摘要
１０３例冠心病人完成精神状况检查和量表评定，并接受２４小时Ｈｏｌｔｅｒ监测。结果发现２１例病人符合轻性或重性抑郁的诊断。阵发性室性心动过速（ＶＴ）发生率在抑郁组（２８．５％）显著高于非抑郁组（３．７％）。抑郁组病人心脏变异性（ＨＲＶ）明显低于非抑郁病人（６５．５±３８．６与９４．６±２９．９ｍｓ，Ｐ＜０．０９）。抑郁病人吸烟率及婚姻状况不良者高于非抑郁病人。应用多因素Ｌｏｇｉｓｔｉｃ回归分析，抑郁作为危险因素对ＶＴ的发生具有显著影响。本文结果可部分解释冠心病后抑郁患者心源性死亡率增加的原因。
The purpose of this study was
to examine relationship between depression and venticular tachycardia(VT)in patients with
coronary artery disease(CAD).103 patients diagnosed as CAD by selective coronary
angiographywere administered a standardized poychiatric interview and received 24─hour
Holter ECG monitoring.It was found that21 petients (20%)met the diagncotic criteria for
depression. Six of depressed patients(2.6%)and three of non-de-pressed
patients(3.7%)exhibited episodes of VT during the period of 24-hour monitoring (P<0. 01).The
result of multiple Logistic regression revealed a significant association between depression
and occurrence of VT even after adjust-ing relevant covariates.It is concluded that the higher
prevalence of VT in depressed CAD patients may help to explain their increased risk for cardiac
mortality.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
1995年第1期1-3,共3页
Chinese Mental Health Journal
