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. 2023;34(1):30-34.
doi: 10.5830/CVJA-2022-022. Epub 2022 Aug 18.

The non-negligible association between SYNTAX score and anxiety-depressive disorders

Levent Cerit  1 , Zeynep Cerit  2 , Hamza Duygu  2
Affiliations

The non-negligible association between SYNTAX score and anxiety-depressive disorders

Levent Cerit et al. Cardiovasc J Afr. 2023.

Abstract

Objective: Anxiety-depressive disorders are more common in patients with coronary artery disease (CAD) and are strongly associated with higher morbidity and mortality rates. The Hospital Anxiety and Depression Scale (HADS) is a wellvalidated diagnostic tool for screening of anxiety-depression disorders. The SYNTAX score (SS) is the angiographic scoring system and is commonly used to evaluate the severity and complexity of CAD. The aim of this study was to evaluate the association between the HADS and SS.

Methods: The HADS questionnaire was filled in by subjects before the coronary angiography procedure. Biochemical, clinical and echocardiographic parameters, and SS were evaluated in all patients. Patients were assessed using the HADS. The patients were divided into two groups according to the SS [≥ 23: high SYNTAX score group (HSSG), < 23 low].

Results: The HADS scale was significantly higher in HSSG (24.8 ± 10.7 vs 11.3 ± 6.4 p < 0.001). There was no significant difference between the groups regarding laboratory parameters. On multivariate analysis, diabetes mellitus, hyperlipidaemia and the HADS were independent predictors of high SYNTAX score.

Conclusions: In our study, we found that diabetes mellitus, hyperlipidaemia and the HADS were independent predictors of a higher SS.

Keywords: anxiety‐depressive disorders; coronary artery disease; diabetes mellitus; hyperlipidaemia.

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Figures

Fig. 1
Fig. 1
ROC curve analysis to evaluate the diagnostic performance of the HADS for differentiating low and high SS patients.
See this image and copyright information in PMC

References

    1. Shanmugasegaram S, Russell KL, Kovacs AH, Stewart DE, Grace SL. Gender and sex differences in prevalence of major depression in coronary artery disease patients: a meta-analysis. Maturitas. 2012;73(4):305–311. - PMC - PubMed
    1. Tully PJ, Baker RA. Depression, anxiety, and cardiac morbidity outcomes after coronary artery bypass surgery: a contemporary and practical review. J Geriatr Cardiol. 2012;9(2):197–208. - PMC - PubMed
    1. Lichtman JH, Bigger JT Jr, Blumenthal JA, Frasure-Smith N, Kaufmann PG, Lespérance F. Depression and coronary heart disease. Recommendations for screening, referral, and treatment. Circulation. 2008;118(17):1768–1775. - PubMed
    1. Frasure-Smith N, Lesperance F. Depression and cardiac risk: present status and future directions. Postgrad Med J. 2010;86(1014):193–196. - PubMed
    1. Everson-Rose SA, Lewis TT. Psychosocial factors and cardiovascular diseases. A Rev Public Hlth. 2005;26:469–500. - PubMed