J Korean Geriatr Soc.  2011 Jun;15(2):107-112.

Effects of Percutaneous Coronary Intervention on Depressive Mood in Elderly Patients

• Yoon SG
• Jung ME
• Her SH
• Park MW
• Cho JS
• Baek JY
• Kim SJ
• Kim SK
• Seung KB
• Lee JH
• Kwon JB
• Kim KY

Abstract

BACKGROUND
Depression is a common comorbid condition in patients with coronary artery disease and a well-documented risk factor for recurrent cardiac events and mortality. We examined the impact of percutaneous coronary intervention (PCI) on depressive mood in elderly patients with chronic stable angina. METHODS: Consecutive patients with chronic stable angina (n=171) who had undergone elective PCI from January 2010 to May 2010 were included in this study. Patients were divided into elderly (> or =65 years) and non-elderly groups (<65 years) and then completed the 21-item Beck Depression Inventory I (BDI-I) at baseline and prior to discharge to assess for depressive symptoms.
RESULTS
Seventy-three (43%) patients were assigned to the elderly group and 98 (57%) to the non-elderly group. Using multivariate regression analysis, we found that the elderly group had a higher prevalence of joint, lung, and gastrointestinal diseases; were less religious and less likely to be employed; had lower rates of private health insurance; and were, less frequently, users of regular alcohol, current smokers, and regular exercisers compared to the non-elderly patients. The mean difference in BDI-I scores at baseline and pre-discharge was higher in elderly patients.
CONCLUSION
Our study showed a correlation between the extent of depression and elective PCI, especially in elderly patients. This population should be assessed routinely for depressive symptoms and managed accordingly.

Keyword

Depression; Aged; Coronary artery disease; Angioplasty

MeSH Terms

Aged
Angina, Stable
Angioplasty
Coronary Artery Disease
Depression
Humans
Joints
Lung
Percutaneous Coronary Intervention
Prevalence
Risk Factors