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Anxiety disorders are most common encountered psychiatric disorders. There is no data regarding the relationship between this widely seen situation and heart failure stage/symptom class.
The aim of this study is to evaluate the relationship between various stages of anxiety disorders and heart failure stages/symptom classes.
A total of consecutive 419 patients with a mean age of 57.9±14.4 years (age range, 18-96 years) admitted with the symptoms of heart failure and/or with risk factors for heart failure were included in the study. Beck's anxiety inventory including 21 evaluation sentences was applied to all study participants to measure the level and severity of anxiety symptoms of persons. Measured total scores were used to grade the severity as minimal, mild, moderate, and severe.
Two hundred and nineteen patients (52.3%) were male, 247 (58.9%) had hypertension, 139 (33.2%) had diabetes, and 248 cases (59.2%) had coronary heart disease. Stage A heart failure was present in 113 patients (27.0%), stage B in 119 patients (28.4%), stage C in 116 patients (27.7%), and stage D in remaining 71 cases (16.9%). With regard to NYHA classification, 228 patients (54.4%) had class I symptoms, 101 (24.1%) had class II symptoms, 31 (7.4%) had class III symptoms, and class IV symptoms were found in remaining 59 patients (14.1%). The mean left ventricular ejection fraction of all population was 54.2% ± 12.4 and the mean Beck's anxiety score was 13.4±9.0. Neither heart failure stages nor symptom classes were found to be statistically different among 4 study groups regarding anxiety scores and severity (all p>0.05) (table).
There was no association between heart failure stage/class and anxiety score/severity in a wide population of heart failure patients.
|Heart failure stage||Stage A||Stage B||Stage C||Stage D||P value for trend|
|Anxiety score||14.3 ± 8.7||12.8 ± 8.5||12.5 ± 9.2||14.5 ± 9.7||NS|
|NYHA class||NYHA I||NYHA II||NYHA III||NYHA IV|
|Anxiety score||13.5 ± 8.6||12.8 ± 9.0||11.7 ± 9.3||15.1 ± 9.9||NS|
NS, not significant