Quality of life, anxiety and depressive disorders in patients with extrasystolic arrhythmia
Introduction The aim of this study was to perform a comparative and economic analysis of the degree of development of anxiety-depressive disorder in patients with different types of extrasystolic arrhythmia using different assessment scales. Material and methods The study was conducted in 2018–2019...
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Language: | English |
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Termedia Publishing House
2020-11-01
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Series: | Archives of Medical Science |
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Online Access: | https://www.archivesofmedicalscience.com/Quality-of-life-anxiety-and-depressive-disorders-in-patients-with-extrasystolic-arrhythmia,126344,0,2.html |
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author | Alexey Y. Mikhaylov Alexei V. Yumashev Eugeny Kolpak |
author_facet | Alexey Y. Mikhaylov Alexei V. Yumashev Eugeny Kolpak |
author_sort | Alexey Y. Mikhaylov |
collection | DOAJ |
description | Introduction
The aim of this study was to perform a comparative and economic analysis of the degree of development of anxiety-depressive disorder in patients with different types of extrasystolic arrhythmia using different assessment scales.
Material and methods
The study was conducted in 2018–2019 at the premises of clinic No. 4, involving 450 patients (Moscow, Russia). Patients were divided into three groups: with coronary heart disease (CHD) (147 patients), with myocardiodystrophy (MCD) (113) and with cardiopsychoneurosis (CPN) (190). Everyone underwent round-the-clock electrocardiography (ECG) and echocardiography. If symptoms of depressive disorder are detected in a timely manner, the risk of adverse cardiovascular diseases may be reduced.
Results
Depression and anxiety indicators on all three scales differed significantly (p ≤ 0.05) in patients with supraventricular extrasystole (more than 40 points on the Zung scale, 14 points on the Montgomery-Asberg depression scale, more than 38 points on Zung and 3 points on Covi anxiety scales). For patients with ventricular extrasystole, a significant difference was established between groups 1 and 2 only in terms of the level of depression on the Zung scale. Factors of psychogenic origin determine the development of cardiac rhythm disturbances.
Conclusions
The study showed that for supraventricular extrasystoles, these factors determine the overall health of the patient. The differences between the three groups are significant on all scales of depression and anxiety (p ≤ 0.05). The most susceptible to depression and anxiety are patients with extrasystolic arrhythmias diagnosed with CHD, as well as MCD. |
first_indexed | 2024-04-12T02:51:25Z |
format | Article |
id | doaj.art-0b6f714584444021abee8179721a828f |
institution | Directory Open Access Journal |
issn | 1734-1922 1896-9151 |
language | English |
last_indexed | 2024-04-12T02:51:25Z |
publishDate | 2020-11-01 |
publisher | Termedia Publishing House |
record_format | Article |
series | Archives of Medical Science |
spelling | doaj.art-0b6f714584444021abee8179721a828f2022-12-22T03:50:57ZengTermedia Publishing HouseArchives of Medical Science1734-19221896-91512020-11-0118232833510.5114/aoms.2020.101359126344Quality of life, anxiety and depressive disorders in patients with extrasystolic arrhythmiaAlexey Y. Mikhaylov0Alexei V. Yumashev1Eugeny Kolpak2Financial Research Institute of the Ministry of Finance of the Russian Federation, Moscow, RussiaDepartment of Prosthetic Dentistry, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, RussiaDepartment of Applied Mathematics and Control Process, Saint Petersburg State University, Saint Petersburg, RussiaIntroduction The aim of this study was to perform a comparative and economic analysis of the degree of development of anxiety-depressive disorder in patients with different types of extrasystolic arrhythmia using different assessment scales. Material and methods The study was conducted in 2018–2019 at the premises of clinic No. 4, involving 450 patients (Moscow, Russia). Patients were divided into three groups: with coronary heart disease (CHD) (147 patients), with myocardiodystrophy (MCD) (113) and with cardiopsychoneurosis (CPN) (190). Everyone underwent round-the-clock electrocardiography (ECG) and echocardiography. If symptoms of depressive disorder are detected in a timely manner, the risk of adverse cardiovascular diseases may be reduced. Results Depression and anxiety indicators on all three scales differed significantly (p ≤ 0.05) in patients with supraventricular extrasystole (more than 40 points on the Zung scale, 14 points on the Montgomery-Asberg depression scale, more than 38 points on Zung and 3 points on Covi anxiety scales). For patients with ventricular extrasystole, a significant difference was established between groups 1 and 2 only in terms of the level of depression on the Zung scale. Factors of psychogenic origin determine the development of cardiac rhythm disturbances. Conclusions The study showed that for supraventricular extrasystoles, these factors determine the overall health of the patient. The differences between the three groups are significant on all scales of depression and anxiety (p ≤ 0.05). The most susceptible to depression and anxiety are patients with extrasystolic arrhythmias diagnosed with CHD, as well as MCD.https://www.archivesofmedicalscience.com/Quality-of-life-anxiety-and-depressive-disorders-in-patients-with-extrasystolic-arrhythmia,126344,0,2.htmlanxiety-depressive disordercardiopsychoneurosis (cpn)coronary heart disease (chd)extrasystolic arrhythmiamyocardiodystrophy (mcd) |
spellingShingle | Alexey Y. Mikhaylov Alexei V. Yumashev Eugeny Kolpak Quality of life, anxiety and depressive disorders in patients with extrasystolic arrhythmia Archives of Medical Science anxiety-depressive disorder cardiopsychoneurosis (cpn) coronary heart disease (chd) extrasystolic arrhythmia myocardiodystrophy (mcd) |
title | Quality of life, anxiety and depressive disorders in patients with extrasystolic arrhythmia |
title_full | Quality of life, anxiety and depressive disorders in patients with extrasystolic arrhythmia |
title_fullStr | Quality of life, anxiety and depressive disorders in patients with extrasystolic arrhythmia |
title_full_unstemmed | Quality of life, anxiety and depressive disorders in patients with extrasystolic arrhythmia |
title_short | Quality of life, anxiety and depressive disorders in patients with extrasystolic arrhythmia |
title_sort | quality of life anxiety and depressive disorders in patients with extrasystolic arrhythmia |
topic | anxiety-depressive disorder cardiopsychoneurosis (cpn) coronary heart disease (chd) extrasystolic arrhythmia myocardiodystrophy (mcd) |
url | https://www.archivesofmedicalscience.com/Quality-of-life-anxiety-and-depressive-disorders-in-patients-with-extrasystolic-arrhythmia,126344,0,2.html |
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