Abstract
ObjectiveThe incidence of depression and anxiety is higher in patients with acute coronary syndrome. The aim of this study is to determine whether experiencing acute coronary syndrome prior to open heart surgery affects patients in terms of depression, hopelessness, anxiety, fear of death and quality of life.MethodsThe study included 63 patients who underwent coronary bypass surgery between January 2015 and January 2016. The patients were divided into two groups: those diagnosed after acute coronary syndrome (Group 1) and those diagnosed without acute coronary syndrome (Group 2). Beck depression scale, Beck hopelessness scale, Templer death anxiety scale and death depression scale, State-Trait anxiety inventory and WHOQOL-Bref quality of life scale were applied.ResultsThere was no significant difference between the two groups in terms of the total score obtained from Beck depression scale, Beck hopelessness scale - future-related emotions, loss of motivation, future-related expectations subgroups, death anxiety scale, the death depression scale, State-Trait Anxiety Inventory - social and environmental subgroups. The mental quality of life sub-scores of group 2 were significantly higher. The patients in both groups were found to be depressed and hopeless about the future. Anxiety levels were found to be significantly higher in all of the patients in both groups.ConclusionAcute coronary syndrome before coronary artery bypass surgery impairs more the quality of life in mental terms. But unexpectedly there are no differences in terms of depression, hopelessness, anxiety and fear of death.
Highlights
Ischemic heart disease occurs as a result of the stenosis or occlusion of the coronary artery supplying the myocardium generally due to atherosclerosis
Chronic ischemic coronary artery disease may progress asymptomatic in some patients and such patients are diagnosed with coronary artery disease (CAD) through examination made upon any suspicion[1]
No significant difference was found between the two groups in terms of the total score obtained from Beck depression scale (BDS), Beck hopelessness scale - future-related emotions, loss of motivation, future-related expectations subgroups, death anxiety scale, the death depression scale, State-Trait Anxiety Inventory - social and environmental subgroups
Summary
Ischemic heart disease occurs as a result of the stenosis or occlusion of the coronary artery supplying the myocardium generally due to atherosclerosis. The first symptom of ischemic heart disease (IHD) is acute coronary syndrome (ACS). Its typical findings are pressure sensation in the forefront of the chest and the compressing-type pain creeping the neck, jaw, shoulder and arm. Chronic ischemic coronary artery disease may progress asymptomatic in some patients and such patients are diagnosed with coronary artery disease (CAD) through examination made upon any suspicion[1]. The incidence of depression and anxiety in patients with ACS is reported to be higher. Fear of death, death-related depressive mood and a decline in quality of life (QOL) are observed in these patients[2].
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
