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Depressive symptoms in pulmonary arterial hypertension: prevalence and association with functional status.

机译:肺动脉高压的抑郁症状:患病率和与功能状态的关联。

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BACKGROUND: In patients with left-heart disease, depressive symptoms have a significant impact on functional status and quality of life. The prevalence of depressive symptoms, and their impact on patients with pulmonary arterial hypertension (PAH) is understudied. OBJECTIVE: The authors investigated the prevalence of depressive symptoms in PAH and their correlation with physical functioning. METHOD: Consecutive outpatients with PAH (idiopathic; or associated with scleroderma, congenital heart disease, or anorexiant use) seen in two university PAH clinics were screened. At two outpatient visits, 8 to 16 weeks apart, patients completed the PHQ-8, a well-validated instrument for grading severity of depressive symptoms; they were assessed for cardiac functional class (FC), and performed a 6-minute walk-distance test (6MWD). RESULTS: A group of 100 patients (88% women, 50% with idiopathic PAH) were enrolled. At baseline, 15% of subjects had symptoms suggestive of major depressive disorder; 40% had mild-to-moderate depressive symptoms; and 45% had no-to-minimal depressive symptoms. CONCLUSION: Depression is common in patients with PAH, with 55% demonstrating depressive symptoms. These results suggest that screening patients with PAH will identify a large proportion of patients who might benefit from depression therapy.
机译:背景:在患有左心疾病的患者中,抑郁症状对功能状态和生活质量有重大影响。抑郁症状的发生率及其对肺动脉高压(PAH)患者的影响尚未得到研究。目的:作者调查了PAH中抑郁症状的患病率及其与身体功能的相关性。方法:对在两个大学PAH诊所中发现的连续性PAH(特发性;或与硬皮病,先天性心脏病或厌食症相关的)门诊病人进行筛查。在两次相隔8至16周的门诊就诊时,患者完成了PHQ-8,PHQ-8是一种有效的抑郁症状严重程度分级工具。对他们的心脏功能等级(FC)进行了评估,并进行了6分钟的步行距离测试(6MWD)。结果:纳入一组100例患者(88%为女性,50%为特发性PAH)。基线时,有15%的受试者有暗示严重抑郁症的症状; 40%有轻度至中度的抑郁症状; 45%的人没有最低程度的抑郁症状。结论:PAH患者抑郁很常见,有55%的患者表现出抑郁症状。这些结果表明,筛查PAH的患者将确定可能从抑郁疗法中受益的大部分患者。

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