DEPRESSIVE DISORDERS AND PROGNOSIS IN PATIENTS WITH ISCHEMIA-INDUCED CHRONIC HEART FAILURE

Abstract

Abstract. Introduction. Clinical depression occurs in 21.5% of patients with heart failure, aggravating both the clinical course and the prognosis of the disease. The aim is to present the findings of the clinical course of chronic heart failure in patients with depressive disorders and to study their prognoses. Material and Methods. The study included 78 patients with heart failure, functional classes 1-4. The degree of depressive disorders was assessed using the Hospital Anxiety and Depression Scale (HADS). Life quality was assessed using the Minnesota Living with Heart Failure Questionnaire. All patients passed a 6-minute walk test and echocardiography. The patient’s clinical condition was assessed according to the clinical condition assessment scale. Prognoses were assessed after 1 year of study. Results and Discussion. Depression level analysis has shown that the clinically pronounced depression is common in patients with heart failure, which corresponds to 9.0 (6.0;11.0) points. In a closer consideration of the structure of disorders, no depression was found in 37.2 % of cases, subclinical depression was found less frequently in patients with heart failure (26.9 %), while clinical depression was found in 35.9 %. All-cause mortality was observed in 7.7 % of cases, while cardiovascular mortality occurred in 4.6 %. Pronounced depression was registered in patients with chronic heart failure, in case of hospital admission. Conclusions. Average depression level in patients with heart failure is 9.0 (6.0; 11.0) points, which corresponds with clinical depression. Depression occurs in 62.8 % of cases and associated with worse clinical condition. Overt clinical depression occurs more frequently in patients with chronic heart failure, who have come up to the event of hospitalization.