Abstract 16814: Risk Factors Associated With Depression in Patients Undergoing Elective Percutaneous Coronary or Peripheral Intervention
Background: Depression in individuals with coronary heart disease has been associated with increased morbidity and mortality. We sought to evaluate the prevalence of depression in patients undergoing percutaneous coronary or peripheral interventions and study differences in risk factor control.
Methods: Data were collected prospectively from 925 patients undergoing elective percutaneous interventions at the NYU Langone cardiac catheterization lab between November 2010 and March 2013. Presence and history of depression was obtained from chart review and survey question “are you depressed”. Risk factor control was assessed according to AHA/ACC 2011 guidelines for secondary prevention along with AHA diet and exercise recommendations: Non-smoking status, Blood pressure <140/90 mmHg, low density lipoprotein <100 mg/dL, equivalent of 150 or more minutes per week of moderate exercise from the Duke Activity Score Index conversion to metabolic equivalents (METS ≥6.2 METS for males and ≥7.2 for females), Body mass index <25 mg/kg2 and hemoglobin A1c less than 7 if diabetic; Logistic regression was used to evaluate characteristics associated with depression.
Results: Overall, 137 (14.8%) of patients answered yes to being depressed or had a history of depression. There was a higher proportion of females (p=0.048), history of peripheral arterial disease (p=0.004), stroke (p=0.004) and presence of any home stress (p<0.001) or financial stress (p<0.001) in those with depression. There was a significant difference in mean number of risk factors controlled between those with depression and those without, 3.1 v. 3.4, p= 0.01. After multivariate analysis, history of stroke (p=0.019), financial stress (P<0.001) and less risk factor goals controlled (p=0.02) were associated with depression.
Conclusions: We found a substantial portion of patients undergoing elective cardiac or peripheral intervention with depression or history of depression. These patients had worse overall risk factor control, less activity and more social stressors. Screening for depression at the time of intervention may identify patients who may need more targeted counseling and efforts toward risk factor optimization.
- © 2013 by American Heart Association, Inc.