Extent of Coronary Stenosis and Anxiety Symptoms among Patients Undergoing Coronary Angiography
Background: The association between coronary angiographic findings and the level of anxiety symptoms among patients who undergo coronary angiography is not known. The aim of this study was to investigate the association between the extent of coronary stenosis and anxiety symptoms in patients who und...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2018-02-01
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| Series: | Journal of Tehran University Heart Center |
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| Online Access: | https://jthc.tums.ac.ir/index.php/jthc/article/view/794 |
| _version_ | 1811259806222123008 |
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| author | Shervin Assari Hassan Zandi Khodabakhsh Ahmadi Davoud Kazemi Saleh |
| author_facet | Shervin Assari Hassan Zandi Khodabakhsh Ahmadi Davoud Kazemi Saleh |
| author_sort | Shervin Assari |
| collection | DOAJ |
| description | Background: The association between coronary angiographic findings and the level of anxiety symptoms among patients who undergo coronary angiography is not known. The aim of this study was to investigate the association between the extent of coronary stenosis and anxiety symptoms in patients who undergo coronary angiography.
Methods: In a cross-sectional study, 106 patients who underwent coronary angiography and had varying degrees of coronary artery disease were enrolled. Demographic characteristics (i.e., age and gender), socioeconomic status (i.e., educational attainment, income, and marital status), and traditional risk factors (i.e., hypertension, diabetes mellitus, hyperlipidemia, and smoking) were measured. The independent variable was the extent of coronary stenosis shown by coronary angiography, coded as single-vessel disease (n = 19), 2-vessel disease (n = 28), or 3-vessel disease (n = 59). The main outcome was symptoms of anxiety measured using the Hospital Anxiety Depression Scale (HADS). The Kruskal–Wallis test was used for bivariate analysis, and linear regression was applied for multivariable analysis.
Results: Participants were mostly men (n = 78, 73%), at a mean age of 50.14 ± 10.60 years. We found an inverse association between the extent of coronary stenosis and anxiety symptoms in our samples. Anxiety symptoms were lowest in the patients with 3-vessel disease and highest in those with single-vessel disease. The above association remained significant in a linear regression model, controlled for the demographic, socioeconomic, and traditional risk factors.
Conclusion: An inverse association may exist between the extent of coronary stenosis and the severity of anxiety symptoms in patients who undergo coronary angiography. Patients who undergo angiography and have fewer angiographic findings require screening for anxiety symptoms. |
| first_indexed | 2024-04-12T18:37:05Z |
| format | Article |
| id | doaj.art-c8dcbdcef0ec4d59acdec927e0c5aa7b |
| institution | Directory Open Access Journal |
| issn | 1735-8620 2008-2371 |
| language | English |
| last_indexed | 2024-04-12T18:37:05Z |
| publishDate | 2018-02-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Tehran University Heart Center |
| spelling | doaj.art-c8dcbdcef0ec4d59acdec927e0c5aa7b2022-12-22T03:20:54ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712018-02-01124497Extent of Coronary Stenosis and Anxiety Symptoms among Patients Undergoing Coronary AngiographyShervin Assari0Hassan Zandi1Khodabakhsh Ahmadi2Davoud Kazemi Saleh31-Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA. 2-Center for Research on Ethnicity, Culture and Health, School of Public Health, University of Michigan, Ann Arbor, MI, USA.Medicine and Health Promotion Institute, Tehran, Iran.Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.Background: The association between coronary angiographic findings and the level of anxiety symptoms among patients who undergo coronary angiography is not known. The aim of this study was to investigate the association between the extent of coronary stenosis and anxiety symptoms in patients who undergo coronary angiography. Methods: In a cross-sectional study, 106 patients who underwent coronary angiography and had varying degrees of coronary artery disease were enrolled. Demographic characteristics (i.e., age and gender), socioeconomic status (i.e., educational attainment, income, and marital status), and traditional risk factors (i.e., hypertension, diabetes mellitus, hyperlipidemia, and smoking) were measured. The independent variable was the extent of coronary stenosis shown by coronary angiography, coded as single-vessel disease (n = 19), 2-vessel disease (n = 28), or 3-vessel disease (n = 59). The main outcome was symptoms of anxiety measured using the Hospital Anxiety Depression Scale (HADS). The Kruskal–Wallis test was used for bivariate analysis, and linear regression was applied for multivariable analysis. Results: Participants were mostly men (n = 78, 73%), at a mean age of 50.14 ± 10.60 years. We found an inverse association between the extent of coronary stenosis and anxiety symptoms in our samples. Anxiety symptoms were lowest in the patients with 3-vessel disease and highest in those with single-vessel disease. The above association remained significant in a linear regression model, controlled for the demographic, socioeconomic, and traditional risk factors. Conclusion: An inverse association may exist between the extent of coronary stenosis and the severity of anxiety symptoms in patients who undergo coronary angiography. Patients who undergo angiography and have fewer angiographic findings require screening for anxiety symptoms.https://jthc.tums.ac.ir/index.php/jthc/article/view/794Coronary artery disease • Coronary angiography • Anxiety • Coronary stenosis |
| spellingShingle | Shervin Assari Hassan Zandi Khodabakhsh Ahmadi Davoud Kazemi Saleh Extent of Coronary Stenosis and Anxiety Symptoms among Patients Undergoing Coronary Angiography Journal of Tehran University Heart Center Coronary artery disease • Coronary angiography • Anxiety • Coronary stenosis |
| title | Extent of Coronary Stenosis and Anxiety Symptoms among Patients Undergoing Coronary Angiography |
| title_full | Extent of Coronary Stenosis and Anxiety Symptoms among Patients Undergoing Coronary Angiography |
| title_fullStr | Extent of Coronary Stenosis and Anxiety Symptoms among Patients Undergoing Coronary Angiography |
| title_full_unstemmed | Extent of Coronary Stenosis and Anxiety Symptoms among Patients Undergoing Coronary Angiography |
| title_short | Extent of Coronary Stenosis and Anxiety Symptoms among Patients Undergoing Coronary Angiography |
| title_sort | extent of coronary stenosis and anxiety symptoms among patients undergoing coronary angiography |
| topic | Coronary artery disease • Coronary angiography • Anxiety • Coronary stenosis |
| url | https://jthc.tums.ac.ir/index.php/jthc/article/view/794 |
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