Meneghetti Carolina Casanova, Guidolin Bruno Luiz, Zimmermann Paulo Roberto, Sfoggia Ana
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brazil.
Trends Psychiatry Psychother. 2017 Jan-Mar;39(1):12-18. doi: 10.1590/2237-6089-2016-0004.
: To investigate the prevalence of anxiety and depression in patients admitted for acute coronary syndrome to a university hospital and to examine associations with use of psychotropic drugs.
: Ninety-one patients who had had an acute coronary event were enrolled on this cross-sectional prevalence study. Characteristics of the study population and the prevalence rates of depression and anxiety in the sample were assessed using the Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) psychiatric consultation protocol, which includes clinical and sociodemographic data, and the Hospital Anxiety and Depression Scale (HADS).
: The prevalence of symptoms of anxiety was 48.4% (44 patients) and the prevalence of depressive symptoms was 26.4% (24 patients). Of these, 19 patients (20.9% of the whole sample) had scores indicative of both types of symptoms concomitantly. Considering the whole sample, just 17 patients (18.7%) were receiving treatment for anxiety or depression with benzodiazepines and/or antidepressants.
: Anxiety and depression are disorders that are more prevalent among patients with acute coronary syndrome than in the general population, but they are generally under-diagnosed and under-treated. Patients with anxiety and depression simultaneously had higher scores on the HADS for anxiety and depression and therefore require more intensive care.
调查一所大学医院收治的急性冠状动脉综合征患者中焦虑和抑郁的患病率，并研究其与精神药物使用之间的关联。
91例发生急性冠状动脉事件的患者纳入了这项横断面患病率研究。使用圣卢卡斯医院（南里奥格兰德天主教大学医院，PUCRS）的精神科会诊方案评估研究人群的特征以及样本中抑郁和焦虑的患病率，该方案包括临床和社会人口学数据，以及医院焦虑抑郁量表（HADS）。
焦虑症状的患病率为48.4%（44例患者），抑郁症状的患病率为26.4%（24例患者）。其中，19例患者（占整个样本的20.9%）的得分表明同时存在这两种症状。在整个样本中，只有17例患者（18.7%）正在接受苯二氮䓬类药物和/或抗抑郁药治疗焦虑或抑郁。
焦虑和抑郁在急性冠状动脉综合征患者中比在普通人群中更为普遍，但它们通常诊断不足且治疗不足。同时患有焦虑和抑郁的患者在HADS焦虑和抑郁量表上得分更高，因此需要更密切的护理。
