0144: Depression and anxiety in coronary artery bypass grafting patients: comparisons with percutaneous intervention

BackgroundAnxiety and depression are two common psychic entities among coronary patients. They are often sub-diagnosed. Several studies demonstrated that they aggravated the morbi-mortality of the coronary patient. The objective of this study was to quantify the anxiety and the depression in coronary artery bypass grafting patients (CABG), to determine the effect of the revascularisation and to find a relation between depression and morbimortality.Method64 patients were admitted for a coronary event and divided in two groups. PTCA (N=34) and CABG (N=30). The anxiety and the depression were measured by two scales of psychological self-assessment (HAD, BDI) in three time; T1 (To the announcement of the disease), T2 (3 weeks after the revascularisation) and T3 (3 months later). A comparative study between 2 groups was realized.ResultsTwo groups were comparable on the sociodemographic plan and the risk factors. The cardiovascular histories of myocardial infarction and coronary angioplasty were frequent in the PTCA groups and CABG. The average of the day number of hospitalization was of 7.5±3.9 days for the PTCA group and 10.3±7.4 days for the CABG group. The psychological evaluation in the admission showed scores of anxiety raised in two groups and depression raised only in the group CABG. The myocardial revascularisation had a positive effect on the psychological state of the patients of the groups PTCA and CABG. The evolution of the psychological scores showed that the patients of the group surgery were more depressed and that the patients of the group angioplasty were more anxious. For the group PTCA, the average duration of survival without revascularisation was of 26 months in the absence of depression, against 21 months in its presence. For the group CABG, the average duration of survival without revascularisation was of 27 months in the absence of major depressive episode, against 16 months in its presence.ConclusionThe depression and the anxiety are two frequent symptoms in the ischemic heart disorder. The depression is a factor of bad forecast at CABG patients. The early screening is important for setting up appropriate therapeutic