《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (04): 332-333.

• 专题 • 上一篇    下一篇

抑郁症对冠心病患者预后的影响

蒙涛; 马树人; 曹加淮; 李江津; 张学锋; 王柄剑   

  1. 南京医科大学附属淮安第一人民医院心内科,江苏淮安市 223300
  • 收稿日期:2007-01-08 出版日期:2008-04-01 发布日期:2008-04-01

Correlation between Depression and Prognosis in Patients with Coronary Heart Disease

MENG Tao, MA Shu-ren, CAO Jia-huai, et al   

  1. The Cardiovascular Department, Huaian No.1People's Hospital Affiliated to Nanjing University of Medical Sciences,Huaian 223300, Jiangsu, China
  • Received:2007-01-08 Published:2008-04-01 Online:2008-04-01

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摘要： 目的分析抑郁症对冠心病患者预后的影响。方法将246例冠心病患者分为抑郁症组和非抑郁症组,比较两组患者近期心血管事件发生率,分析抑郁症与心血管事件的关系。结果冠心病合并抑郁症患者心绞痛、急性ST段抬高型心梗、急性非ST段抬高型心梗、心力衰竭、短阵室性心动过速、心室颤动、心脏性死亡的发生率分别为75.6%、11.1%、17.8%、26.7%、12.2%、8.9%和7.8%,抑郁症为心血管事件发生的独立预测因素。结论冠心病合并抑郁症患者心血管事件发生率升高,且抑郁症为心血管事件发生的独立预测因素。

关键词: 冠心病, 抑郁症, 心血管事件, 预后

Abstract: Objective To investigate primarily the correlation between depression and prognosis in patients with coronary heart disease(CHD).Methods 246 CHD patients were divided into the depression group and non-depression group.The relation between depression and incidence of short term cardiovascular events was compared.Results The incidence of angina pectoris,ST-segment elevated myocardial infarction,non ST-segment elevated myocardial infarction,congestive heart failure,ventricular tarchycardia,ventricular fibrillation and sudden death in the near future were 75.6%,11.1%,17.8%,26.7%,12.2%,8.9% and 7.8% respectively.Depression was an independent predictive factor of all cardiovascular events.Conclusion CHD patients complicated by depression have a high incidence of cardiovascular events,and the depression is an independent predictive factor of all cardiovascular events.

Key words: coronary heart disease, depression, cardiovascular event, prognosis