Author + information
- Fernando Petersen-Arangurena,b,
- Aldo Suareza,b,
- Alejandra Almeidaa,b,
- Alvaro Camachoa,b,
- Edilberto Peña de Leona,b,
- Mario Benavides Gonzaleza,b,
- Manuel Barrera Bustillosa,b,
- Ursulo Juarez-Herreraa,b,
- Jorge Carrilloa,b,
- Manuel de Los Rios Ibarraa,b and
- Marco Alcocer Gambaa,b
Background: Anxiety and depression are considered independent risk factors for the development of cardiovascular disease. Studies have shown that Hispanics have considerable risk factors for cardiovascular disease (CVD) and are at particular risk for the development of anxious-depression.
Objectives: To study the cross-sectional association of anxious-depression with ischemic and and hypertensive heart disease among Mexican population.
Methods: Data was derived from 1,180 participants, ages 18-75 from different States in Mexico. Patients were classified by the presence (yes/no) of ischemic or hypertensive heart disease diagnosed by the patient's treating cardiologist. Anxious-depression symptomatology was measured by the Hospital Anxiety and Depression scale (HADS). Other variables collected were demographics (age, gender, level of education), behaviors (physical activity, use of alcohol and tobacco) and biological (BMI, glucose, blood pressure, triglycerides and cholesterol).
Results: The mean age was 57.0 (SD=13.5), 51% were female. The mean scholarship was 2 years of education (SD=1.24). The mean HAD-anxiety was 5.74 (SD=4.19) and HAD-depression was 3.99 (SD=3.64). Ischemic heart disease was present in 42% of men and 58% of women; hypertensive heart disease was present in 36% of men and 64% of women. Patients with high anxiety were more likely to develop hypertensive heart disease (OR=1.03; 95%CI:1.00,1.07). The association remained significant after controlling for demographics, behaviors, BMI, glucose, blood pressure and triglycerides; yet attenuated after controlling for cholesterol. Depressive symptoms were not associated with hypertensive heart disease. There was no significant association of anxiety and depression symptomatology with ischemic heart disease.
Conclusions: This cross-sectional study showed that anxious but not depressive symptomatology is associated with hypertensive heart disease. Contrary to other studies anxious-depression is not associated with ischemic heart disease in this sample. Longitudinal studies are needed to further examine the association of anxious states with cardiovascular risk factors among Mexicans.
Poster Hall, Hall C
Saturday, March 18, 2017, 9:45 a.m.-10:30 a.m.
Session Title: Updates on Risk Factors for Cardiovascular Disease
Abstract Category: 32. Prevention: Clinical
Presentation Number: 1187-058
- 2017 American College of Cardiology Foundation