Effect of comorbid anxiety on prehospital delay and prognosis in patients with acute myocardial infarction
Objective To investigate the impact of comorbid anxiety on prehospital delay and prognosis in pa-tients with acute myocardial infarction.Methods Eighty-six patients with acute myocardial infarction from January 2021 to December 2022 were the study objects.Anxiety was assessed on admission using the Self-Assessment Scale for Anxiety(SAS)and set as anxiety disorder as well as non-anxiety disorder.To compare the time to decision,time to transport,and pre-hospital delay between the two groups.To compare the increase in left ventricular ejection fraction(LVEF)and the incidence of major adverse cardiovascular events(MACE)after percutaneous coronary intervention(PCI).Results Forty-eight cases of anxiety were detected in 86 cases of acute myocardial infarction,with a detec-tion rate of 55.81％.Decision time and pre-hospital delay time were significantly higher in the anxiety group than in the non-anxiety group(P＜0.05).The difference in transfer time was not statistically significant(P＞0.05).The postop-erative LVEF increase was significantly lower in the anxious group than in the non-anxious group,and the incidence of MACE was significantly higher than in the non-anxious group(P＜0.05).Conclusion Comorbid anxiety increases prehospital delay in patients with acute myocardial infarction and adversely affects the immediate prognosis.
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