Keywords : Co-morbidity
Psychiatric Co-Morbidities In Patients Admitted With Chest Pain For Coronary Angiography: A Preliminary Study
European Journal of Molecular & Clinical Medicine,
2020, Volume 7, Issue 11, Pages 3365-3373
Background: Chest pain is the most common cause for an emergency department visit. The cause of chest pain varies from a mild illness to more serious, life-threatening diseases. Non-cardiac origin of chest pain (NCCP) is defined as “persistent angina-like chest pain with no evidence of cardiac impairment after a reasonable cardiac evaluation.” The Quality of Life of NCCP patients is poorer than that of stable controls and is as low as that of Coronary Artery Disease patients.
Method:Sixty patients of chest pain who are referred to Department of Cardiology for coronary angiography, are interviewed using a Semi-structured socio-demographic proforma and (M.I.N.I.) PLUS at least 2 hours prior to coronary angiography, in the presence of a reliable informant.
Results: Twenty-five patients were found to have Normal or near normal coronary arteries. On comparing patients with Coronary artery disease and Normal Coronary Arteries, patients with coronary artery disease were significantly older (60.31 ± 11.47 years vs 52.44 ± 8.69 years, p=0.015), and more likely to be males. The patients with normal coronary arteries had a significantly higher prevalence of psychiatric morbidity (80% vs 51.4%, p=0.024), especially panic disorder (48% vs 22.9%, p=0.041) and generalised anxiety disorder (16% vs 0, p=0.014).
Conclusion: Males and older patients are more likely to have CAD. Patients in NCA have higher prevalence of psychiatric morbidity, especially panic disorder, and generalised anxiety disorder.