000 03624nam a22005297a 4500
008 240807s20242024 xxu||||| |||| 00| 0 eng d
022 _a1878-0938
024 _aS1553-8389(24)00487-1 [pii]
040 _aOvid MEDLINE(R)
099 _a38789341
245 _aExploring the interplay between coronary microvascular dysfunction and mental health.
251 _aCardiovascular Revascularization Medicine. 2024 May 11
252 _aCardiovasc Revasc Med. 2024 May 11
253 _aCardiovascular revascularization medicine : including molecular interventions
260 _c2024
260 _fFY2024
260 _p2024 May 11
265 _saheadofprint
265 _tPublisher
266 _d2024-08-07
266 _z2024/05/24 21:55
501 _aAvailable in print through MWHC library: 2002 - present
520 _aBACKGROUND: The intricate relationship between mental health disorders, notably anxiety and depression, and chest pain associated with non-obstructive coronary artery disease has become a focus of investigation.
520 _aCONCLUSION: Patients with chest pain not due to CMD did not have an increased prevalence of mental health disorders compared with patients with ANOCA due to CMD, challenging the notion of a psychosomatic component in the pathogenesis of ANOCA. Copyright © 2024. Published by Elsevier Inc.
520 _aMETHODS: This study from the Coronary Microvascular Disease Registry (CMDR) evaluated the association of mental health disorders and coronary microvascular dysfunction (CMD) among patients with angina with no obstructive coronary artery disease (ANOCA) who had undergone comprehensive invasive physiological testing for CMD. Clinical data regarding baseline characteristics, comorbidities, and noninvasive cardiac testing were obtained from chart review. The primary outcome of interest was the potential relationship between mental health diagnoses and the presence of CMD.
520 _aRESULTS: Of patients included in the CMDR, 27 % (41/152) had at least one documented mental health disorder diagnosis (International Classification of Diseases, Tenth Revision codes) and CMD. There was no difference in mental health diagnosis prevalence between CMD-positive and CMD-negative patients (21.1 % vs. 28.9 %, p = 0.34). The most common mental health diagnoses were depression (15.8 %) and anxiety (15.8 %). Furthermore, 46.3 % (19/41) of patients with mental health disorders were prescribed psychiatric medications, with the most common being benzodiazepines (26.8 %).
546 _aEnglish
650 _aIN PROCESS -- NOT YET INDEXED
650 _zAutomated
651 _aMedStar Heart & Vascular Institute
651 _aMedStar Washington Hospital Center
656 _aAdvanced Cardiac Catheterization Research Fellowship
657 _aJournal Article
700 _aBen-Dor, Itsik
_bMHVI
700 _aCase, Brian C
_bMHVI
700 _aCellamare, Matteo
_bMHVI
700 _aChaturvedi, Abhishek
_bMWHC
_cAdvanced Cardiac Catheterization Research Fellowship
_dMBBS
700 _aChitturi, Kalyan
_bMWHC
_cAdvanced Cardiac Catheterization Research Fellowship
_dDO
700 _aHashim, Hayder
_bMHVI
700 _aMerdler, Ilan
_bMHVI
700 _aOzturk, Sevket Tolga
_bMHVI
700 _aSawant, Vaishnavi
_bMHVI
700 _aWaksman, Ron
_bMHVI
790 _aMerdler I, Chitturi KR, Chaturvedi A, Rahman S, Cellamare M, Ozturk ST, Sawant V, Ben-Dor I, Waksman R, Hashim HD, Case BC
856 _uhttps://dx.doi.org/10.1016/j.carrev.2024.05.019
_zhttps://dx.doi.org/10.1016/j.carrev.2024.05.019
942 _cART
_dArticle
999 _c14421
_d14421