3.86; 95% CI, 2.10-7.11) at the time of the event, after adjustment for premorbid cognition but MI hospitalization was not. Conclusions In this population-based cohort, most MI and stroke hospitalizations were associated with significant increases in functional disability at the time of the event and in the decade afterwards. Survivors of MI and stroke warrant screening for functional disability over the long-term.

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Section: Discussionsupporting

confidence: 89%

Functional Disability and Cognitive Impairment After Hospitalization for Myocardial Infarction and Stroke

Levine

Davydow

Hough

et al. 2014

Circ: Cardiovascular Quality and Outcomes

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“…Peripheral vascular disease is often paired with comorbid cerebrovascular disease [38], and is a determinant of worse outcomes in patients with myocardial infarction [39]. There also is a link between both cerebrovascular disease [40] and myocardial infarction [41] and depression. Thus, end-organ damage of global vascular disease appeared to be central to this profile.…”

Section: Discussionmentioning

confidence: 99%

Comorbidity profiles and inpatient outcomes during hospitalization for heart failure: an analysis of the U.S. Nationwide inpatient sample

Lee

Chien

Bidwell

et al. 2014

BMC Cardiovasc Disord

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BackgroundTreatment of heart failure (HF) is particularly complex in the presence of comorbidities. We sought to identify and associate comorbidity profiles with inpatient outcomes during HF hospitalizations.MethodsLatent mixture modeling was used to identify common profiles of comorbidities during adult hospitalizations for HF from the 2009 Nationwide Inpatient Sample (n = 192,327).ResultsMost discharges were characterized by "common" comorbidities. A "lifestyle" profile was characterized by a high prevalence of uncomplicated diabetes, hypertension, chronic pulmonary disorders and obesity. A "renal" profile had the highest prevalence of renal disease, complicated diabetes, and fluid and electrolyte imbalances. A "neurovascular" profile represented the highest prevalence of cerebrovascular disease, paralysis, myocardial infarction and peripheral vascular disease. Relative to the common profile, the lifestyle profile was associated with a 15% longer length of stay (LOS) and 12% greater cost, the renal profile was associated with a 30% higher risk of death, 27% longer LOS and 24% greater cost, and the neurovascular profile was associated with a 45% higher risk of death, 34% longer LOS and 37% greater cost (all p < 0.001).ConclusionsComorbidity profiles are helpful in identifying adults at higher risk of death, longer length of stay, and accumulating greater costs during hospitalizations for HF.

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“…Understanding the barriers and facilitators to accessing preventive and rehabilitative healthcare services can help reduce the risks of adverse outcomes for cardiac conditions and common comorbidities. In particular, depression and other mood and anxiety disorders are increasingly recognized as a complication of AMI [4][5][6], which can lead to increased risk of mortality [7][8][9]. Some research suggests that women may demonstrate a higher risk of anxiety or depression following an AMI compared to men [10].…”

Section: Introductionmentioning

confidence: 99%

Healthcare Service Use for Mood and Anxiety Disorders Following Acute Myocardial Infarction: A Cohort Study of the Role of Neighbourhood Socioenvironmental Characteristics in a Largely Rural Population

Foroughi

Gupta

Crouse

2020

IJERPH

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Depression and other mood and anxiety disorders are recognized as common complications following cardiac events. Some studies report poorer cardiac outcomes among patients in socioeconomically marginalized neighbourhoods. This study aimed to describe associations between socioeconomic and built environment characteristics of neighbourhood environments and mental health service contacts following an acute myocardial infarction (AMI or heart attack) among adults in the province of New Brunswick, Canada. This province is characterized largely by residents in small towns and rural areas. A cohort of all adults aged 45 and over surviving AMI and without a recent record of mental disorders was identified by linking provincial medical-administrative datasets. Residential histories were tracked over time to assign neighbourhood measures of marginalization, local climate zones, and physical activity friendliness (i.e., walkability). Cox models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for the risk of healthcare use for mood and anxiety disorders over the period 2003/04–2015/16 by neighbourhood characteristics. The baseline cohort included 13,330 post-AMI patients, among whom 32.5% were found to have used healthcare services for a diagnosed mood or anxiety disorder at least once during the period of observation. Among men, an increased risk of mental health service use was found among those living in areas characterized by high ethnic concentration (HR: 1.14 (95%CI: 1.03–1.25)). Among women, the risk was significantly higher among those in materially deprived neighbourhoods (HR: 1.16 (95%CI: 1.01–1.33)). We found no convincing evidence of associations between this outcome and the other neighbourhood characteristics considered here. These results suggest that selected features of neighbourhood environments may increase the burden on the healthcare system for mental health comorbidities among adults with cardiovascular disease. Further research is needed to understand the differing needs of socioeconomically marginalized populations to improve mental health outcomes following an acute cardiac event, specifically in the context of smaller and rural communities and of universal healthcare coverage.

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Depression After Myocardial Infarction

Cited by 9 publications

References 52 publications

Functional Disability and Cognitive Impairment After Hospitalization for Myocardial Infarction and Stroke

Functional Disability and Cognitive Impairment After Hospitalization for Myocardial Infarction and Stroke

Comorbidity profiles and inpatient outcomes during hospitalization for heart failure: an analysis of the U.S. Nationwide inpatient sample

Healthcare Service Use for Mood and Anxiety Disorders Following Acute Myocardial Infarction: A Cohort Study of the Role of Neighbourhood Socioenvironmental Characteristics in a Largely Rural Population

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