TÌNH TRẠNG TRẦM CẢM TRÊN BỆNH NHÂN SAU HỘI CHỨNG VÀNH CẤP ĐƯỢC CAN THIỆP

Abstract

Background: Acute coronary syndrome (ACS) is a medical emergency that not only threatens the life of the patient but also brings a lot of morbidity burden for the survivors after the event, including depression¹. PHQ-9 is a highly sensitive and specific score that can be up to 88% to screen for depression⁴. Objective: To investigate the rate of depression and related factors in patients with acute coronary syndrome by using the PHQ-9 scale. Subjects & Methods: A prospective cross-sectional description of all ACS patients who were followed up at the Interventional Cardiology Department at Cho Ray Hospital from February 2019 to June 2019 using the PHQ-9 scale to assess the status of depression and related factors in the patients surviving. Results: 291 patients ACS have the mean age is 64.2 ±10.7; Males (72.5%). There are 66.3% patients ≥ 60 years old; 7.2% of patients < 50 years old; Hypertension (70.8%) and dyslipidemia (65.3%).The rate of depression in patients after ACS was 21% as measured by the PHQ-9 scale, with no significant difference between clinical types of ACS. Risk factors such as female gender, advanced age, type 2 diabetes, history of stroke, unhappy marital status & family, and joblessness increase the risk of depression in patients after ACS. There was no association between depression with Killip classification and beta-blocker use in acute coronary syndromes. Conclusion: Depression after ACS is not uncommon, can reach up to 21%. It also carries a heavy burden of disease for ACS survivors. This is a clinical entity that has not received much attention from cardiologists.