Diagnosis, treatment and impacts of post-infarction mental health problems: a systematic review
DOI:
https://doi.org/10.11606/issn.1679-9836.v101i3e-185514Keywords:
Myocaridal infarction, Depression, Anxiety, Mental health, Primary careAbstract
Depression and anxiety are prevalent disorders in the post-myocardial infarction period and constitute factors that add disabilities and influence the morbidity and mortality of previously infarcted patients. However, there are no national guidelines regarding the repercussions on quality of life, diagnostic strategies and the best treatment of these comorbidities. Furthermore, the existing evidence is often not gathered in specific internationally accepted protocols, making it difficult the reproduce the most appropriate conduct. Thus, the aim of this systematic review is to analyze the repercussions of mental health problems for the previously infarcted individual, seeking to present therapeutic options that can be offered by Primary Health Care. Thus, the search was carried out in the PubMed, Lilacs, SciELO and BVS databases with the Mesh Terms “myocardial infarction”, “mental health” and “primary care” and the Boolean “AND”. Thirty articles in Portuguese and English were selected that more adequately related to the objectives of this work, using the PRISMA criteria. The time frame analyzed comprises the years 2011 to 2021. The survey results showed associations between anxiety, depression and other mental health problems and decreased quality of life, such as hospital readmission, higher health care costs, chest pain, and increased risk of cardiovascular outcomes. The validated scales proved to be useful tools for diagnosing post-infarction mental comorbidities. Among the most effective therapeutic options found are those with a psychosocial focus and Cognitive-Behavioral Therapy, with great literary divergence regarding antidepressants. Given the great impact on the quality of life of the post-infarcted individual, further studies are needed to define better therapeutic approaches with a clear reduction in mortality.
Downloads
References
Tylee A, Barley EA, Walters P, Achilla E, Borschmann R, Leese M, et al. UPBEAT-UK: a programme of research into the relationship between coronary heart disease and depression in primary care patients. Programme Grants Appl Res 2016;4(8). doi:10.3310/pgfar04080
Nielsen TJ, Vestergaard M, Fenger-Grøn M, Christensen B, Larsen KK. Healthcare contacts after myocardial infarction according to mental health and socioeconomic position: a population-based cohort study. PLOS ONE. 2015;10(7):e0134557. doi: 10.1371/journal.pone.0134557
Groenewold NA, Doornbos B, Zuidersma M, Vogelzangs N, Penninx BWJH, Aleman A, et al. Comparing cognitive and somatic symptoms of depression in myocardial infarction patients and depressed patients in primary and mental health care. PLoS ONE. 2013;8(1):e53859. doi: 10.1371/journal.pone.0053859
Iles-Smith H, McGowan L, Campbell M, Mercer C, Deaton C. A prospective cohort study investigating readmission, symptom attribution and psychological health within six months of primary percutaneous coronary intervention. Eur J Cardiovasc Nurs J Work Group Cardiovasc Nurs Eur Soc Cardiol. 2015;14(6):506-15. doi: 10.1177/1474515114543227
Larsen KK, Vestergaard M, Søndergaard J, Christensen B. Screening for depression in patients with myocardial infarction by general practitioners. Eur J Prev Cardiol. 2013;20(5):800-6. https://doi.org/10.1177/2047487312444994
Norlund F, Wallin E, Olsson EMG, Wallert J, Burell G, Essen L von, et al. Internet-based cognitive behavioral therapy for symptoms of depression and anxiety among patients with a recent myocardial infarction: the U-CARE Heart Randomized Controlled Trial. J Med Internet Res. 2018;20(3):e9710. doi: 10.2196/jmir.9710
Hauck TS, Liu N, Wijeysundera HC, Kurdyak P. Mortality and revascularization among myocardial infarction patients with schizophrenia: a population-based cohort study. Can J Psychiatry. 2020;65(7):454-62. doi: 10.1177/0706743720904845
Mohamed MO, Rashid M, Farooq S, Siddiqui N, Parwani P, Shiers D, et al. Acute myocardial infarction in severe mental illness: prevalence, clinical outcomes, and process of care in U.S. hospitalizations. Can J Cardiol. 2019;35(7):821-30. doi: 10.1177/0706743720904845
von Känel R, Barth J, Princip M, Meister-Langraf RE, Schmid J-P, Znoj H, et al. Early psychological counseling for the prevention of posttraumatic stress induced by acute coronary syndrome: the MI-SPRINT Randomized Controlled Trial. Psychother Psychosom. 2018;87(2):75-84. doi: 10.1159/000486099
Valaker I, Fridlund B, Wentzel-Larsen T, Nordrehaug JE, Rotevatn S, Råholm M-B, et al. Continuity of care and its associations with self-reported health, clinical characteristics and follow-up services after percutaneous coronary intervention. BMC Health Serv Res. 2020;20(1):71. doi:10.1186/s12913-020-4908-1
Sweda R, Siontis GCM, Nikolakopoulou A, Windecker S, Pilgrim T. Antidepressant treatment in patients following acute coronary syndromes: a systematic review and Bayesian meta-analysis. ESC Heart Fail. 2020;7:3610-20. doi: 10.1002/ehf2.12861
Ski CF, Jelinek M, Jackson AC, Murphy BM, Thompson DR. Psychosocial interventions for patients with coronary heart disease and depression: a systematic review and meta-analysis. Eur J Cardiovasc Nurs 2016;15(5):305-16. doi: 10.1177/1474515115613204
Soldati S, Di Martino M, Castagno D, et al. In-hospital myocardial infarction and adherence to evidence-based drug therapies: a real-world evaluation. BMJ Open 2021;11:e042878. doi: 10.1136/ bmjopen-2020-042878
Resurrección DM, Moreno-Peral P, Gómez-Herranz M, Rubio-Valera M, Pastor L, Caldas de Almeida JM, et al. Factors associated with non-participation in and dropout from cardiac rehabilitation programmes: a systematic review of prospective cohort studies. Eur J Cardiovasc Nurs. 2019;18(1):38-47. doi: 10.1177/1474515118783157
Herawati T, Keliat BA, Waluyo A. Perceptions of self-care readiness among STEMI patients following primary PCI. Enferm Clínica. 2019;29:820-5. doi: 10.1016/j.enfcli.2019.04.123
Zuidersma M, Conradi HJ, van Melle JP, Ormel J, de Jonge P. Depression treatment after myocardial infarction and long-term risk of subsequent cardiovascular events and mortality: a randomized controlled trial. J Psychosom Res. 2013;74(1):25-30. doi: 10.1016/j.jpsychores.2012.08.015
Fors A, Dudas K, Ekman I. Life is lived forwards and understood backwards – Experiences of being affected by acute coronary syndrome: a narrative analysis. Int J Nurs Stud. 2014;51(3):430-7. doi: 10.1016/j.ijnurstu.2013.06.012
Hunger M, Kirchberger I, Holle R, Seidl H, Kuch B, Wende R, et al. Does nurse-based case management for aged myocardial infarction patients improve risk factors, physical functioning and mental health? the KORINNA trial. Eur J Prev Cardiol. 2015;22(4):442-50. doi: 10.1177/2047487314524682
Beckman AL, Bucholz EM, Zhang W, Xu X, Dreyer RP, Strait KM, et al. Sex differences in financial barriers and the relationship to recovery after acute myocardial infarction. J Am Heart Assoc. 2016;5(10). doi: 10.1161/JAHA.116.003923
Bucholz EM, Strait KM, Dreyer RP, Lindau ST, D’Onofrio G, Geda M, et al. Sex differences in young patients with acute myocardial infarction: a VIRGO Study Analysis. Eur Heart J Acute Cardiovasc Care. 2017;6(7):610-22. doi: 10.1177/2048872616661847
Shah SJ, Krumholz HM, Reid KJ, Rathore SS, Mandawat A, et al. Financial stress and outcomes after acute myocardial infarction. PLoS ONE. 2012;7(10):e47420. doi: 10.1371/journal.pone.0047420
Wachelder EM, Moulaert VRMP, Heugten C van, Gorgels T, Wade DT, Verbunt JA. Dealing with a life changing event: The influence of spirituality and coping style on quality of life after survival of a cardiac arrest or myocardial infarction. Resuscitation. 2016;109:81-6. doi: 10.1016/j.resuscitation.2016.09.025
Smith A, Fortune Z, Phillips R, Walters P, Lee GA, Mann A, et al. UPBEAT study patients’ perceptions of the effect of coronary heart disease on their lives: a cross-sectional sub-study. Int J Nurs Stud. 2014;51(11):1500-6. doi: 10.1016/j.ijnurstu.2014.04.006
Gulliksson M, Burell G, Vessby B, Lundin L, Toss H, Svärdsudd K. Randomized controlled trial of cognitive behavioral therapy vs standard treatment to prevent recurrent cardiovascular events in patients with coronary heart disease: Secondary Prevention in Uppsala Primary Health Care Project (SUPRIM). Arch Intern Med. 2011;171(2). doi: 10.1001/archinternmed.2010.510
Hawkes AL, Patrao TA, Atherton J, Ware RS, Taylor CB, O’Neil A, et al. Effect of a Telephone-Delivered Coronary Heart Disease Secondary Prevention Program (ProActive Heart) on Quality of Life and Health Behaviours: Primary Outcomes of a Randomised Controlled Trial. Int J Behav Med. 2013;20(3):413-24. https://doi.org/10.1007/s12529-012-9250-5
Ghassan Mourad, Tiny Jaarsma, Claes Hallert and Anna Strömberg, Depressive symptoms and healthcare utilization in patients with noncardiac chest pain compared to patients with ischemic heart disease. Heart Amp Lung. 2012;41(5):446-55. doi: 10.1016/j.hrtlng.2012.04.002
Kurdyak P, Vigod S, Calzavara A, Wodchis WP. High mortality and low access to care following incident acute myocardial infarction in individuals with schizophrenia. Schizophr Res. 2012;142(1):52-7. doi: 10.1016/j.schres.2012.09.003
Turkstra E, Hawkes AL, Oldenburg B, Scuffham PA. Cost-effectiveness of a coronary heart disease secondary prevention program in patients with myocardial infarction: results from a randomised controlled trial (ProActive Heart). BMC Cardiovasc Disord. 2013;13:33. doi: 10.1186/1471-2261-13-33
Amin AP, Wang TY, McCoy L, Bach RG, Effron MB, Peterson ED, et al. Impact of bleeding on quality of life in patients on DAPT: insights from translate-ACS. J Am Coll Cardiol. 2016;67(1):59-65. doi: 1 0.1016/j.jacc.2015.10.034
Pristipino C, Roncella A, Pasceri V, Speciale G. Short-TErm Psychotherapy in acute myocardial infarction (STEP-IN-AMI) trial: final results. Am J Med. 2019;132(5):639-46.e5. doi: 10.1016/j.amjmed.2018.12.025
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Samantha Tembra, Henrique José Pegorini, Lucimar de Lara Aires Reis
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
