S Chaudhury1, S Sharma2, A A Pawar3, B K Kumar4, Mrs K Srivastava5, S Sudarsanan6, D Singh4. 1. Ex- Associate Professor (Psychiatry), Pune. 2. Senior Advisor (Anaesthesia & Cardiovascular Anaesthesia), MH (CTC), Pune-40. 3. Senior Advisor (Psychiatry) INHS Asvini, Mumbai. 4. Medical Cadet, AFMC, Pune. 5. Scientist 'D' (Psychiatry), Pune. 6. Consultant (Psychiatry), BH, Delhi Cantt.
Abstract
BACKGROUND: Psychological effects of Coronary Artery Bypass graft (CABG) have been of interest all over the world but there is a paucity of Indian work. METHODS: 30 patients undergoing CABG at a service hospital were included. All patients filled a specially designed proforma. Mini Mental Status Examination, Hospital anxiety and depression scale, Coronary scale, Seattle angina questionnaire and Euro-QOL 5D were performed before and seven days after CABG. RESULTS: 43.3% had significant anxiety and 30% had significant depression before CABG. Following CABG, 36.67% of the patients had significant anxiety while 40% had significant depression. On the Seattle angina questionnaire, physical limitation reduced from 71.6 ± 7.9 to 53.1 ± 14.6. There was significant improvement in treatment satisfaction from 37.8 ± 6.1 to 59.4 ± 4.2 following CABG. On th euro quality of life scale (EQ5D) health status improved from 38.17 ± 9.51 before CABG to 68.5 ± 5.28 after CABG. CONCLUSION: There is a significant incidence of anxiety and depression in patients undergoing CABG, both before and after surgery.
BACKGROUND: Psychological effects of Coronary Artery Bypass graft (CABG) have been of interest all over the world but there is a paucity of Indian work. METHODS: 30 patients undergoing CABG at a service hospital were included. All patients filled a specially designed proforma. Mini Mental Status Examination, Hospital anxiety and depression scale, Coronary scale, Seattle angina questionnaire and Euro-QOL 5D were performed before and seven days after CABG. RESULTS: 43.3% had significant anxiety and 30% had significant depression before CABG. Following CABG, 36.67% of the patients had significant anxiety while 40% had significant depression. On the Seattle angina questionnaire, physical limitation reduced from 71.6 ± 7.9 to 53.1 ± 14.6. There was significant improvement in treatment satisfaction from 37.8 ± 6.1 to 59.4 ± 4.2 following CABG. On th euro quality of life scale (EQ5D) health status improved from 38.17 ± 9.51 before CABG to 68.5 ± 5.28 after CABG. CONCLUSION: There is a significant incidence of anxiety and depression in patients undergoing CABG, both before and after surgery.
Authors: Virginie Pignay-Demaria; François Lespérance; Roland G Demaria; Nancy Frasure-Smith; Louis P Perrault Journal: Ann Thorac Surg Date: 2003-01 Impact factor: 4.330