Abstract

to compare possible differences regarding the presence of depressive symptoms according to the clinical diagnosis of Acute Coronary Syndrome, gender and age, one week before the first cardiac event. cross-sectional, descriptive and exploratory study, which used the Beck Depression Inventory. The sample consisted of 253 patients. it was found that patients with a clinical diagnosis of unstable angina, female and under 60 years of age reported the presence of depressive symptoms more frequently. a high percentage of patients presented depressive symptoms at the time of hospitalization for the first episode of Acute Coronary Syndrome, and this prevalence was significantly higher among women, under 60 years of age, with unstable angina. These results should provide support for the care in the hospitalization, discharge and planning of the rehabilitation of these patients, as it is known that depression impairs the control of coronary disease.

Highlights

  • The World Health Organization has provided consistent estimates of causes of death by sex and age, for countries and regions, from systematic reviews of observational evidence

  • A high prevalence of depressive symptoms was found among patients who were hospitalized as a result of the first episode of Acute Coronary Syndromes (ACS) (43.5%)

  • The patients hospitalized with unstable angina (UA), female and under the age of sixty years more frequently reported the presence of depressive symptoms

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Summary

Introduction

The World Health Organization has provided consistent estimates of causes of death by sex and age, for countries and regions, from systematic reviews of observational evidence. The most recent data show that the cardiovascular diseases (CVD), Acute Myocardial Infarction (AMI), represent the major cause of mortality and disability in both sexes, both in Brazil and worldwide Their growth is rapid in developing countries, and they represent one of the more relevant public health issues today[1]. The Acute Coronary Syndromes (ACS) include conditions such as AMI and unstable angina (UA) and are caused by the rupture of atheromatous plaques with either total or partial occlusion of the coronary bed[2,3] Specific emotions such as anxiety, nervousness and depression have emerged as potential risk factors for the onset of AMI and UA[4,5].

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