Impact of Depression on In-Hospital Outcomes for Adults With Type 2 Myocardial Infarction: A United States Population-Based Analysis

Author Type(s)

Resident/Fellow

Document Type

Article

Publication Date

7-26-2024

DOI

10.4330/wjc.v16.i7.412

Journal Title

World Journal of Cardiology

Department

Medicine

Abstract

BACKGROUND: Type 2 myocardial infarction (T2MI) is an ischemic myocardial injury in the context of oxygen supply/demand mismatch in the absence of a primary coronary event. However, though there is a rising prevalence of depression and its potential association with type 1 myocardial infarction (T1MI), data remains non-existent to evaluate the association with T2MI.

AIM: To identify the prevalence and risk of T2MI in adults with depression and its impact on the in-hospital outcomes.

METHODS: We queried the National Inpatient Sample (2019) to identify T2MI hospitalizations using Internal Classification of Diseases-10 codes in hospitalized adults (≥ 18 years). In addition, we compared sociodemographic and comorbidities in the T2MI cohort with

RESULTS: There were 331145 adult T2MI hospitalizations after excluding T1MI (median age: 73 years, 52.8% male, 69.9% white); 41405 (12.5%) had depression, the remainder; 289740 did not have depression. Multivariate analysis revealed lower odds of T2MI in patients with depression

CONCLUSION: This study revealed a significantly lower risk of T2MI in patients with depression compared to patients without depression by decreasing adverse in-hospital outcomes such as all-cause mortality, cardiogenic shock, cardiac arrest, and stroke in patients with depression.

Link to Full Text

Share

COinS