NYMC Faculty Publications
Mental Health Disorders Among Patients with Acute Myocardial Infarction in the United States
Author Type(s)
Faculty
DOI
10.1016/j.ajpc.2020.100133
Journal Title
American Journal of Preventive Cardiology
First Page
100133
Last Page
100133
Document Type
Article
Publication Date
3-2021
Department
Medicine
Abstract
OBJECTIVE: To assess the prevalence, temporal trends and sex- and racial/ethnic differences in the burden of mental health disorders (MHD) and outcomes among patients with myocardial infarction (MI) in the United States.
METHODS: Using the National Inpatient Sample Database, we evaluated a contemporary cohort of patients hospitalized for acute MI in the United States over 10 years period from 2008 to 2017. We used multivariable logistic regression analysis for in-hospital outcomes, yearly trends and estimated annual percent change (APC) in odds of MHD among MI patients.
RESULTS: We included a total sample of 6,117,804 hospitalizations for MI (ST elevation MI in 30.4%), with a mean age of 67.2 ± 0.04 years and 39% females. Major depression (6.2%) and anxiety disorders (6.0%) were the most common MHD, followed by bipolar disorder (0.9%), schizophrenia/psychotic disorders (0.8%) and post-traumatic stress disorder (PTSD) (0.3%). Between 2008 and 2017, the prevalences significantly increased for major depression (4.7%-7.4%, APC +6.2%,
CONCLUSION: MHD are common among patients with acute MI and there was a concerning increase in the prevalence of major depression, bipolar disorder, anxiety disorders and PTSD over this 10-year period. Focused mental health interventions are warranted to address the increasing burden of comorbid MHD among acute MI.
Recommended Citation
Sreenivasan, J., Khan, M. S., Khan, S. U., Hooda, U., Aronow, W. S., Panza, J. A., Levine, G. N., Commodore-Mensah, Y., Blumenthal, R. S., & Michos, E. D. (2021). Mental Health Disorders Among Patients with Acute Myocardial Infarction in the United States. American Journal of Preventive Cardiology, 5, 100133-100133. https://doi.org/10.1016/j.ajpc.2020.100133