PREVALENCE OF DEPRESSION AND ANXIETY IN PATIENTS PRESENTING WITH ACUTE CORONARY SYNDROME TO MARDAN MEDICAL COMPLEX

Abstract

Objective: The present study is aimed to determine the frequency of depression and anxiety in patients presenting with Acute Coronary Syndrome to a teaching Hospital.

Methodology: It was a cross sectional descriptive study, which included 110 patients suffering from Acute coronary syndrome. Admitted patients were interviewed following ACS in 3-5 days, using semi structured interview method for important demographic information, history of psychiatric illness, and other variables. Afterwards patients were assessed for depression and anxiety. This study was conducted at MTI Mardan Medical Complex from June 2018 to June 2019.

Results: There were 110 patients out of which males were 68.2% and females were 31.8%. Among these 99% were married. 10% were unemployed, while remaining were either government servants, businessmen, laborers or housewives. Educated were 40%, while remaining had received some form of education. There were 69.1% who had STEMI, 12.7% had NSTEMI, and 12.7% had CCF. Based on HDRS, 35.5% met criteria for very severe depression, followed by 15.5% severe depression. According to HAM-A scores, 14.5% met criteria for very severe anxiety, followed by 19.2% moderate to severe anxiety, and 32.7% met criteria for mild to moderate anxiety. Depression and anxiety were more prevalent among females in comparison with males.

Conclusion: There is high prevalence of depression, and anxiety in patients with ischemic heart disease. Diagnosing and treating psychiatric conditions in such patients will lead to improve compliance and outcomes.