抑郁焦虑导致心肌梗死的危险因素

Risk Factors of Myocardial Infarction Caused by Depression and Anxiety

探讨抑郁和焦虑导致心肌梗死的危险因素,为合理预防心肌梗死提供科学依据。选取来我院住院治疗的300名心肌梗塞患者,采用住院焦虑和抑郁量表(HADS)来确定心肌梗死患者出院时的焦虑和抑郁情况,观察患者的性别、年龄、吸烟情况、入院时的生命体征和胸部疼痛严重程度、糖尿病、高血压、左心室射血分数(LVEF)以及心室颤动、持续性室性心动过速、心源性休克等并发症。结果显示,抑郁评分高的患者(8~21分)比抑郁评分低的患者(0~7分)更容易出现并发症(χ^(2)=34.15,P<0.001),男性低于女性,且ST段抬高型的心肌梗死更为常见,说明抑郁和焦虑是易感人群发生心肌梗死的危险因素,故预防、治疗抑郁及焦虑可减少心肌梗死的发生。

The study explores the risk factors associated with depression and anxiety leading to myocardial infarction to provide scientific basis for the prevention of myocardial infarction.The study selects 300 patients with myocardial infarction in the hospital with HADS to determine the anxiety and depression situation of discharged patients;and gender,age,smoking status,vital signs and severity of chest pain at admission,diabetes,hypertension,left ventricular ejection fraction(LVEF),and complications,such as ventricular fibrillation,persistent ventricular tachycardia,and cardiogenic shock,etc are observed.The results show that patients with high depression scores(8~21)are more likely to have complications than those with low depression scores(0~7)(χ^(2)=34.15,P<0.001),the score of the male is lower than the female,and myocardial infarction with ST elevation is more common.It is concluded that depression and anxiety are risk factors of myocardial infarction in susceptible people,so prevention and treatment of depression and anxiety can reduce the occurrence of myocardial infarction.