The frequency of psychiatric disorders in acute coronary syndrome; in west region of black sea.

Year 2013, Volume: 2 Issue: 3, 208 - 212, 01.09.2013

Osman Yıldırım Sabri Onur Çağlar Fatih Canan Alim Erdem

https://doi.org/10.5505/abantmedj.2013.28290

Abstract

Objective: The aim of the present study was to investigate the pre-hospitalization prevalence of psychiatric disorders among patients who were admitted to coronary intensive care unit with a diagnosis of Acute Coronary Syndrome ACS . Method: This study included patients with ACS who were admitted to the coronary care unit of Abant İzzet Baysal University Hospital between January 2011 and April 2013. The files of the patients were searched for psychiatric diagnoses and psychotropic medication use retrospectively. Results: Four hundred sixty-seven eligible patients were screened. Of these, 373 were male and 94 were female with a mean age of 63.2 ± 15.4 years. Eighty-two patients 17.5% had a psychiatric diagnosis. In this group, psychiatric diagnoses were as follows: depressive disorder 42.2% , anxiety disorders 10.5% , anxiety disorders and depression 10.5% , somatoform disorders 10.2% , psychotic disorders 4.8% , and bipolar disorder 1.7% . Of the patients with a psychiatric diagnosis, 53 were female %64.6 and 29 were male %35.4 p

Keywords

Acute coronary syndrome, depression, psychiatric diagnoses, anxiety

Batı Karadeniz Bölgesindeki akut koroner sendromlu hastalarda psikiyatrik hastalıkların görülme sıklığı

Abstract

Amaç: Koroner yoğun bakım ünitesine Akut Koroner Sendrom AKS tanısı ile yatırılan hastalardaki yatış öncesi psikiyatrik hastalık sıklığını belirlenmesi amaçlandı. Yöntem: Bu çalışmada Ocak 2011- Nisan 2013 yılları arasında Abant İzzet Baysal Üniversitesi Hastanesine başvurup Koroner yoğun bakım ünitesine AKS tanısı ile yatırılan hastaların retrospektif olarak dosyalar ve bilgisayar ortamındaki hasta bilgileri taranarak bu grup hastalardaki psikiyatrik ilaç kullanımı ve bu hastalara konulan psikiyatrik tanılar saptandı. Bulgular: Bu tarihler arasında koroner yoğun bakıma yatış yapılmış toplam 467 hasta saptandı. Bu hastaların 373 tanesi erkek, 94 tanesi kadın olup, bu hastaların yaş ortalaması 63,2 ± 15.4 yıldı. Bu hastaların %17.5’ünde n=82 psikiyatrik hastalık tanısı mevcuttu. Bu hastaların % 42.2 depresyon, %30.6 anksiyete bozukluğu, %10.5’nin anksiyete bozukluğu+depresyon, %10.2’sindede somatoform bozukluk, %4.8’nin psikotik bozukluk ve %1.7’ninde bipolar bozukluk olduğu saptandı. Psikiyatrik hastalık tanısı alan hastaların %64.6’i kadın n=53 , %35.4’ü erkekti n=29 p

Keywords

Akut koroner sendrom, depresyon, psikiyatrik hastalıklar, anksiyete

References

• 1.Jing Fang M, Kate M. Shaw, MS, Nora L. Keenan, PhD. Prevalence of Coronary Heart Disease United States, 2006- 2010. Div for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion. 2011.
• 2. Shapiro PA. Cardiovascular disorders. BJ Sadock, VA Sadock (eds): Comprehensive Textbook of Psychiatry’de. Yedinci baskı, Philadelphia, Lippincott Williams & Wilkins, 2000, s.1797-1803.
• 3.Carney RM, Freedland KE, Veith RC, Jaffe AS(1999) Can treating depression reduce mortality after an acute myocardial infarction? Psychom Med 61:666-675
• 4. Glassman AH, Shapiro PA(1998) Depression and the course of coroner artery disease. Am J Psychiatry 155: 4- 111.
• 5. Shapiro PA (2000) Cardiovascular disorders; Comprehensive Textbook of Psychiatry. Sadock B and Sadock V(eds), 7th edition, Philadelphia:1197-1803.
• 6. Carney RM, Freedland KE, Miller GE, Jaffe AS(2002)Depression as a risk factor for cardiac mortality and morbidity a review of potential mechanisms. J Psychosom Res 53:897-902.
• 7. Somberg TC, Arora RR. Depression and heart disease: therapeutic implications. Cardiology. 2008; 111: 75-81.
• 8. Ekman I, Ehnfors M, Norberg A (2000) The meaning of living with severe chronic heart failure as narrated by elderly people. Scand J Caring Sci;14:130–136.
• 9. Nordgren L, Asp M, Fagerberg I (2007) Living with moderatesevere chronic heart failure as a middle-aged person. Qual Health Res;17:4–13.
• 10. Zambroski CH, Moser DK, Bhat G, Ziegler C (2005) Impact of symptom prevalence and symptom burden on quality of life in patients with heart failure. Eur J Cardiovasc Nurs;4:198–206.
• 11. Badır A (2009) Kalp hastalıklarına bağlı komplikasyonlar. Dahili ve cerrahi hastalıklarda bakım içinde, Karadakovan A, Eti Aslan F, Editörler. istanbul: Nobel Kitabevi, 559-560.
• 12. Kuper H, Marmot M, Hemingway H (2002) Systematic review of prospective cohort studies of psychosocial factors in the aetiology and prognosis of coronary heart disease. Semin Vasc Med;2:267-314.
• 13. Raviele A, Giada F, Bergfeldt L, Blanc JJ, BlomstromLundqvist C, ve ark. Management of patients with palpitations: a position paper from the European Heart Rhythm Association. Europace 2011; 13: 920934.
• 14. Frasure-Smith N, Lesperance F, Talajic M. Depression following myocardial infarction. Impact on 6-month survival. JAMA : the journal of the American Medical Association. 1993; 270: 1819-25.
• 15. Huffman JC, Smith FA, Blais MA, Januzzi JL Fricchione GL (2008) Anxiety, independent of depressive symptoms, is associated with in-hospital cardiac complications after acute myocardial infarction. J Psychosom Res;65:557-63.
• 16. Wang G, Cui J, Wang Y, Deng B, Liang X, Bai J, Guo S, Yang Z, Huang L, Li C. nxiety and Adverse Coronary Artery Disease Outcomes in Chinese Patients. Psychosom Med. 2013 Jun 20.
• 17. Vidovich MI, Ahluwalia A, Manev R (2009) Depression with panic episodes and coronary vasospasm. Cardiovasc Psychiatry Neurol;453786.
• 18. Vural M, Baflar E (2006). Psikolojik faktörlerin koroner kâlb hastalarına etkisi: Olumsuz psikolojik faktörlere müdahale edilmeli mi? Anadolu Kardiyoloji Dergisi;6:55-59.
• 19. Jespersen L, Abildstrøm SZ, Hvelplund A, Prescott E. Persistent angina: highly prevalent and associated with long-term anxiety, depression, low physical functioning, and quality of life in stable angina pectoris. Clin Res Cardiol. 2013 May 1
• 20. Licht CM, de Geus EJ, Zitman FG, Hoogendijk WJ, van Dyck R, Penninx BW (2008) Association between major depressive disorder and heart rate variability in the Netherlands study of depression and anxiety (NESDA). Arch Gen Psychiatry;65:1358-1367.
• 21.Nguyen SB, Cevik C, Otahbachi M, Kumar A, Jenkins LA, Nugent K (2009). Do comorbid psychiatric disorders contribute to the pathogenesis of tako-tsubo syndrome? Areview of pathogenesis. Congest Heart Fail;15:31-34.
• 22. Altunbaş G, Ercan S, Davutoğlu V, Ünal A, Bülbül F. Relationship of cardiovascular disease and depression. JMOOD. 2012; 2(2): 84-90
• 23. Frasure-Smith N, Lesperance F, Talajic M. Depression following myocardial infarction. Impact on 6-month survival. JAMA: the journal of the American Medical Association. 1993; 270: 1819-25.
• 24. Frasure-Smith N, Lesperance F, Talajic M. Depression and 18-month prognosis after myocardial infarction. Circulation. 1995; 91: 999-1005.
• 25. Barth J, Schumacher M, Herrmann-Lingen C: Depression as a risk factor for mortality in patients with coronary heart disease: A meta-analysis. Psychosom Med. 2004;66:802.
• 26.Malzberg B. (1937) Mortality among patients with involutional melancholia. Am J Psychiatry 93:1231-1238.
• 27. Carney RM, Rich MW, Tevelde A, Saini J, Clark K, Jaffe AS. Major depressive disorder in coronary artery disease. Am J Cardiol 1987; 60:1273-1275.
• 28. Roose SP, Glassman AH, Seidman SN. Relationship between depression and other medical illnesses. J Am Med Assoc 2001; 286:1687-1690.
• 29. Sharpe M, Bass C. Pathophysiological mechanisms in somatization. International Review of Psychiatry, 1992;Volume 4,No.1:81-97.
• 30. Sevinçok L. Somatizasyon Bozukluğu. PSİKİYATRİ DÜNYASI 1999;1:5-10
• 31. Türkiye'de Psikoz Epidemiyolojisi: Yaygınlık Tahminleri ve Başvuru Oranları Üzerine Sistematik Bir Gözden Geçirme.