Mechanical prosthetic valve disease is related with an increase in depression and anxiety disorder

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dc.contributor.authorTürker, Yasemin
dc.contributor.authorÖngel, Kurtuluş
dc.contributor.authorÖzaydın, Mehmet
dc.contributor.authorTürker, Yasin
dc.contributor.authorBaş, Funda Yıldırım
dc.contributor.authorAkkaya, Mehmet
dc.date.accessioned2020-04-30T13:32:46Z
dc.date.available2020-04-30T13:32:46Z
dc.date.issued2015
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionPubMed ID: 25669343en_US
dc.description.abstractAim Patients with organic disease can present with psychiatric symptoms. We hypothesized that since patients with prosthetic heart valve require frequent hospital followup and are at higher risk for complications, the incidence of depression and anxiety is higher in these patients. Methods This cross-sectional study prospectively studied 98 consecutive patients with mechanical prosthetic heart valve. All patients fulfilled prosthetic heart valve evaluation form, Beck Depression Inventory (BDI) and Hamilton Anxiety Scale (HAS). Complete blood count, basic metabolic panel and echocardiogram results were collected for all the patients. Results Using the BDI, there were 26 patients (27%) with no depression, 20 (20%) with mild depression, 38 (39%) with moderate, 4 (4%) with severe and 10 (10%) patients with very severe depression. Avarege score was 18.3±11.4 on BDI and 19.1±11.1 on HAS. The depression level was positively associated with prothrombin time (p<0.001) and international normalized ratio (INR) level (p<0.001). Hamilton Anxiety Scale was significantly correlated with comorbidities (r: 0.344; p=0.002), blood transfusion (r: 0.370; p<0.001), obesity (r: 0.319; p=0.007) and Beck Depression Scale was correlated with comorbidities (r: 0.328; p=0.002), in patients with prosthetic heart valve disease. Conlusion Patients with prosthetic heart valve have higher prevalence of depression and higher scores of anxiety and depression. Early recognition and appropriate treatment of depression and anxiety may decrease the morbidity in prosthetic heart valve disease. Besides, use of new oral anticoagulant agents that do not need INR check, could decrease anxiety and depression in the future. © 2015 Medical Association of Zenica-Doboj Canton. All rights reserved.en_US
dc.identifier.endpage92en_US
dc.identifier.issn1840-0132
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage86en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12684/428
dc.identifier.volume12en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMedical Association of Zenica-Doboj Cantonen_US
dc.relation.ispartofMedicinski Glasniken_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnxiety; Comorbidities; Depression; Heart valve diseases; International normalized ratio; Prothrombin timeen_US
dc.titleMechanical prosthetic valve disease is related with an increase in depression and anxiety disorderen_US
dc.typeArticleen_US

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