ANXIETY AND DEPRESSIVE DISORDERS IN PATIENTS PRESENTING WITH CHEST PAIN TO THE EMERGENCY DEPARTMENT: A COMPARISON BETWEEN CARDIAC AND NON-CARDIAC ORIGIN

Eken C., OKTAY C., BACANLI A., Gülen B., KOPARAN C., UGRAS S. S., ...More

JOURNAL OF EMERGENCY MEDICINE, vol.39, no.2, pp.144-150, 2010 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 39 Issue: 2
  • Publication Date: 2010
  • Doi Number: 10.1016/j.jemermed.2007.11.087
  • Journal Name: JOURNAL OF EMERGENCY MEDICINE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.144-150
  • Keywords: emergency department, chest pain, anxiety disorder, depressive disorder, NATIONAL COMORBIDITY SURVEY, CORONARY-ARTERY-DISEASE, MYOCARDIAL-INFARCTION, PANIC DISORDER, HOSPITAL ANXIETY, PRIMARY-CARE, LIFETIME PREVALENCE, SURVEY REPLICATION, MAJOR DEPRESSION, HEART-FAILURE
  • Akdeniz University Affiliated: Yes

Abstract

Objective: The aim of this study was to determine the prevalence of anxiety and depressive disorders in patients presenting with chest pain to the Emergency Department (ED) and determine if there is a relationship between these and cardiac vs. non-cardiac chest pain. Methods: This prospective cross-sectional study was performed in an urban tertiary care hospital between March and October 2005. Consecutive patients presenting with chest pain were enrolled in the study. The prevalence of anxiety and depressive disorders in patients with chest pain were determined by using the Hospital Anxiety and Depression Scale. Results: A total of 324 patients presented to the ED with chest pain during the study period. The mean age of the patients studied was 50.5 +/- 14 years; 67% were men and 33% were women. Of the 324 study patients, 194 (59.9%) patients were diagnosed with non-cardiac chest pain, 16 (4.9%) with stable angina, 84 (25.9%) with unstable angina, and 30 (9.3%) with acute myocardial infarction. No statistically significant differences were determined between patients with cardiac and non-cardiac chest pain both for anxiety (40% vs. 38.1%, respectively; p = 0.737) and depressive disorders (52.3% vs. 52.1%, respectively; p = 0.965). Conclusion: Anxiety and depressive disorders are common among patients presenting with chest pain to the ED. However, the prevalence of anxiety and depressive disorders is similar between patients with chest pain of cardiac and non-cardiac origin. Chest pain should not be attributed to an anxiety or depressive disorder before organic etiologies are excluded. (C) 2010 Elsevier Inc.