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Association between depressive episode before first myocardial infarction and worse cardiac failure following infarction.

机译:首次心肌梗塞前的抑郁发作与梗塞后严重心力衰竭之间的关联。

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摘要

Depression following myocardial infarction is associated with a higher mortality rate. The authors studied 314 patients admitted to the hospital with a first myocardial infarction to assess whether cardiac failure after the infarction, which is also linked to a higher mortality rate, was predicted by psychosocial characteristics present before the myocardial infarction. One-fifth (20.7%) of the subjects met the ICD-10 criteria for depressive episode in the 1 month before the attack. Variables independently associated with worse cardiac failure after the myocardial infarction were greater age, a history of angina preceding the infarction, and a previous depressive episode. The impact of depression on postinfarction outcome may result from the influence of preinfarction depression on the degree of cardiac failure.
机译:心肌梗塞后的抑郁症与更高的死亡率相关。作者研究了314例首次心肌梗塞入院的患者,以评估是否通过心肌梗塞前的心理社会特征预测了梗塞后的心力衰竭(也与更高的死亡率相关)。发作前1个月中,五分之一(20.7%)的受试者符合ICD-10抑郁发作标准。与心肌梗死后更严重的心力衰竭独立相关的变量包括年龄较大,梗死前有心绞痛病史以及先前的抑郁发作。抑郁对梗塞后结局的影响可能是由梗死前对心力衰竭程度的影响所致。

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