Lee Changbae, Lee Sang Cheol, Shin Yeon Seob, Park Sangwoo, Won Ki Bum, Ann Soe Hee, Ko Eun Jae
Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan 44033, Korea.
Department of Cardiology, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan 44033, Korea.
Healthcare (Basel). 2020 Dec 16;8(4):568. doi: 10.3390/healthcare8040568.
Patients with coronary artery disease (CAD) are more likely to experience depression and anxiety, which, in turn, are risk factors for CAD. The Beck depression inventory (BDI) and Beck anxiety inventory (BAI) were applied for mood evaluation during hospitalization and again 3 months after discharge in 118 patients with CAD, and cardiopulmonary exercise tests were conducted in the outpatient department. Of the patients diagnosed with CAD, 40 (33.9%) had depressive moods, and 51 (43.2%) had anxious moods. A family history of CAD, low Korean activity scale index (KASI), and use of beta-blockers were independent factors causing depressive mood, while lower left ventricular ejection fraction (LVEF) and low KASI score were independent factors causing anxious mood. A considerable number of patients (35.7% with depressive mood and 25.0% with anxious mood) still had emotional problems after 3 months of discharge. The change values of BDI were associated with lower LVEF and longer hospital stay, while those of BAI was associated with a longer hospital stay. Since some patients had depressive and anxious moods after three months of discharge, evaluating and treating them are essential.
冠心病（CAD）患者更易出现抑郁和焦虑情绪，而这些情绪反过来又是CAD的危险因素。对118例CAD患者在住院期间及出院后3个月再次应用贝克抑郁量表（BDI）和贝克焦虑量表（BAI）进行情绪评估，并在门诊进行心肺运动试验。在被诊断为CAD的患者中，40例（33.9%）有抑郁情绪，51例（43.2%）有焦虑情绪。CAD家族史、低韩国活动量表指数（KASI）以及使用β受体阻滞剂是导致抑郁情绪的独立因素，而较低的左心室射血分数（LVEF）和低KASI评分是导致焦虑情绪的独立因素。相当一部分患者（35.7%有抑郁情绪，25.0%有焦虑情绪）在出院3个月后仍存在情绪问题。BDI的变化值与较低的LVEF和较长的住院时间相关，而BAI的变化值与较长的住院时间相关。由于一些患者在出院3个月后仍有抑郁和焦虑情绪，因此对其进行评估和治疗至关重要。
