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Prevalence of Anxiety and Depression Symptoms in Patients with Myocardial Infarction with Non-Obstructive Coronary Arteries
Karolinska Institutet, Stockholm.
University of Oslo, Norway, Norway.
Karolinska Institutet, Stockholm.
Karolinska Institutet, Stockholm; Sahlgrenska Academy, University of Gothenburg.
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2018 (English)In: American Journal of Medicine, ISSN 0002-9343, E-ISSN 1555-7162, Vol. 131, no 9, p. 1118-1124Article in journal (Refereed) Published
Abstract [en]

Background: Myocardial infarction with non-obstructive coronary arteries is a working diagnosis for several heart disorders. Previous studies on anxiety and depression in patients with myocardial infarction with non-obstructive coronary arteries are lacking. Our aim was to investigate the prevalence of anxiety and depression among patients with myocardial infarction with non-obstructive coronary arteries. Methods: We included 99 patients with myocardial infarction with non-obstructive coronary arteries together with age- and sex-matched control groups who completed the Beck Depression Inventory and the Hospital Anxiety and Depression Scale (HADS) 3 months after the acute event. Results: Using the Beck Depression Inventory, we found that the prevalence of depression in patients with myocardial infarction with non-obstructive coronary arteries (35%) was higher than in healthy controls (9%; P =.006) and similar to that of patients with coronary heart disease (30%; P =.954). Using the HADS anxiety subscale, we found that the prevalence of anxiety in patients with myocardial infarction with non-obstructive coronary arteries (27%) was higher than in healthy controls (9%; P =.002) and similar to that of patients with coronary heart disease (21%; P =.409). Using the HADS depression subscale, we found that the prevalence of depression in patients with myocardial infarction with non-obstructive coronary arteries (17%) was higher than in healthy controls (4%; P =.003) and similar to that of patients with coronary heart disease (13%; P =.466). Patients with myocardial infarction with non-obstructive coronary arteries and takotsubo syndrome scored higher on the HADS anxiety subscale than those without (P =.028). Conclusions: This is the first study on the mental health of patients with myocardial infarction with non-obstructive coronary arteries to show that prevalence rates of anxiety and depression are similar to those in patients with coronary heart disease. 

Place, publisher, year, edition, pages
2018. Vol. 131, no 9, p. 1118-1124
Keywords [en]
Beck Depression Inventory, Hospital Anxiety and Depression Scale, Myocardial infarction, Myocardial infarction with non-obstructive coronary arteries, Takotsubo syndrome
National Category
Psychology
Identifiers
URN: urn:nbn:se:miun:diva-34559DOI: 10.1016/j.amjmed.2018.04.040ISI: 000445642300044PubMedID: 29859805Scopus ID: 2-s2.0-85050644490OAI: oai:DiVA.org:miun-34559DiVA, id: diva2:1251991
Available from: 2018-09-28 Created: 2018-09-28 Last updated: 2019-03-27Bibliographically approved

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