Depression and the risk of adverse outcomes at 5 years in patients with coronary heart disease

Antecedentes Las enfermedades cardiovasculares son un problema de salud pública en todo el mundo, con altas tasas de morbilidad y mortalidad. La depresión es una comorbilidad frecuente en la enfermedad coronaria (EC). Puede ser causada por la experiencia de padecer una enfermedad cardíaca, pero tamb...

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Autores:
Henao Pérez, Marcela
López Medina, Diana Carolina
Lemos Hoyos, Mariantonia
Ríos Zapata, Paula
Tipo de recurso:
Article of journal
Fecha de publicación:
2020
Institución:
Universidad Cooperativa de Colombia
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Repositorio UCC
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OAI Identifier:
oai:repository.ucc.edu.co:20.500.12494/28227
Acceso en línea:
https://doi.org/10.1016/j.heliyon.2020.e05425
https://hdl.handle.net/20.500.12494/28227
Palabra clave:
Psiquiatría
Neurociencias
Neurociencias del comportamiento
Epidemiología
Cardiología
Enfermedad cardiaca
Depresión
Complicaciones
Pronóstico
Psychiatry
Neuroscience, Behavioral neuroscience
Epidemiology
Cardiology
Heart disease
Depression
Complications
Prognosis
Rights
openAccess
License
Atribución – No comercial
id COOPER2_e9db6c5cf7e71d61acf6c4efb481a560
oai_identifier_str oai:repository.ucc.edu.co:20.500.12494/28227
network_acronym_str COOPER2
network_name_str Repositorio UCC
repository_id_str
dc.title.spa.fl_str_mv Depression and the risk of adverse outcomes at 5 years in patients with coronary heart disease
title Depression and the risk of adverse outcomes at 5 years in patients with coronary heart disease
spellingShingle Depression and the risk of adverse outcomes at 5 years in patients with coronary heart disease
Psiquiatría
Neurociencias
Neurociencias del comportamiento
Epidemiología
Cardiología
Enfermedad cardiaca
Depresión
Complicaciones
Pronóstico
Psychiatry
Neuroscience, Behavioral neuroscience
Epidemiology
Cardiology
Heart disease
Depression
Complications
Prognosis
title_short Depression and the risk of adverse outcomes at 5 years in patients with coronary heart disease
title_full Depression and the risk of adverse outcomes at 5 years in patients with coronary heart disease
title_fullStr Depression and the risk of adverse outcomes at 5 years in patients with coronary heart disease
title_full_unstemmed Depression and the risk of adverse outcomes at 5 years in patients with coronary heart disease
title_sort Depression and the risk of adverse outcomes at 5 years in patients with coronary heart disease
dc.creator.fl_str_mv Henao Pérez, Marcela
López Medina, Diana Carolina
Lemos Hoyos, Mariantonia
Ríos Zapata, Paula
dc.contributor.advisor.none.fl_str_mv Comité evaluador revista Heliyon
dc.contributor.author.none.fl_str_mv Henao Pérez, Marcela
López Medina, Diana Carolina
Lemos Hoyos, Mariantonia
Ríos Zapata, Paula
dc.subject.spa.fl_str_mv Psiquiatría
Neurociencias
Neurociencias del comportamiento
Epidemiología
Cardiología
Enfermedad cardiaca
Depresión
Complicaciones
Pronóstico
topic Psiquiatría
Neurociencias
Neurociencias del comportamiento
Epidemiología
Cardiología
Enfermedad cardiaca
Depresión
Complicaciones
Pronóstico
Psychiatry
Neuroscience, Behavioral neuroscience
Epidemiology
Cardiology
Heart disease
Depression
Complications
Prognosis
dc.subject.other.spa.fl_str_mv Psychiatry
Neuroscience, Behavioral neuroscience
Epidemiology
Cardiology
Heart disease
Depression
Complications
Prognosis
description Antecedentes Las enfermedades cardiovasculares son un problema de salud pública en todo el mundo, con altas tasas de morbilidad y mortalidad. La depresión es una comorbilidad frecuente en la enfermedad coronaria (EC). Puede ser causada por la experiencia de padecer una enfermedad cardíaca, pero también puede influir en el pronóstico de la EC. La prevalencia de depresión en pacientes con enfermedad cardiovascular es dos veces mayor que en la población general. Objetivo Valorar la influencia de la depresión en el pronóstico a 5 años en pacientes con enfermedad coronaria. Métodos Se reclutaron 145 pacientes diagnosticados con EC entre septiembre de 2013 y junio de 2015. La depresión se evaluó con base en los resultados del PHQ-9 en el momento de la hospitalización y 3 meses después del alta. Se recogieron variables sociodemográficas y clínicas. Se realizó un seguimiento de 5 años para verificar muerte, reinfarto o cualquier resultado adverso. Resultados El 20% de la población del estudio tenía depresión al ingreso hospitalario en comparación con el 11% a los 3 meses. La depresión a los 3 meses del alta fue un factor diferenciador para presentar complicaciones (42,6 meses, IC 95% 27,3-57,9) en comparación con pacientes sin depresión (55 meses, IC 95%, 50,9-59,1) (Log-Rank p = 0,034). En el modelo no ajustado, el riesgo de complicaciones cardíacas aumentó con pacientes que tienen comorbilidades, como diabetes (HR 2,78, IC 95% 1,21–6,3) o hipotiroidismo (HR 2,5 IC 95% 1,09–5,7). Además, los pacientes con depresión poshospitalaria a los 3 meses tenían 3 veces (IC del 95%: 1,023 a 8,8) más probabilidades de tener complicaciones durante el período de seguimiento que los pacientes no deprimidos. Después del ajuste de los factores de riesgo, el HR para la depresión fue de 2,01 (IC del 95%: 0,57 a 6,9). Conclusión Los pacientes con depresión a los 3 meses del evento coronario presentaron complicaciones antes que aquellos sin depresión.
publishDate 2020
dc.date.accessioned.none.fl_str_mv 2020-11-19T16:00:00Z
dc.date.available.none.fl_str_mv 2020-11-19T16:00:00Z
dc.date.issued.none.fl_str_mv 2020-11-06
dc.type.none.fl_str_mv Artículo
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dc.identifier.bibliographicCitation.spa.fl_str_mv Henao Pérez, M., López Medina. D.C., Lemos Hoyos, M. y Ríos Zapata, P. (2020). Depression and the risk of adverse outcomes at 5 years in patients with coronary heart disease. Heliyon. 2020;6(11):e05425
identifier_str_mv 2405-8440
Henao Pérez, M., López Medina. D.C., Lemos Hoyos, M. y Ríos Zapata, P. (2020). Depression and the risk of adverse outcomes at 5 years in patients with coronary heart disease. Heliyon. 2020;6(11):e05425
url https://doi.org/10.1016/j.heliyon.2020.e05425
https://hdl.handle.net/20.500.12494/28227
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dc.relation.ispartofjournal.spa.fl_str_mv Heliyon
dc.relation.references.spa.fl_str_mv World-Health-Organization Global Status Report on Noncommunicable Diseases 2014. WHO, Geneva2014 (2014)
Havranek E.P. Mujahid M.S. Barr D.A. Blair I.V. Cohen M.S. Cruz-Flores S. et al. Social determinants of risk and outcomes for cardiovascular disease: a scientific statement from the American Heart Association. Circulation. 2015; 132: 873-898
Martínez J.C. Factors associated to mortality by non-communicable diseases in Colombia, 2008-2012. Biomedica. 2016; 36: 535-546
Pereira V.H. Cerqueira J.J. Palha J.A. Sousa N. Stressed brain, diseased heart: a review on the pathophysiologic mechanisms of neurocardiology. Int. J. Cardiol. 2013; 166: 30-37
Nekouei Z.K. Yousefy A. Doost H.T.N. Manshaee G. Sadeghei M. Structural Model of psychological risk and protective factors affecting on quality of life in patients with coronary heart disease: a psychocardiology model. J. Res. Med. Sci.: Off. J. Isfahan Univ. Med. Sci. 2014; 19: 90
Lichtman J.H. Froelicher E.S. Blumenthal J.A. Carney R.M. Doering L.V. Frasure-Smith N. et al. Depression as a risk factor for poor prognosis among patients with acute coronary syndrome: systematic review and recommendations: a scientific statement from the American Heart Association. Circulation. 2014; 129: 1350-1369
Whooley M.A. Depression and cardiovascular disease: healing the broken-hearted. Jama. 2006; 295: 2874-2881
Cohen B.E. Edmondson D. Kronish I.M. State of the art review: depression, stress, anxiety, and cardiovascular disease. Am. J. Hypertens. 2015; 28: 1295-1302
Penninx B.W. Depression and cardiovascular disease: epidemiological evidence on their linking mechanisms. Neurosci. Biobehav. Rev. 2017; 74: 277-286
Hagström E. Norlund F. Stebbins A. Armstrong P. Chiswell K. Granger C. et al. Psychosocial stress and major cardiovascular events in patients with stable coronary heart disease. J. Intern. Med. 2018; 283: 83-92
Kroenke K. Spitzer R.L. The PHQ-9: a new depression diagnostic and severity measure. Psychiatr. Ann. 2002; 32: 509-515
Spitzer R.L. Kroenke K. Williams J.B.W. Validation and utility of a self-report version of PRIME-MD. JAMA: J. Am. Med. Assoc. 1999; 282: 1737-1744
Thombs B.D. Ziegelstein R.C. Whooley M.A. Optimizing detection of major depression among patients with coronary artery disease using the patient health questionnaire: data from the heart and soul study. J. Gen. Intern. Med. 2008; 23: 2014-2017
Ossola P. Gerra M.L. De Panfilis C. Tonna M. Marchesi C. Anxiety, depression, and cardiac outcomes after a first diagnosis of acute coronary syndrome. Health psychology : official journal of the Division of Health Psychology. Am. Psychol. Assoc. 2018; 37: 1115-1122
Stafford L. Berk M. Jackson H.J. Validity of the hospital anxiety and depression scale and patient health questionnaire-9 to screen for depression in patients with coronary artery disease. Gen. Hosp. Psychiatr. 2007; 29: 417-424
Ren Y. Yang H. Browning C. Thomas S. Liu M. Performance of screening tools in detecting major depressive disorder among patients with coronary heart disease: a systematic review. Med. Sci. Mon. Int. Med. J. Exp. Clin. Res.: Int. Med. J. Exp. Clin. Res. 2015; 21: 646
Elderon L. Smolderen K.G. Na B. Whooley M.A. Accuracy and prognostic value of American Heart Association–recommended depression screening in patients with coronary heart disease: data from the Heart and Soul Study. Circulation: Cardiovasc. Qual. Outcomes. 2011; 4: 533-540
Lespérance F. Frasure-Smith N. Depression in patients with cardiac disease: a practical review. J. Psychosom. Res. 2000; 48: 379-391
Ziegelstein R.C. Depression in patients recovering from a myocardial infarction. Jama. 2001; 286: 1621-1627
Yu H.Y. Park Y.-S. Son Y.-J. Combined effect of left ventricular ejection fraction and post-cardiac depressive symptoms on major adverse cardiac events after successful primary percutaneous coronary intervention: a 12-month follow-up. Eur. J. Cardiovasc. Nurs. 2017; 16: 37-45
Thombs B.D. Bass E.B. Ford D.E. Stewart K.J. Tsilidis K.K. Patel U. et al. Prevalence of depression in survivors of acute myocardial infarction. J. Gen. Intern. Med. 2006; 21: 30-38
Parashar S. Rumsfeld J.S. Reid K.J. Buchanan D. Dawood N. Khizer S. et al. Impact of depression on sex differences in outcome after myocardial infarction. Circulation: Cardiovasc. Qual. Outcomes. 2009; 2: 33-40
Smolderen K.G. Spertus J.A. Reid K.J. Buchanan D.M. Krumholz H.M. Denollet J. et al. The association of cognitive and somatic depressive symptoms with depression recognition and outcomes after myocardial infarction. Circulation: Cardiovasc. Qual. Outcomes. 2009; 2: 328-337
Gilbody S. Richards D. Brealey S. Hewitt C. Screening for depression in medical settings with the patient health questionnaire (PHQ): a diagnostic meta-analysis. J. Gen. Intern. Med. 2007; 22: 1596-1602
Udovcic M. Pena R.H. Patham B. Tabatabai L. Kansara A. Hypothyroidism and the heart. Methodist DeBakey Cardiovasc. J. 2017; 13: 55-59
Rodondi N. den Elzen W.P. Bauer D.C. Cappola A.R. Razvi S. Walsh J.P. et al. Subclinical hypothyroidism and the risk of coronary heart disease and mortality. Jama. 2010; 304: 1365-1374
Naito R. Miyauchi K. Coronary artery disease and type 2 diabetes mellitus. Int. Heart J. 2017; 58: 475-480
Strik J.J. Lousberg R. Cheriex E.C. Honig A. One year cumulative incidence of depression following myocardial infarction and impact on cardiac outcome. J. Psychosom. Res. 2004; 56: 59-66
Connerney I. Sloan R.P. Shapiro P.A. Bagiella E. Seckman C. Depression is associated with increased mortality 10 years after coronary artery bypass surgery. Psychosom. Med. 2010; 72: 874-881
Damen N.L. Versteeg H. Boersma E. Serruys P.W. van Geuns R.-J.M. Denollet J. et al. Depression is independently associated with 7-year mortality in patients treated with percutaneous coronary intervention: results from the RESEARCH registry. Int. J. Cardiol. 2013; 167: 2496-2501
Boyle S. Samad Z. Becker R.C. Williams R. Kuhn C. Ortel T.L. et al. Depressive symptoms and mental stress induced myocardial ischemia in patients with coronary heart disease. Psychosom. Med. 2013; 75: 822
Headrick J.P. Peart J.N. Budiono B.P. Shum D.H. Neumann D.L. Stapelberg N.J. The heartbreak of depression:‘Psycho-cardiac’coupling in myocardial infarction. J. Mol. Cell. Cardiol. 2017; 106: 14-28
Vogelzangs N. Seldenrijk A. Beekman A.T.F. van Hout H.P.J. de Jonge P. Penninx B.W.J.H. Cardiovascular disease in persons with depressive and anxiety disorders. J. Affect. Disord. 2010; 125: 241-248
Colombia. Ministerio de Salud y Protección Social Guía de práctica clínica para Síndrome Coronario Agudo. Guía completa. El Ministerio, Guía no.17. Tercera ed. Bogotá D.C.2017
Kang H.-J. Stewart R. Bae K.-Y. Kim S.-W. Shin I.-S. Hong Y.J. et al. Predictors of depressive disorder following acute coronary syndrome: results from K-DEPACS and EsDEPACS. J. Affect. Disord. 2015; 181: 1-8
Richards S.H. Anderson L. Jenkinson C.E. Whalley B. Rees K. Davies P. et al. Psychological interventions for coronary heart disease. Cochrane Database Syst. Rev. 2017; 4
Frost J.L. Rich Jr., R.L. Robbins C.W. Stevermer J.J. Chow R.T. Leon K.K. et al. Depression following acute coronary syndrome events: screening and treatment guidelines from the AAFP. Am. Fam. Physician. 2019; 99
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spelling Comité evaluador revista HeliyonHenao Pérez, MarcelaLópez Medina, Diana CarolinaLemos Hoyos, MariantoniaRíos Zapata, PaulaVol 6 Issue 112020-11-19T16:00:00Z2020-11-19T16:00:00Z2020-11-062405-8440https://doi.org/10.1016/j.heliyon.2020.e05425https://hdl.handle.net/20.500.12494/28227Henao Pérez, M., López Medina. D.C., Lemos Hoyos, M. y Ríos Zapata, P. (2020). Depression and the risk of adverse outcomes at 5 years in patients with coronary heart disease. Heliyon. 2020;6(11):e05425Antecedentes Las enfermedades cardiovasculares son un problema de salud pública en todo el mundo, con altas tasas de morbilidad y mortalidad. La depresión es una comorbilidad frecuente en la enfermedad coronaria (EC). Puede ser causada por la experiencia de padecer una enfermedad cardíaca, pero también puede influir en el pronóstico de la EC. La prevalencia de depresión en pacientes con enfermedad cardiovascular es dos veces mayor que en la población general. Objetivo Valorar la influencia de la depresión en el pronóstico a 5 años en pacientes con enfermedad coronaria. Métodos Se reclutaron 145 pacientes diagnosticados con EC entre septiembre de 2013 y junio de 2015. La depresión se evaluó con base en los resultados del PHQ-9 en el momento de la hospitalización y 3 meses después del alta. Se recogieron variables sociodemográficas y clínicas. Se realizó un seguimiento de 5 años para verificar muerte, reinfarto o cualquier resultado adverso. Resultados El 20% de la población del estudio tenía depresión al ingreso hospitalario en comparación con el 11% a los 3 meses. La depresión a los 3 meses del alta fue un factor diferenciador para presentar complicaciones (42,6 meses, IC 95% 27,3-57,9) en comparación con pacientes sin depresión (55 meses, IC 95%, 50,9-59,1) (Log-Rank p = 0,034). En el modelo no ajustado, el riesgo de complicaciones cardíacas aumentó con pacientes que tienen comorbilidades, como diabetes (HR 2,78, IC 95% 1,21–6,3) o hipotiroidismo (HR 2,5 IC 95% 1,09–5,7). Además, los pacientes con depresión poshospitalaria a los 3 meses tenían 3 veces (IC del 95%: 1,023 a 8,8) más probabilidades de tener complicaciones durante el período de seguimiento que los pacientes no deprimidos. Después del ajuste de los factores de riesgo, el HR para la depresión fue de 2,01 (IC del 95%: 0,57 a 6,9). Conclusión Los pacientes con depresión a los 3 meses del evento coronario presentaron complicaciones antes que aquellos sin depresión.Background Cardiovascular diseases are a public health concern worldwide, with high rates of morbidity and mortality. Depression is a frequent comorbidity in coronary heart disease (CHD). It can be caused by the experience of suffering from heart disease, but it can also influence the prognosis of the CHD. The prevalence of depression in patients with cardiovascular disease is twice as high as that in the general population. Aim Assess the influence of depression in the prognosis at 5 years in patients with CHD. Methods 145 patients diagnosed with CHD were recruited between September 2013 and June 2015. Depression was assessed based on the PHQ-9 results at the time of hospitalization and 3 months after discharged. Sociodemographic and clinical variables were collected. A 5-year follow-up was carried out to verify death, reinfarction or any adverse outcome. Results 20% of the study population had depression at hospital admission compared with 11% at 3 months. Depression at 3 months after discharged was a differentiating factor to present complications (42.6 months, CI 95% 27.3–57.9) compared with patients without depression (55 months, CI 95%, 50.9–59.1) (Log-Rank p = 0.034). In the unadjusted model, the risk of heart complications increased with patients that have comorbidities, such as diabetes (HR 2.78, 95% CI 1.21–6.3) or hypothyroidism (HR 2.5 95% CI 1.09–5.7). Also, patients with post-hospitalization depression at 3 months were 3 times (95% CI 1.023–8.8) more likely to have complications during the follow-up period than nondepressed patients. After risk factor adjustment, the HR for depression was 2.01 (95% CI 0.57–6.9). Findings Patients with depression at 3 months following the coronary event, presented complications sooner than those without depression.1. Introduction. -- 2. Materials and methods. .-- 2.1. Procedures. --2.1.1. Sociodemographic variables. --2.1.2. Clinical variables. -- 2.1.3. Psychological variables.--2.1.4. Events of interest or time-to-event outcomes.-- 2.2. Study protocol.-- 2.3. Statistical analysis. --3. Results.-- 4. Discussion.-- 5. Conclusionhttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000055146https://orcid.org/0000-0002-7337-2871https://scienti.minciencias.gov.co/gruplac/jsp/visualiza/visualizagr.jsp?nro=00000000011355marcela.henaop@campusucc.edu.cohttps://scholar.google.com/citations?user=HDF-94QAAAAJ&hl=en7Universidad Cooperativa de Colombia, Facultad de ciencias de la salud, programa de Medicina, MedellínElsevierMedicinaMedellínhttps://www.sciencedirect.com/science/article/pii/S2405844020322684#!HeliyonWorld-Health-Organization Global Status Report on Noncommunicable Diseases 2014. WHO, Geneva2014 (2014)Havranek E.P. Mujahid M.S. Barr D.A. Blair I.V. Cohen M.S. Cruz-Flores S. et al. Social determinants of risk and outcomes for cardiovascular disease: a scientific statement from the American Heart Association. Circulation. 2015; 132: 873-898Martínez J.C. Factors associated to mortality by non-communicable diseases in Colombia, 2008-2012. Biomedica. 2016; 36: 535-546Pereira V.H. Cerqueira J.J. Palha J.A. Sousa N. Stressed brain, diseased heart: a review on the pathophysiologic mechanisms of neurocardiology. Int. J. Cardiol. 2013; 166: 30-37Nekouei Z.K. Yousefy A. Doost H.T.N. Manshaee G. Sadeghei M. Structural Model of psychological risk and protective factors affecting on quality of life in patients with coronary heart disease: a psychocardiology model. J. Res. Med. Sci.: Off. J. Isfahan Univ. Med. Sci. 2014; 19: 90Lichtman J.H. Froelicher E.S. Blumenthal J.A. Carney R.M. Doering L.V. Frasure-Smith N. et al. Depression as a risk factor for poor prognosis among patients with acute coronary syndrome: systematic review and recommendations: a scientific statement from the American Heart Association. Circulation. 2014; 129: 1350-1369Whooley M.A. Depression and cardiovascular disease: healing the broken-hearted. Jama. 2006; 295: 2874-2881Cohen B.E. Edmondson D. Kronish I.M. State of the art review: depression, stress, anxiety, and cardiovascular disease. Am. J. Hypertens. 2015; 28: 1295-1302Penninx B.W. Depression and cardiovascular disease: epidemiological evidence on their linking mechanisms. Neurosci. Biobehav. Rev. 2017; 74: 277-286Hagström E. Norlund F. Stebbins A. Armstrong P. Chiswell K. Granger C. et al. Psychosocial stress and major cardiovascular events in patients with stable coronary heart disease. J. Intern. Med. 2018; 283: 83-92Kroenke K. Spitzer R.L. The PHQ-9: a new depression diagnostic and severity measure. Psychiatr. Ann. 2002; 32: 509-515Spitzer R.L. Kroenke K. Williams J.B.W. Validation and utility of a self-report version of PRIME-MD. JAMA: J. Am. Med. Assoc. 1999; 282: 1737-1744Thombs B.D. Ziegelstein R.C. Whooley M.A. Optimizing detection of major depression among patients with coronary artery disease using the patient health questionnaire: data from the heart and soul study. J. Gen. Intern. Med. 2008; 23: 2014-2017Ossola P. Gerra M.L. De Panfilis C. Tonna M. Marchesi C. Anxiety, depression, and cardiac outcomes after a first diagnosis of acute coronary syndrome. Health psychology : official journal of the Division of Health Psychology. Am. Psychol. Assoc. 2018; 37: 1115-1122Stafford L. Berk M. Jackson H.J. Validity of the hospital anxiety and depression scale and patient health questionnaire-9 to screen for depression in patients with coronary artery disease. Gen. Hosp. Psychiatr. 2007; 29: 417-424Ren Y. Yang H. Browning C. Thomas S. Liu M. Performance of screening tools in detecting major depressive disorder among patients with coronary heart disease: a systematic review. Med. Sci. Mon. Int. Med. J. Exp. Clin. Res.: Int. Med. J. Exp. Clin. Res. 2015; 21: 646Elderon L. Smolderen K.G. Na B. Whooley M.A. Accuracy and prognostic value of American Heart Association–recommended depression screening in patients with coronary heart disease: data from the Heart and Soul Study. Circulation: Cardiovasc. Qual. Outcomes. 2011; 4: 533-540Lespérance F. Frasure-Smith N. Depression in patients with cardiac disease: a practical review. J. Psychosom. Res. 2000; 48: 379-391Ziegelstein R.C. Depression in patients recovering from a myocardial infarction. Jama. 2001; 286: 1621-1627Yu H.Y. Park Y.-S. Son Y.-J. Combined effect of left ventricular ejection fraction and post-cardiac depressive symptoms on major adverse cardiac events after successful primary percutaneous coronary intervention: a 12-month follow-up. Eur. J. Cardiovasc. Nurs. 2017; 16: 37-45Thombs B.D. Bass E.B. Ford D.E. Stewart K.J. Tsilidis K.K. Patel U. et al. Prevalence of depression in survivors of acute myocardial infarction. J. Gen. Intern. Med. 2006; 21: 30-38Parashar S. Rumsfeld J.S. Reid K.J. Buchanan D. Dawood N. Khizer S. et al. Impact of depression on sex differences in outcome after myocardial infarction. Circulation: Cardiovasc. Qual. Outcomes. 2009; 2: 33-40Smolderen K.G. Spertus J.A. Reid K.J. Buchanan D.M. Krumholz H.M. 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Cardiovascular disease in persons with depressive and anxiety disorders. J. Affect. Disord. 2010; 125: 241-248Colombia. Ministerio de Salud y Protección Social Guía de práctica clínica para Síndrome Coronario Agudo. Guía completa. El Ministerio, Guía no.17. Tercera ed. Bogotá D.C.2017Kang H.-J. Stewart R. Bae K.-Y. Kim S.-W. Shin I.-S. Hong Y.J. et al. Predictors of depressive disorder following acute coronary syndrome: results from K-DEPACS and EsDEPACS. J. Affect. Disord. 2015; 181: 1-8Richards S.H. Anderson L. Jenkinson C.E. Whalley B. Rees K. Davies P. et al. Psychological interventions for coronary heart disease. Cochrane Database Syst. Rev. 2017; 4Frost J.L. Rich Jr., R.L. Robbins C.W. Stevermer J.J. Chow R.T. Leon K.K. et al. Depression following acute coronary syndrome events: screening and treatment guidelines from the AAFP. Am. Fam. Physician. 2019; 99PsiquiatríaNeurocienciasNeurociencias del comportamientoEpidemiologíaCardiologíaEnfermedad cardiacaDepresiónComplicacionesPronósticoPsychiatryNeuroscience, Behavioral neuroscienceEpidemiologyCardiologyHeart diseaseDepressionComplicationsPrognosisDepression and the risk of adverse outcomes at 5 years in patients with coronary heart diseaseArtículohttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAtribución – No comercialinfo:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2PublicationORIGINAL2020-HenaoLopezLemosyRios-Depression_coronary-disease.pdf2020-HenaoLopezLemosyRios-Depression_coronary-disease.pdfArtículoapplication/pdf562342https://repository.ucc.edu.co/bitstreams/e99cd4d0-61a1-4ef8-b6bd-631a4ae38e8f/downloadaf501d5da3b1c86b9c1b01ecd1c71f36MD51LICENSElicense.txtlicense.txttext/plain; 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