La depresión mayor como nuevo factor de riesgo en la cardiopatía coronaria en Chile

• María Virginia Araya A ^[1] ; Carlos Madariaga A ^[1] ; Carlos Ureta V ^[1] ; Mónica Tomé B ^[2] ; Carlos Bustos M ^[1]
  1. [1] Centro de Cardiología Cardiokines Clinics
  2. [2] Hospital Dr. E Torres G Servicio de Psiquiatría y Unidad de Epidemiología
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 130, Nº. 11, 2002
• Idioma: español
• Títulos paralelos:
  • Major depression as a risk factor for coronary artery disease
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• Dialnet Métricas: 4 Citas
• Resumen

  • Background: Major depression, a frequent psychiatric disease, is associated with ischemic heart disease. It is usually subdiagnosed and subtreated. Aim: To study the prevalence of major depression among survivors of an acute myocardial infarction. Patients and methods: Retrospective study of 42 survivors of an acute myocardial infarction treated at a regional Chilean Hospital. The presence of major depression in the 6 months previous to the acute myocardial infarction, was investigated using the diagnostic instruments CIDI (Composite International Diagnostic Interview) and DIS (Diagnostic Interview Schedule), psychiatric diagnoses were based on DSMIII-R. The prevalence of depression was compared with that observed in a group of 156 healthy subjects participating in a psychiatric epidemiological study. Results: Major depression was diagnosed in 12 male subjects with an acute myocardial infarction. The prevalence in the control group was significantly lower (15%, p <0.049). Patients with depression were older and required longer hospital stay than patients without depression. Conclusions: Patients with acute myocardial infarction, had a significantly greater prevalence of major depression in the previous 6 months, than the general population. Thus, major depression could be an independent and modifiable coronary risk factor (Rev Méd Chile 2002; 130: 1249-56).