| Effects of Percutaneous Coronary Intervention on Depressive Mood in Elderly Patients |
|
Seong Gyu Yoon, Mo Eun Jung, Sung Ho Her, Mahn Won Park, Jung Sun Cho, Ju Yeol Baek, Sung Jun Kim, Seung Kyoung Kim, Ki Bae Seung, Jong Ho Lee, Jong Bum Kwon, Keon Yeop Kim |
1Department of Cardiology, Daejeon St. Mary's Hospital, The Catholic University of Korea School of Medicine, Daejeon, Korea. ysk111@catholic.ac.kr
2Department of Thoracic and Cardiovascular Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea School of Medicine, Daejeon, Korea.
3Division of Preventive Medicine, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Korea. |
| 고령의 환자에서 경피적 관상동맥 중재술이 우울증상에 미치는 영향 |
|
윤승규1,*,정모은1,*허성호1박만원1,조정선1백주열1김성준1김승경1성기백1이종호2권종범2김건엽3 |
|
|
|
|
| Abstract |
BACKGROUND
Depression is a common comorbid condition in patients with coronary artery disease and a well-documented risk factor for recurrent cardiac events and mortality. We examined the impact of percutaneous coronary intervention (PCI) on depressive mood in elderly patients with chronic stable angina. METHODS: Consecutive patients with chronic stable angina (n=171) who had undergone elective PCI from January 2010 to May 2010 were included in this study. Patients were divided into elderly (> or =65 years) and non-elderly groups (<65 years) and then completed the 21-item Beck Depression Inventory I (BDI-I) at baseline and prior to discharge to assess for depressive symptoms.
RESULTS
Seventy-three (43%) patients were assigned to the elderly group and 98 (57%) to the non-elderly group. Using multivariate regression analysis, we found that the elderly group had a higher prevalence of joint, lung, and gastrointestinal diseases; were less religious and less likely to be employed; had lower rates of private health insurance; and were, less frequently, users of regular alcohol, current smokers, and regular exercisers compared to the non-elderly patients. The mean difference in BDI-I scores at baseline and pre-discharge was higher in elderly patients.
CONCLUSION
Our study showed a correlation between the extent of depression and elective PCI, especially in elderly patients. This population should be assessed routinely for depressive symptoms and managed accordingly. |
| Key Words:
Depression, Aged, Coronary artery disease, Angioplasty |
|
PDF Links
Full text via DOI
Download Citation
