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La depresión mayor como nuevo factor de riesgo en la cardiopatía coronaria en Chile / Major depression as a risk factor for coronary disease
Araya Alvarez, María Virginia; Madariaga A., Carlos; Ureta V., Carlos; Tomé B., Mónica; Bustos M., Carlos.
Afiliação
  • Araya Alvarez, María Virginia; Hospital E. Torres G. Unidad de Epidemiología.
  • Madariaga A., Carlos; Hospital E. Torres G. Unidad de Epidemiología.
  • Ureta V., Carlos; Hospital E. Torres G. Unidad de Epidemiología.
  • Tomé B., Mónica; Hospital E. Torres G. Unidad de Epidemiología.
  • Bustos M., Carlos; Hospital E. Torres G. Unidad de Epidemiología.
Rev. méd. Chile ; 130(11): 1249-1256, nov. 2002. tab
Article em Es | LILACS | ID: lil-340224
Biblioteca responsável: CL1.1
ABSTRACT

Background:

Major depression, a frequent psychiatric disease, is associated with ischemic heart disease. It is usually subdiagnosed and subtreated.

Aim:

To study the prevalence of major depression among survivors of an acute myocardial infarction. Patients and

methods:

Retrospective study of 42 survivors of an acute myocardial infarction treated at a regional Chilean Hospital. The presence of major depression in the 6 months previous to the acute myocardial infarction, was investigated using the diagnostic instruments CIDI (Composite International Diagnostic Interview) and DIS (Diagnostic Interview Schedule), psychiatric diagnoses were based on DSMIII-R. The prevalence of depression was compared with that observed in a group of 156 healthy subjects participating in a psychiatric epidemiological study.

Results:

Major depression was diagnosed in 12 male subjects with an acute myocardial infarction. The prevalence in the control group was significantly lower (15 percent, p <0.049). Patients with depression were older and required longer hospital stay than patients without depression.

Conclusions:

Patients with acute myocardial infarction, had a significantly greater prevalence of major depression in the previous 6 months, than the general population. Thus, major depression could be an independent and modifiable coronary risk factor
Assuntos
Texto completo: 1 Base de dados: LILACS Assunto principal: Transtorno Depressivo Maior / Infarto do Miocárdio Tipo de estudo: Etiology_studies / Observational_studies Limite: Adult / Female / Humans / Male País/Região como assunto: America do sul / Chile Idioma: Es Revista: Rev. méd. Chile Assunto da revista: MEDICINA Ano de publicação: 2002 Tipo de documento: Article País de afiliação: Chile
Texto completo: 1 Base de dados: LILACS Assunto principal: Transtorno Depressivo Maior / Infarto do Miocárdio Tipo de estudo: Etiology_studies / Observational_studies Limite: Adult / Female / Humans / Male País/Região como assunto: America do sul / Chile Idioma: Es Revista: Rev. méd. Chile Assunto da revista: MEDICINA Ano de publicação: 2002 Tipo de documento: Article País de afiliação: Chile