接受经皮冠状动脉介入治疗的急性冠状动脉综合征患者的焦虑抑郁程度与 SYNTAX 评分之间有关系吗?

A. Kaya, Cemalettin Yılmaz, Mehmet Hasan Özdil, Serdar Soner, Mehmet Özbek
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引用次数: 0

摘要

目的:TAXUS经皮冠状动脉介入治疗和心脏手术(SYNTAX)之间的SYNERGY评分是一种定量评分系统,用于评估冠状动脉疾病患者病情的严重程度和范围。医院焦虑抑郁量表(HADS)是一种测量患者焦虑和抑郁程度的量表。社会心理压力与动脉粥样硬化之间的关系众所周知。本研究旨在探讨因急性冠状动脉综合征(ACS)而接受经皮冠状动脉介入治疗的患者的 SYNTAX 评分与 HADS 之间的关系。研究方法本研究共纳入 130 名急性冠状动脉综合征患者。由两名独立的介入心脏病专家计算出的 SYNTAX 评分分为三组:0-22 分,低;23-32 分,中;33 分及以上,高。在我们的研究中,患者的焦虑和抑郁水平在 ACS 后 1 个月进行了 HADS 评估。结果显示在所有受试者中,SYNTAX 评分为 0-22 分、23-32 分和大于 33 分的患者分别有 68 人、39 人和 23 人。观察发现,SYNTAX 高分与 HADS 抑郁和焦虑量表之间存在明显关系(分别为 p<0.001、p<0.001)。相关分析发现,SYNTAX 评分与抑郁程度呈中度正相关,SYNTAX 评分与焦虑程度呈弱正相关(r=0.642,r=0.538)。结论在我们的研究中,我们发现在接受经皮冠状动脉介入治疗的 ACS 患者中,HADS 和 SYNTAX 评分有明显的相关性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Is There a Relationship between Anxiety-depression Level and SYNTAX Score in Patients with Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention?
Objectives: The SYNergy between percutaneous coronary interventions with TAXUS and Cardiac Surgery (SYNTAX) score is a quantitative scoring system used to evaluate the severity and extent of the disease in patients with coronary artery disease. Hospital Anxiety and Depression Scale (HADS) is a scale that measures the anxiety and depression levels of patients. The relationship between psychosocial stress and atherosclerosis is well known. In this study, we aimed to examine the relationship between SYNTAX score and HADS in patients who performed percutaneous coronary intervention due to acute coronary syndrome (ACS). Methods: A total of 130 subjects with ACS were included in our study. The SYNTAX score, which was calculated by two independent interventional cardiologists, was divided into three groups: 0–22, low; 23–32, moderate; 33 and above, high. In our study, patients’ anxiety and depression levels were evaluated with HADS 1 month after ACS. Results: Of the total subjects, 68, 39, and 23 patients were determined in SYNTAX scores of 0–22, 23–32, and >33 groups, respectively. A significant relationship was observed between the high SYNTAX score and the HADS-depression and anxiety scale (p<0.001, p<0.001, respectively). In the correlation analysis found that, a moderate positive correlation between the SYNTAX score and depression level, and a weak positive correlation between the SYNTAX and anxiety level (r=0.642, r=0.538, respectively). Conclusion: In our study, we found that HADS and SYNTAX scores were significantly correlated in ACS patients who performed percutaneous coronary intervention.
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