scholarly journals Depression in Acute Coronary Syndrome Patients: A Cross-sectional Study in Malaysia

Author(s):  
Wan Nor Asyikeen Wan Adnan ◽  
Siti Azrin Ab Hamid ◽  
Zatul Rathiah Sulong ◽  
Mohd Hashairi Fauzi

Background and purpose: Linked with high mortality rate, depression is common among acute coronary syndrome (ACS) patients. The current study sought to identify the factors associated with depression among ACS patients in Malaysia. Materials and Methods: A cross-sectional study was conducted on 400 ACS patients in two Malaysian hospitals: Hospital Universiti Sains Malaysia (USM), Kelantan and Hospital Sultanah Nur Zahirah (HSNZ), Terengganu. ACS patients were included if they were above 18 years of age, able to read and/or write in Bahasa Melayu language and had informed consent. Patients were excluded if they were intubated, had an altered mental status, mental retardation and had psychological problems prior to ACS. Depression in this study was defined as having dysphoria, hopelessness, devaluation of life, self-deprecation, lack of interest or involvement, anhedonia, and inertia among ACS patients. A questionnaire was distributed to all 400 ACS patients. Simple and multiple logistic regressions were used for data analysis. Results: The mean (standard deviation) age of ACS patients was 60.4 (11.3) years at Hospital USM and 61.2 (10.4) years at HSNZ. Nearly all of the depressive-ACS patients were Malay (79.4%), 85.9% were male, and 79.7% were married. Approximately 87.7% of depressive-ACS patients had ischemic heart disease, 87.1% had stroke, 83.4% had hyperlipidaemia, 81.8% had diabetes mellitus, and 80.7% had hypertension. The factors associated with depression were female gender (adjusted odd ratio (OR): 2.48, 95% confidence interval (CI): 1.50, 4.10, p<0.001) and ischemic heart disease (adjusted OR: 2.44, 95% CI: 1.41, 4.25, p=0.002). Conclusion: The results showed that female gender and ischemic heart disease were the most significant associated factors of depression among ACS patients.

2019 ◽  
Vol Volume 15 ◽  
pp. 539-550
Author(s):  
Manal M Alem ◽  
Sarah R Aldosari ◽  
Alhassna A Alkahmous ◽  
Adam S Obad ◽  
Nagy M Fagir ◽  
...  

2020 ◽  
Vol 58 (231) ◽  
Author(s):  
Punam Gauro ◽  
Ploenpit Thaniwattananon ◽  
Charuwan Kritpracha

Introduction: Cardiovascular health behaviors refer to the activities done by individuals to prevent recurrence, minimize risk factors, improve survival, reduce recurrent events, control cardiovascular disease, and help prevent further complications. Illness perception may determine these behaviors. This study is aimed to identify level of illness perception, cardiovascular health behaviors and illness perception predicting cardiovascular health behaviors among patients with ischemic heart disease. Methods: The study was a descriptive cross-sectional study. Altogether 114 samples were selected using convenience sampling technique. Data was collected by using pretested semi-structured questionnaire. The data were analyzed using descriptive statistics. Results: Illness perception was at moderate level (M= 148.05, SD= 12.86) which represented a moderate threatening perception. The score of cardiovascular health behaviors was at a high level (M=92.14, SD=10.72). Conclusions: The findings showed that illness perception can be a predictor of cardiovascular health behaviors.


2014 ◽  
pp. 253-261
Author(s):  
Thanh Trung Nguyen ◽  
Anh Tien Hoang

Objective: To evaluate ABI, baPWV by Omron VP 1000 Plus in ischemic heart disease patients; and find out the relationship between ABI, baPWV and risk factors, number of coronary artery branches lesions, Gensini index. Subjects and methods: A cross-sectional study on 63 ischemic heart disease patients admitted to Department of Cardiology Hue University Hospital, all of them agree to participate in research.. Results: The average ABI was 1.05 ± 0.11 on the right; 1.08 ± 0.10 on the left. This difference was not statistically significant (p = 0.278). ABI ≤ 0.9 accounted for 9.52%; accounted for 30.16% from 0.91 to 0.99. The average of right baPWV was 1926.33 ± 477.39 cm/s; left baPWV is 1966.33 ± 533.47 cm/s (p = 0.634). baPWV> 17 m/s, accounted for 73.01%; from 14-17 m/s: 12.7%. There is a difference of the minABI, maxbaPWV between stable angina and acute coronary syndrome group (p<0.05), between minABI, maxbaPWV in 1 vessel lesion group and multi-vessels lesions group (p <0.05). Moderate negative correlation between minABI and Gensini index (r = -0.43; p <0.01). Strong correlation between maxbaPWV and Gensini index (r = 0.605; p <0.01). Conclusion: ABI and baPWV can be used to predict coronary artery lesions in ischemic heart disease patients.


2021 ◽  
Vol 179 ◽  
pp. 106335
Author(s):  
Ferdaous Yangui ◽  
Amany Touil ◽  
Saoussen Antit ◽  
Lilia Zakhama ◽  
Mohamed Ridha Charfi

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e015809 ◽  
Author(s):  
Jingjing Ma ◽  
Jiali Wang ◽  
Wen Zheng ◽  
Jiaqi Zheng ◽  
Hao Wang ◽  
...  

ObjectivesThe aim of this study was to explore the choice of transportation mode to hospital in patients with acute coronary syndrome (ACS) and to determine the factors influencing the use of ambulance.Design, setting and participantsThis cross-sectional study was conducted in a tertiary and teaching hospital in China. The study was carried out between 24 August 2015 and 24 July 2016. A total of 828 patients with ACS presented at the emergency department (ED) were included. The study population was dichotomised according to their primary mode of transport (ambulance or self-transport) to hospital. Social demographics, cardiovascular history, risk factors, prehospital medications, clinical characteristics and symptom characteristics were collected. Multivariable logistic regression was used to examine the factors associated with ambulance use.ResultsWe found that only 179 (21.6%) patients with ACS chose taking ambulance to hospital. Factors associated with ambulance use were single (OR 1.66, 95% CI 1.07 to 2.57), taking Suxiaojiuxin pills (OR 1.91, 1.31 to 2.80) or nitrates (OR 2.91, 1.70 to 4.99) before going to hospital, diagnosed as ST-elevation myocardial infarction (STEMI) (OR 2.43, 1.45 to 4.05), with persistent symptoms (OR 1.95, 1.33 to 2.86) and symptoms accompanied with vomiting (OR 2.35, 1.19 to 4.62). The patients who had symptoms precipitated or aggravated by exercise (OR 0.37, 0.14 to 0.98) tended to choose self-transport.ConclusionThe usage of ambulance in patients with ACS presenting to the ED was low in China. Factors like single, taking Suxiaojiuxin pills or nitrates before going to hospital, diagnosed as STEMI, accompanied with vomiting and persistent symptoms were independently associated with ambulance use. Future education programmes should focus on these factors and increase people’s knowledge on ACS and the benefits of ambulance use.


Author(s):  
Arun Kumar Palakurthi ◽  
Krishna Chaitanya Alam

Background: Prevalence of subclinical hypothyroidism is more common in females compared to males and elderly age group. More studies are required to throw light on these aspects especially among elderly women with subclinical hypothyroidism and its association with prevalence of hypertension, diabetes and ischemic heart disease (IHD) among these women. The objective was to study prevalence of subclinical hypothyroidism among elderly females and its relation with the diabetes, hypertension and IHD.Methods: Hospital based cross-sectional study was carried out among 178 women of 50 years and more. Detailed history, clinical examination and routine investigations were carried out. Free T4, free T3 and TSH (thyroid stimulating hormone) levels were measured using electro chemiluminescent method. Presence of hypertension, diabetes mellitus, IHD was noted.Results: Prevalence of subclinical hypothyroidism was 24.7% and more in 61-70 years (38.5%). In 55% of the women the symptoms were absent. The most common symptom was fatigability and constipation. The prevalence of IHD among women with subclinical hypothyroidism was 22.7% compared to only 7.5% in women without subclinical hypothyroidism and this difference was found to be statistically significant (p<0.05). For hypertension and diabetes, it was observed that the prevalence of these two conditions was slightly more in women without subclinical hypothyroidism but the difference was not found to be statistically significant (p>0.05).Conclusions: Prevalence of subclinical hypothyroidism in the elderly women was high. Subclinical hypothyroidism was found to be significantly associated with IHD but not with hypertension and diabetes.


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