Article
The Hidden Scars of Survival: Charting the Course of Depression after Myocardial Infarction
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Authors
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Karen Holland
- Martin-Luther-Universität Halle-Wittenberg, Halle(Saale), Germany
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Rafael Mikolajczyk
- Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Germany
| Published: | September 6, 2024 |
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Outline
Text
Introduction: Depression following acute myocardial infarction (AMI) represents a significant burden that can hinder recovery and impair quality of life. Saxony-Anhalth as one of the highest prevalence of myocardial infarctions in Germany. Understanding the prevalence and severity of depression within this patient population is critical for improving post-infarction care and addressing this significant health challenge.
Methods: The study utilized data from the Regional Myocardial Infarction Registry of Saxony-Anhalt (RHESA). Individuals aged 25 years and older residing in the urban area of Halle and the rural region of Altmark, with a confirmed AMI diagnose, were included. Data was collected via Hospital Data Collection Forms and the (GDS) at two time points: six weeks (RCA1) and two years (RCA2) post-discharge. Statistical analyses employed included logistic regression to assess the initial occurrence and severity of depression, and mixed-effects models to explore the progression of depression over time.
Results: Patients with non-ST elevation myocardial infarction (NSTEMI), Females and clinical symptoms such as diabetes, fear, and dizziness were more predisposed to experience post-AMI depression. Additionally, dyspnea was included as a contributing factor when utilizing a severity scoring system to assess the disease. Longitudinal confounding factors such as time elapsed since AMI diagnosis, NSTEMI occurrence, and female gender exerted substantial influence on the outcome
Conclusion: Early identification of depression in AMI patients are crucial for improving outcomes and enhancing recovery. Addressing depression effectively requires personalized approaches that consider the diverse needs of patients. Further research is needed to develop and implement effective strategies tailored to the needs of this vulnerable population.
The authors declare that they have no competing interests.
The authors declare that a positive ethics committee vote has been obtained.
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