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• W2102919860 abstract "Objective: To determine risk factors for development of post-acute ST elevation myocardial infarction (STEMI) depression in elderly. Material and Methods: We included 104 elderly patients diagnosed with STEMI. Clinical, lab and imagistic data was recorded in the first week after STEMI. Six months after STEMI patients were evaluated for the presence of depression. Results: Bivariate analysis showed statistically significant association between post-STEMI depression and sex, arterial hypertension, type 2 diabetes, socio-economic status, presence of family, left ventricular ejection fraction, Lown classification and HDL-cholesterol values. Multivariate analysis determined that following parameters increased the probability of onset of depression six months post-STEMI in elderly: sex (OR - 3.2), type 2 diabetes (OR - 2.6), poor socio-economic status (OR - 3.5) and absence of family (OR - 4.2). Conclusion: diabetes, precarious socio-economic status, absence of family and female sex were risk factors for post-STEMI depression. Introduction. In last decades numerous studies had as objective the associative relation between cardiovascular diseases and depressive disorder (DD). The risk of DD occurrence after an acute coronary event was evaluated. The impact of post ST-elevation myocardial infarction (PSTEMI) DD determines the formation of a vicious circle with nefarious consequences upon patient's clinical evolution or short and medium prognostic. Trials that studied prevalence of PSTEMI DD had included mainly adults, so, few people over 65 years were present in them. As clinical depression in the elderly is a common finding and an increasing prevalence of STEMI is recorded, we decided to study the implication of some risk factors for onset of DD PSTEMI in the elderly. To that purpose we tried to establish an independent association of some parameters with the occurrence of PSTEMI DD: sex, history of heart disease, arterial hypertension, diabetes mellitus, obesity, lipidic profile, smoking, patient's socio-economic status and presence of family. Also we studied the correlation of physiopathologic changes, induced by acute myocardial infarction, and DD: ejection fraction of left ventricle (LVEF), Killip classification and heart rhythm disturbances." @default.
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• W2102919860 date "2011-01-01" @default.
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• W2102919860 title "Risk factors for post-acute myocardial infarction depression in elderly" @default.
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