Prevalence of Anxiety and Depression in Young Patients Presenting with Atypical Chest Pain with Normal Coronaries
Objective: To determine the prevalence of anxiety and depression in young patients presenting with atypical chest pain and normal coronary arteries. Study Design: Analytical, Cross-Sectional Study. Place and Duration of Study: Armed Forces Institute of Cardiology/National Institute of Heart Dis...
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2023-12-01
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| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://www.pafmj.org/PAFMJ/article/view/10705 |
| _version_ | 1827370280309227520 |
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| author | Adeel Ahmed Sobia Mehreen Naseer Ahmed Samore Usman Iqbal Muhammad Bilal Siddique Mutahir Abbas Virk Syed Khurram Shahzad Abdul Hameed Siddiqui |
| author_facet | Adeel Ahmed Sobia Mehreen Naseer Ahmed Samore Usman Iqbal Muhammad Bilal Siddique Mutahir Abbas Virk Syed Khurram Shahzad Abdul Hameed Siddiqui |
| author_sort | Adeel Ahmed |
| collection | DOAJ |
| description |
Objective: To determine the prevalence of anxiety and depression in young patients presenting with atypical chest pain and
normal coronary arteries.
Study Design: Analytical, Cross-Sectional Study.
Place and Duration of Study: Armed Forces Institute of Cardiology/National Institute of Heart Diseases Rawalpindi,
Pakistan, from Jul to Dec 2021.
Methodology: This study was carried out on 750 participants (having normal coronaries) of both gender and age<40years
divided into study group (presented with atypical chest pain; n=375) and comparison group (no chest pain; n=375).
Consecutive sampling technique was applied to collect data. Hospital Anxiety and Depression Scale (HADS) Questionnaire
was used. Patients scoring 11 or more out of 21 points in Depression and Anxiety scale were identified as positive. Data was
analyzed using SPSS version 24:00. Chi Square test was applied to find association between variables and p-value <0.05 was
taken as significant value.
Results: Out of n=750 patients 619(82.4%) were males and 131(17.6%) were females. Mean age at presentation was 33.54±5.54 years and 30.93±5.68 years in study and comparison group respectively. About 230(61.3%) participants had anxiety in the study group compared with 189(50.4%) in the comparison group, which was statistically significant (p=0.003). 221(58.9%) participants in study group and 132(35.2%) in comparison group had depression (p<0.001).
Conclusion: Non cardiac chest pain is a common manifestation of depression and anxiety. Early recognition and prompt
referral of these patients should be ensured to improve quality of life and prevent future unnecessary hospital visits.
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| first_indexed | 2024-03-08T10:12:14Z |
| format | Article |
| id | doaj.art-f5eb433cf81a47b88becd33e2860e0dd |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-03-08T10:12:14Z |
| publishDate | 2023-12-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-f5eb433cf81a47b88becd33e2860e0dd2024-01-29T08:23:29ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-12-0173SUPPL-310.51253/pafmj.v73iSUPPL-3.10705Prevalence of Anxiety and Depression in Young Patients Presenting with Atypical Chest Pain with Normal CoronariesAdeel Ahmed0Sobia Mehreen1Naseer Ahmed Samore2Usman Iqbal3Muhammad Bilal Siddique4Mutahir Abbas Virk5Syed Khurram Shahzad6Abdul Hameed Siddiqui7Armed Forces Institute of Adult Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Adult Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Adult Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Adult Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Adult Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Adult Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Adult Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Adult Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi Pakistan Objective: To determine the prevalence of anxiety and depression in young patients presenting with atypical chest pain and normal coronary arteries. Study Design: Analytical, Cross-Sectional Study. Place and Duration of Study: Armed Forces Institute of Cardiology/National Institute of Heart Diseases Rawalpindi, Pakistan, from Jul to Dec 2021. Methodology: This study was carried out on 750 participants (having normal coronaries) of both gender and age<40years divided into study group (presented with atypical chest pain; n=375) and comparison group (no chest pain; n=375). Consecutive sampling technique was applied to collect data. Hospital Anxiety and Depression Scale (HADS) Questionnaire was used. Patients scoring 11 or more out of 21 points in Depression and Anxiety scale were identified as positive. Data was analyzed using SPSS version 24:00. Chi Square test was applied to find association between variables and p-value <0.05 was taken as significant value. Results: Out of n=750 patients 619(82.4%) were males and 131(17.6%) were females. Mean age at presentation was 33.54±5.54 years and 30.93±5.68 years in study and comparison group respectively. About 230(61.3%) participants had anxiety in the study group compared with 189(50.4%) in the comparison group, which was statistically significant (p=0.003). 221(58.9%) participants in study group and 132(35.2%) in comparison group had depression (p<0.001). Conclusion: Non cardiac chest pain is a common manifestation of depression and anxiety. Early recognition and prompt referral of these patients should be ensured to improve quality of life and prevent future unnecessary hospital visits. https://www.pafmj.org/PAFMJ/article/view/10705AnxietyDepressionNon-cardiac chest painNormal coronariesYoung patients |
| spellingShingle | Adeel Ahmed Sobia Mehreen Naseer Ahmed Samore Usman Iqbal Muhammad Bilal Siddique Mutahir Abbas Virk Syed Khurram Shahzad Abdul Hameed Siddiqui Prevalence of Anxiety and Depression in Young Patients Presenting with Atypical Chest Pain with Normal Coronaries Pakistan Armed Forces Medical Journal Anxiety Depression Non-cardiac chest pain Normal coronaries Young patients |
| title | Prevalence of Anxiety and Depression in Young Patients Presenting with Atypical Chest Pain with Normal Coronaries |
| title_full | Prevalence of Anxiety and Depression in Young Patients Presenting with Atypical Chest Pain with Normal Coronaries |
| title_fullStr | Prevalence of Anxiety and Depression in Young Patients Presenting with Atypical Chest Pain with Normal Coronaries |
| title_full_unstemmed | Prevalence of Anxiety and Depression in Young Patients Presenting with Atypical Chest Pain with Normal Coronaries |
| title_short | Prevalence of Anxiety and Depression in Young Patients Presenting with Atypical Chest Pain with Normal Coronaries |
| title_sort | prevalence of anxiety and depression in young patients presenting with atypical chest pain with normal coronaries |
| topic | Anxiety Depression Non-cardiac chest pain Normal coronaries Young patients |
| url | https://www.pafmj.org/PAFMJ/article/view/10705 |
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