Most Read Articles
01 Mar 2016
Combination therapy with ezetimibe/statin improved low-density lipoprotein (LDL) cholesterol levels and cardiovascular outcomes in patients with acute coronary syndrome (ACS), as stated in a 16-week one-centre, prospective, randomised, open-label clinical trial.
13 Aug 2016
Prasugrel is superior than clopidogrel in the treatment of acute coronary syndrome (ACS) and ST-elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (PCI) as presented in a study.
01 Mar 2016
Earlier oral β blocker administration is substantially correlated with lower rates of left ventricular (LV) dysfunction and in-hospital mortality in acute coronary syndrome patients, according to a study.
16 Dec 2018
The absence of the classical symptom of chest pain in patients with acute myocardial infarction (AMI) appears to be associated with more complications and higher short- and long-term mortality rates, particularly in younger and healthier patients, according to a study.

Hospital visits more likely in adult congenital heart disease patients with depression/anxiety

09 Jan 2019
Anxiety and stress over test results is just one of the few risks faced by individuals who carry out genetic testing.

Among adults with congenital heart disease (ACHD), depression/anxiety appear to increase the utilization of healthcare resources, reports a recent study.

The study included 8,334 ACHD patients, of whom 2,073 (25 percent) had depression and 1,973 (24 percent) had anxiety. Overall, 35 percent (n=2,950; mean age 54.1±17.4 years; 60.8 percent female) had depression/anxiety. These patients were more likely to be women and have lower socioeconomic status and comorbidities than their counterparts without the condition.

Researchers then divided the depression/anxiety patients into those who had been diagnosed in the past (n=1,860) and those who had been diagnosed during the study period (n=1,090). These patients were significantly more likely to visit a cardiologist than their no-condition counterparts (87 percent and 83 percent vs 80 percent, respectively; p<0.0001).

Utilization of inpatient services was likewise greater in patients with depression/anxiety. Among those with recent and prior diagnoses, the corresponding 5-year rates of hospitalizations were 1.7 and 1.3 encounters/5 years. This was greater than that in patients without the condition (1.0 encounter/5 years).

Multivariable adjusted negative binomial models showed that relative to those without depression/anxiety, those with past and recent diagnoses had significantly more primary care (rate ratio [RR], 1.31; 95 percent CI, 1.27–1.35 and RR, 1.36; 1.31–1.42, respectively) and outpatient cardiology (RR, 1.07; 1.01–1.13 and RR, 1.22; 1.14–1.30, respectively) visits.

The same was true for hospitalizations (past and recent diagnoses: RR, 1.18; 1.08–1.29 and RR, 1.47; 1.33–1.64, respectively) and visits to the emergency department (RR, 1.60, 1.46–1.77 and RR, 1.43; 1.24–1.60, respectively).

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Cardiology - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
01 Mar 2016
Combination therapy with ezetimibe/statin improved low-density lipoprotein (LDL) cholesterol levels and cardiovascular outcomes in patients with acute coronary syndrome (ACS), as stated in a 16-week one-centre, prospective, randomised, open-label clinical trial.
13 Aug 2016
Prasugrel is superior than clopidogrel in the treatment of acute coronary syndrome (ACS) and ST-elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (PCI) as presented in a study.
01 Mar 2016
Earlier oral β blocker administration is substantially correlated with lower rates of left ventricular (LV) dysfunction and in-hospital mortality in acute coronary syndrome patients, according to a study.
16 Dec 2018
The absence of the classical symptom of chest pain in patients with acute myocardial infarction (AMI) appears to be associated with more complications and higher short- and long-term mortality rates, particularly in younger and healthier patients, according to a study.