Effects of Percutaneous Coronary Intervention on Depressive Mood in Elderly Patients

다국어 초록 (Multilingual Abstract)

Background: Depression is a common comorbid condition in patients with coronary artery disease and a well-documen- ted 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(≥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 gastrointes- tinal 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.

참고문헌 (Reference)

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