Primary PCI and Mental Health: A 12-Month Follow-Up Study

Dragoș Vulcănescu; Veronica Gheorman; Daniel Cristian Pîrvu; Venera Cristina Dinescu; Victor Gheorman; Ion Udriștoiu; Alina Maria Paraschiv; Marius Gabriel Bunescu; Mihaela Corina Berceanu; Lavinia Gheorman; Sorin Nicolae Dinescu; Romeo Popa; Cristina Florescu; Adrian Mită; Cătălin Mircea Forțofoiu

doi:10.3390/healthcare11111620

Primary PCI and Mental Health: A 12-Month Follow-Up Study

Healthcare (Basel). 2023 Jun 1;11(11):1620. doi: 10.3390/healthcare11111620.

Authors

Dragoș Vulcănescu¹, Veronica Gheorman², Daniel Cristian Pîrvu³, Venera Cristina Dinescu⁴, Victor Gheorman¹, Ion Udriștoiu¹, Alina Maria Paraschiv², Marius Gabriel Bunescu⁵, Mihaela Corina Berceanu², Lavinia Gheorman⁶, Sorin Nicolae Dinescu⁷, Romeo Popa⁸, Cristina Florescu², Adrian Mită⁹, Cătălin Mircea Forțofoiu⁹

Affiliations

¹ Department of Psychiatry, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
² Department of Cardiology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
³ Department of Internal Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
⁴ Department of Health Promotion and Occupational Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
⁵ Occupational Medicine Department, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
⁶ Department of Diabetology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
⁷ Department of Epidemiology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
⁸ Department of Pharmacology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
⁹ Internal Medicine Department, University of Medicine and Pharmacy of Craiova, Filantropia Hospital of Craiova, 200143 Craiova, Romania.

Abstract

The research article highlights the significance of acute myocardial infarction (AMI) and its impact on depression and anxiety among patients' post-primary percutaneous coronary interventions (PCI). The study aims to determine the frequency of depression and anxiety occurrence in patients with acute myocardial infarction after primary PCI. The objective of this study is to investigate the frequency of depression and anxiety in patients with acute myocardial infarction after primary PCI. The method used in the study involved the collection of data from 88 patients with acute myocardial infarction who underwent primary PCI treatment. The patients were tested before PCI and then at intervals of 1 month, 6 months, and 12 months post-PCI using the Hamilton Depression Scale (HAM-D17) and the Hamilton Anxiety Scale (HAM-A) to identify depression and anxiety symptoms, respectively. The study performed a comprehensive analysis of the collected data to determine the frequency of depression and anxiety occurrence in post-PCI patients. The study found evidence that primary PCI reduces depression and anxiety in patients who have experienced a myocardial infarction. However, mental health issues continue to be a significant psychological concern for patients post-PCI, impacting their lifestyle, self-care, and treatment adherence. The study suggests that healthcare providers should actively screen and manage psychiatric disorders in patients who have suffered from AMI as they are at an increased risk of mental disorders. In conclusion, the study indicates that depression and anxiety are common issues in acute myocardial infarction survivors, and interventions addressing these conditions should be a routine part of care. The study highlights the need for healthcare providers to be aware of the increased risk of mental disorders in individuals who have suffered from AMI. Understanding the impact of anxiety and depression on post-PCI patients is essential for the development of effective interventions that support patients' recovery.

Keywords: PCI; anxiety; depression.

Grants and funding

This research received no external funding.