Md. Saiful Islam Bhuiyan1, Begum Nazmus Sama Shimu2, Gopal Sankar Dey3,
RKS Royle4, Sohel Ahmed5
1. Assistant Professor, Department of Psychiatry, Moinamoti Medical College Hospital, Commilla
2. Assistant Professor, Department of Biochemistry, North East Medical College, Sylhet
3. Professor, Department of Psychiatry, Sylhet MAG Osmani Medical College, Sylhet
4. Assistant Professor, Department of Psychiatry, Sylhet MAG Osmani Medical College, Sylhet
5. Assistant Professor, Department of Community Medicine, North East Medical College, Sylhet
Abstract
Symptoms of depression and anxiety are known to be associated with cardiac events. Anxiety is an independent predictor of both cardiac events and increased health care consumption and accounts for the relationship between depressive symptoms and prognosis. So, screening for psychiatric disorders among documented coronary artery disease patients to coronary angiogram clinics is worthwhile. In this cross sectional study 30 patients were selected after considering inclusion and exclusion criteria. Age and sex matched 30 patients with normal coronary angiogram report were selected as control group. The patients with documented CAD and normal angiogram CAD were similar in age (p>0.05) and sex (p=0.347). Co-morbid psychiatric disorder was found in 12 (40%) respondents of documented CAD group and 18 (60%) respondents in normal angiogram CAD group (p=0.121). The Co-morbid specific psychiatric disorders were major depressive disorder in 8 (26.7%) and generalized anxiety disorder in 4 (13.3%) respondents of documented CAD group, while in normal angiogram CAD group Co-morbid specific psychiatric disorders were major depressive disorder in 6 (20%) and generalized anxiety disorder in 12 (40%) respondents (p=0.064). Though generalized anxiety disorder is more frequent but psychiatric morbidity is almost similar in both patients and normal groups.
Key words: Psychiatric morbidity, angiogram documented coronary artery disease, normal angiogram coronary artery disease.