Please use this identifier to cite or link to this item: https://observatorio.fm.usp.br/handle/OPI/2726
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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP-
dc.contributor.authorGOULART, Alessandra C.-
dc.contributor.authorSANTOS, Itamar S.-
dc.contributor.authorSITNIK, Debora-
dc.contributor.authorSTANIAK, Henrique L.-
dc.contributor.authorBITTENCOURT, Marcio S.-
dc.contributor.authorFEDELI, Ligia G.-
dc.contributor.authorBENSENOR, Isabela M.-
dc.contributor.authorLOTUFO, Paulo A.-
dc.date.accessioned2013-10-11T21:16:40Z-
dc.date.available2013-10-11T21:16:40Z-
dc.date.issued2012-
dc.identifier.citationCIRCULATION, v.125, n.19, p.E725-E725, 2012-
dc.identifier.issn0009-7322-
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/2726-
dc.description.abstractIntroduction: Depression is 3 times more common in patients after acute coronary syndrome (ACS). Further, depressive symptoms and clinical depression have an unfavorable impact on mortality in these patients. The Patient Health Questtionaire-9 (PHQ-9) is a brief depression screening instrument that has been shown reasonable sensitivity and specificity in this group. Objectives: To evaluate the baseline frequency of mild-moderate depressive symptoms, major depression and, their associations to ACS among participants from the ERICO study(Strategy of Registry of Acute Coronary Syndrome). Methods: This is an ancillary study of the ERICO study, an ongoing cohort study held at the University Hospital of the Universityof São Paulo, a teaching public hospital located in São Paulo, Brazil. The ERICO study aims to verify the frequency of ACS and its subtypes, the role of potential risk factors and the long-term event rate. Besides the cardiovascular evaluation, participants are invited to answer PHQ-9 (score range 0 –27 points). The presence of mild to moderate depressive symptoms was defined as a score from 1 to 9 points. Major depression (MD) was defined as a score of 10 or more points. Results: From September 2009 to January 2011, 452 patients ( 35 years) were diagnosed as having SCA. From 218 patients (mean age 62 years) who answered PHQ-9, 130 (59%) were male. 65 (29.8%) were diagnosed as having unstable angina, 94 (43.1%) as non-ST elevation myocardial infaction (MI) and 59 (27.1%) as ST-elevation MI. Almost 90% had at least one depressive symptom and, the most common complaint was “felling tired or having little energy”. Major depression was present in 77 (35.3%) ACS patients. MD was more frequent in women than in men (59.7% vs. 40.3%, p<0.001). Almost 50% of married patients had MD (p=0.02). Other sociodemographics factors had no association with clinical depression. ACS subtypes did no nfluency the frequency of depressive symptoms or MD. Conclusion: Compared to previous studies, we found a higher frequency of MD, regardless of ACS subtypes. Follow-up study will address the impact of depressive symptoms and MD in long-term outcomes.-
dc.language.isoeng-
dc.publisherLIPPINCOTT WILLIAMS & WILKINS-
dc.relation.ispartofCirculation-
dc.rightsrestrictedAccess-
dc.titleAssociation of depression and coronary heart disease in the participants from the strategy of registry in acute coronary syndrome study (the ERICO study)-
dc.typeconferenceObject-
dc.rights.holderCopyright LIPPINCOTT WILLIAMS & WILKINS-
dc.description.conferencedateAPR 18-21, 2012-
dc.description.conferencelocalDubai, U ARAB EMIRATES-
dc.description.conferencenameWorld Congress of Cardiology Scientific Sessions 2012-
dc.subject.wosCardiac & Cardiovascular Systems-
dc.subject.wosPeripheral Vascular Disease-
dc.type.categorymeeting abstract-
dc.type.versionpublishedVersion-
hcfmusp.description.beginpageE725-
hcfmusp.description.endpageE725-
hcfmusp.description.issue19-
hcfmusp.description.volume125-
hcfmusp.origemWOS-
hcfmusp.origem.idWOS:000307009200253-
hcfmusp.publisher.cityPHILADELPHIA-
hcfmusp.publisher.countryUSA-
dc.description.indexMEDLINE-
Appears in Collections:

Comunicações em Eventos - FM/MCM
Departamento de Clínica Médica - FM/MCM

Comunicações em Eventos - HC/ICHC
Instituto Central - HC/ICHC

Comunicações em Eventos - LIM/51
LIM/51 - Laboratório de Emergências Clínicas


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