The relationship between depressive symptoms, health service consumption, and prognosis after acute myocardial infarction: a prospective cohort study

Kurdyak, Paul; Gnam, William; Goering, Paula; Chong, Alice; Alter, David A.

doi:10.1186/1472-6963-8-200

Cited by 49 publications

(67 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Depression in the first months after an ACS predicts recurrent coronary events, mortality from coronary heart disease (CHD), poor quality of life, greater healthcare utilization and failure to return to work (Nicholson et al 2006 ;Bhattacharyya et al 2007 ;Kurdyak et al 2008). These associations are largely independent of markers of disease severity and cardiovascular risk profiles (Kronish et al 2009).…”

Section: Introductionmentioning

confidence: 99%

Emotional triggering and low socio-economic status as determinants of depression following acute coronary syndrome

et al. 2011

View full text Add to dashboard Cite

Background. The determinants of depression following acute coronary syndrome (ACS) are poorly understood. Triggering of ACS by emotional stress and low socio-economic status (SES) are predictors of adverse outcomes. We therefore investigated whether emotional triggering and low SES predict depression and anxiety following ACS.Method. This prospective observational clinical cohort study involved 298 patients with clinically verified ACS. Emotional stress was assessed for the 2 h before symptom onset and compared with the equivalent period 24 h earlier using case-crossover methods. SES was defined by household income and education. Depression was measured with the Beck Depression Inventory and the Hamilton Rating Scale for Depression and anxiety with the Hospital Anxiety and Depression Scale 3 weeks after ACS and again at 6 and 12 months. Age, gender, ethnicity, marital status, the Global Registry of Acute Coronary Events risk score, duration of hospital stay and history of depression were included as covariates.Results. Emotional stress during the 2-h hazard period was associated with increased risk of ACS (odds ratio 1.88, 95 % confidence interval 1.01-3.61). Both low income and emotional triggering predicted depression and anxiety at 3 weeks and 6/12 months independently of covariates. The two factors interacted, with the greatest depression and anxiety in lower income patients who experienced acute emotional stress. Education was not related to depression. Conclusions.Patients who experience acute emotional stress during their ACS and are lower SES as defined by current affluence and access to resources are particularly vulnerable to subsequent depression and anxiety.

show abstract

Section: Introductionmentioning

confidence: 99%

Emotional triggering and low socio-economic status as determinants of depression following acute coronary syndrome

et al. 2011

View full text Add to dashboard Cite

show abstract

“…žena oboljela od depresivnog poremećaja ima 80 % veću šan-su za razvoj kardiovaskularne bolesti nego žena koja ne boluje od depresije 40 . Jednako tako, osobe s duševnom bolesti imaju triput veću šansu da dobiju moždani udar 41 . Iz drugoga kuta gledanja, osobe s kardiovaskularnim bolestima imaju mnogo veće šanse za razvoj depresivnog poremećaja 42 .…”

Section: 37unclassified

“…In Canada for instance, a woman suffering from depressive disorder is 80% more likely to develop cardiovascular disease than a woman not suffering from depression 40 . Persons with mental illness are also three times more likely to suffer a stroke 41 . Viewed from another angle, persons with cardiovascular diseases have significantly greater chances of developing depressive disorder 42 .…”

Section: Cardiovascular and Cerebrovascular Diseases In Persons Suffementioning

confidence: 99%

Somatic Comorbidities in Psychiatric Patients

Silić

2017

Cardiologia Croatica

View full text Add to dashboard Cite

“…Patients with post-MI depression have a 1.6-to 2.7-fold increased risk of new cardiac events, cardiac mortality, and all-cause mortality within 24 months. 7 They also have an increased rate of subsequent heart failure, 8 hospital readmissions, 9 and overall increased healthcare resource utilization. 9 There have been several biological mechanisms by which depression may be related to coronary artery disease.…”

Section: Epression Is Prevalent Among Patients With Coronarymentioning

confidence: 99%

“…7 They also have an increased rate of subsequent heart failure, 8 hospital readmissions, 9 and overall increased healthcare resource utilization. 9 There have been several biological mechanisms by which depression may be related to coronary artery disease. As compared with nondepressed patients, those with depression have increased catecholamine levels, 10 elevated resting heart rate, 11 and decreased heart rate variability, 12 all of which suggest increased sympathetic activity.…”

Section: Epression Is Prevalent Among Patients With Coronarymentioning

confidence: 99%

Clinical Impact of Subsequent Depression in Patients With a New Diagnosis of Stable Angina

Szpakowski

Bennell

Qiu

et al. 2016

Circ: Cardiovascular Quality and Outcomes

View full text Add to dashboard Cite

Background-Depression is prevalent among patients with myocardial infarction and is associated with a worse prognosis.However, little is known about its importance in patients with chronic stable angina. We conducted a retrospective population-based cohort study to determine the occurrence and predictors of developing depression in patients with a new diagnosis of chronic stable angina. In addition, we sought to understand its impact on subsequent clinical outcomes. Methods and Results-Our cohort included patients in Ontario, Canada, with stable angina based on obstructive coronary artery disease found on angiogram. Depression was ascertained by physician billing codes and hospital admissions diagnostic codes. We first developed multivariable Cox proportional hazards models to determine predictors of developing depression. Clinical outcomes of interest included all-cause mortality, admission for myocardial infarction, and subsequent revascularization. Using hierarchical multivariable Cox proportional hazards models with occurrence of depression as a time-varying variable to control for potential immortal time bias, we evaluated the impact of depression on clinical outcomes. Our cohort consisted of 22 917 patients. The occurrence of depression after diagnosis of stable chronic angina was 18.8% over a mean follow-up of 1084 days. Predictors of depression included remote history of depression, female sex, and more symptomatic angina based on Canadian Cardiovascular Society class. Patients who developed depression had a higher risk of death (hazard ratio 1.83, 95% confidence interval 1.62-2.07) and admission for myocardial infarction (hazard ratio 1.36, 95% confidence interval 1.10-1.67) compared with nondepressed patients. Conclusions-Depression is common in patients with chronic stable angina and is associated with increased morbidity and mortality. (Circ Cardiovasc Qual Outcomes. 2016;9:731-739.

show abstract

The relationship between depressive symptoms, health service consumption, and prognosis after acute myocardial infarction: a prospective cohort study

Cited by 49 publications

References 42 publications

Emotional triggering and low socio-economic status as determinants of depression following acute coronary syndrome

Emotional triggering and low socio-economic status as determinants of depression following acute coronary syndrome

Somatic Comorbidities in Psychiatric Patients

Clinical Impact of Subsequent Depression in Patients With a New Diagnosis of Stable Angina

Contact Info

Product

Resources

About