Abstract:

In patients with acute coronary syndrome, anxiety and depression are common health problems that affect the heart rehabilitation process. This study was aimed at investigating factors that determine the level of anxiety and depression in patients with acute coronary syndrome. Methods: The study included 50 patients (42 men, 8 women) monitored in the coronary care unit with the diagnosis of acute coronary syndrome. The physical, physiological and demographic characteristics of the events were recorded. The risk score for acute coronary incidents (GRACE) is calculated. The functional level was determined by the New York Heart Association (NHYA) classification. The level of anxiety, state and constant anxiety inventory (STAI); the level of depression was determined using the Beck Depression inventory (BDI). Cognitive functions were evaluated using the Mini-Mental Status Assessment (MMSE). Results: According to multi-linear regression analysis, BDI and NYHA class revealed 45% of the change in the STAI-Continuous Anxiety score (p=0.016). The training time, the presence of the previously passed percutaneous initiative, and the respiratory frequency value recorded in the first deposit in coronary care, stated 39% of the STAI-Standance Anxiety score (p<0.0001). The STAI-Continuous Anxiety score and the MMSE score determined 37% of the change in the BDI score (p<0.0001). In acute coronary syndrome, it determines the functional level, training time, cognitive function, previous perkutan applications and the respiratory frequency value recorded in the first session, the level of depression and anxiety. During the planning of cardiovascular rehabilitation programs, physical functions as well as psychosocial conditions should be taken into account.

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