Mert Palabıyık1, Ümit Yaşar Sinan2, Özge Çetinarslan1, Veysel Oktay2, Alev Arat Özkan3

1Department of Cardiology, Demiroglu Bilim University, Faculty of Medicine, Istanbul, Turkey
2Department of Cardiology, Istanbul University-Cerrahpaşa Institute of Cardiology, Istanbul, Turkey
3Department of Cardiology, Koç University Hospital, Istanbul, Turkey

Keywords: Acute coronary syndrome, anxiety, depression, HAD score.


Objectives: We aimed to investigate the difference between anxiety and depression status among ST-segment elevation acute coronary syndrome (STE-ACS) and non-ST-segment elevation ACS (NSTE-ACS) patients.

Patients and methods: This study is a cross-sectional study that included 165 patients (132 males, 33 females; mean age: 59.3±10.5 years; range, 48 to 71 years) who were hospitalized with a final diagnosis of ACS (both NSTE-ACS and STE-ACS) between January 2019 and April 2019. The Hospital Anxiety and Depression Scale (HADS) was used to measure the patients’ anxiety and depression status.

Results: According to current European Society of Cardiology (ESC) guidelines, 91 (55.2%) patients were classified as NSTE-ACS and 74 (44.8%) patients as STE-ACS. According to the HADS scores, 33 (20%) of the total study population had anxiety diagnoses, and 28 (17%) of them had depression . While the mean depression score was 4.8±4.9 for NSTE-ACS patients, it was 4.6±4.3 for STE-ACS patients (p=0.723). The mean anxiety score was 6.1±5.1 for NSTE-ACS patients and 5.6±4.5 for STE-ACS patients (p=0.546), which was similar between the two groups.

Conclusion: Although NSTE-ACS and STE-ACS are two different entities of ACS spectrum, patients hospitalized with these diagnoses have similar anxiety and depression scores.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.