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Effects of Percutaneous Coronary Intervention on Depressive Mood in Elderly Patients
Article in En | WPRIM | ID: wpr-114269
Responsible library: WPRO
ABSTRACT
BACKGROUND: Depression is a common comorbid condition in patients with coronary artery disease and a well-documented risk factor for recurrent cardiac events and mortality. We examined the impact of percutaneous coronary intervention (PCI) on depressive mood in elderly patients with chronic stable angina. METHODS: Consecutive patients with chronic stable angina (n=171) who had undergone elective PCI from January 2010 to May 2010 were included in this study. Patients were divided into elderly (> or =65 years) and non-elderly groups (<65 years) and then completed the 21-item Beck Depression Inventory I (BDI-I) at baseline and prior to discharge to assess for depressive symptoms. RESULTS: Seventy-three (43%) patients were assigned to the elderly group and 98 (57%) to the non-elderly group. Using multivariate regression analysis, we found that the elderly group had a higher prevalence of joint, lung, and gastrointestinal diseases; were less religious and less likely to be employed; had lower rates of private health insurance; and were, less frequently, users of regular alcohol, current smokers, and regular exercisers compared to the non-elderly patients. The mean difference in BDI-I scores at baseline and pre-discharge was higher in elderly patients. CONCLUSION: Our study showed a correlation between the extent of depression and elective PCI, especially in elderly patients. This population should be assessed routinely for depressive symptoms and managed accordingly.
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Full text: 1 Index: WPRIM Main subject: Coronary Artery Disease / Prevalence / Risk Factors / Angioplasty / Depression / Angina, Stable / Percutaneous Coronary Intervention / Joints / Lung Type of study: Etiology_studies / Prevalence_studies / Risk_factors_studies Limits: Aged / Humans Language: En Journal: Journal of the Korean Geriatrics Society Year: 2011 Type: Article
Full text: 1 Index: WPRIM Main subject: Coronary Artery Disease / Prevalence / Risk Factors / Angioplasty / Depression / Angina, Stable / Percutaneous Coronary Intervention / Joints / Lung Type of study: Etiology_studies / Prevalence_studies / Risk_factors_studies Limits: Aged / Humans Language: En Journal: Journal of the Korean Geriatrics Society Year: 2011 Type: Article