pci后急性心肌梗死的心理困扰和主要不良心血管事件:风险分析和管理意义。

IF 1.3 4区 医学 Q4 PSYCHIATRY
Lijun Sun, Yan Gao, Jing Wu, Lili Shao, Na Zheng
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引用次数: 0

摘要

目的探讨急性心肌梗死(AMI)患者经皮冠状动脉介入治疗(PCI)后心理状态与主要不良心血管事件(MACE)的相关性。在此基础上,讨论了健康管理策略。方法回顾性分析2020年1月至2023年12月在中国某三级医院行PCI治疗的200例AMI患者。计算MACE的发生率,并测定医院焦虑抑郁量表(HADS)评分与MACE的相关性。结果四分之三(75.0%)的患者pci后显著焦虑(HADS-A bbb9)评分高于阈值,61.0%的患者抑郁症状(HADS-D bbb9)评分高于阈值。多因素分析发现,高等教育(OR: 1.754, 95% CI: 1.080 ~ 2.851)、低收入(OR: 0.229, 95% CI: 0.089 ~ 0.589)和吸烟(OR: 0.384, 95% CI: 0.159 ~ 0.931)是焦虑的独立危险因素,而低收入(OR: 0.236, 95% CI: 0.105 ~ 0.529)、吸烟(OR: 5.125, 95% CI: 2.213 ~ 11.867)和女性(OR: 3.042, 95% CI: 0.260 ~ 7.348)与抑郁显著相关(P < 0.05)。21.5%的患者发生MACE。首次PCI (OR: 0.03, 95% CI: 0.003 ~ 0.296)和抑郁评分与MACE风险增加显著相关(r = 0.207, OR: 47.79, 95% CI: 8.38 ~ 272.47, P < 0.05),而焦虑评分无显著相关性(P < 0.05)。结论AMI患者pci后常见的症状为焦虑和抑郁,抑郁症状与病情进展(MACE评分)显著相关。更多关注患者的心理健康,可能有助于改善AMI患者PCI术后的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychological Distress and Major Adverse Cardiovascular Events in Post-PCI Acute Myocardial Infarction: Risk Profiling and Management Implications.

ObjectiveThis study examined the correlation between psychological status and major adverse cardiovascular events (MACE) in acute myocardial infarction (AMI) patients after percutaneous coronary intervention (PCI). Based on these results, health management strategies were discussed.MethodsA retrospective analysis was conducted in 200 AMI patients who underwent PCI between January 2020 and December 2023 at a tertiary care hospital in China. The incidence of MACE was calculated, and the correlation between Hospital Anxiety and Depression Scale (HADS) scores and MACE was determined.ResultsThree-quarters (75.0%) of patients scored above the threshold on significant anxiety (HADS-A >9) and 61.0% did so for depressive symptoms (HADS-D >9) post-PCI. Multivariate analysis identified higher education (OR: 1.754, 95% CI: 1.080∼2.851), lower income (OR: 0.229, 95% CI: 0.089∼0.589), and smoking (OR: 0.384, 95% CI: 0.159∼0.931) as independent risk factors for anxiety, while low income (OR: 0.236, 95% CI: 0.105∼0.529), smoking (OR: 5.125, 95% CI: 2.213∼11.867), and female gender (OR: 3.042, 95% CI: 0.260∼7.348) were significantly associated with depression (P < 0.05). MACE occurred in 21.5% of patients. First-time PCI (OR: 0.03, 95% CI: 0.003∼0.296) and depression scores were significantly associated with increased MACE risk (r = 0.207, OR: 47.79, 95% CI: 8.38∼272.47, P < 0.05), whereas anxiety scores showed no significant association (P > 0.05).ConclusionAnxiety and depression are common post-PCI symptoms in AMI patients, and depressive symptoms are significantly correlated with disease progression (MACE scores). Greater focus on patients' mental health, may help improve the prognosis of AMI patients after PCI.

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来源期刊
CiteScore
3.00
自引率
5.00%
发文量
55
审稿时长
6-12 weeks
期刊介绍: The International Journal of Psychiatry in Medicine (IJPM) bridges the gap between clinical psychiatry research and primary care clinical research. Providing a forum for addressing: The relevance of psychobiological, psychological, social, familial, religious, and cultural factors in the development and treatment of illness; the relationship of biomarkers to psychiatric symptoms and syndromes in primary care...
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