La depresión mayor como nuevo factor de riesgo en la cardiopatía coronaria en Chile / Major depression as a risk factor for coronary disease
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 andmethods:
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
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