Effect of Anxiety and Depression on Cardiac Rehabilitation after PCI In Patients with Acute Coronary Syndromes
Objective To investigate the effect of anxiety and depression on cardiac rehabilitation after percu-taneous coronary intervention(PCI)in patients with acute coronary syndrome(ACS).Methods Ninety patients with ACS were included in Bayannur City Hospital from January 2021 to January 2023,and were screened for anxiety and depression after PCI,and were divided into an anxiety and depression group and a no-anxiety-and-depression group according to the results of the screening.Cardiac rehabilitation compliance and left ventricular ejection fraction(LVEF).6-min walking test,and Borg Exertion Rating Scale(Borg)were compared between the two groups.Results Anxiety and depression were detected in 33 patients of 90 ACS patients after PCI,and 57 patients without anxiety and depres-sion.The medication and lifestyle adherence scores of the anxiety-depression group were significantly lower than those of the control group(P＜0.05).LVEF and 6 min walking test were significantly higher and Borg score was lower in both groups after rehabilitation,but LVEF and 6 min were significantly lower and Borg score was significantly higher in the anxious-depressed group than in the no-anxiety-depressed group after intervention(P＜0.05).The incidence of major cardiovascular adverse events(MACE)was significantly higher in the anxious-depressed group than in the no-anxiety-depressed group(P＜0.05).Conclusion Anxious and depressed mood decreases adherence to post-PCI cardiac re-habilitation as well as cardiac rehabilitation outcomes and increases the incidence of MACE in ACS patients.
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