Psychological impact of first admission with cardiovascular disease in a tertiary hospital in Oman

Background and objectives: Cardiovascular diseases (CVD) are associated with substantial psychological ef-fects that can adversely influence long term prognosis. The aim of this study was to determine the psychological effect of the first hospital admission for acute coronary syndrome (ACS) or congestive heart failure (CHF) in an adult Omani population.Methods: This cross-sectional questionnaire based study used the Hospital Anxiety and Depression Scale. Patients were recruited from the in-patient cardiology and medical wards of our institution. Patients with a prior hospital admission for CHF and ACS were excluded. The ques-tionnaire was administered between days 3 and 7 after admission once patients were clinically stable.Results: The study included 116 patients (mean age 60.3 thorn 13.8 years; 78 (67.8%) men), comprising 52 pa-tients with ACS and 64 patients with CHF. Based on the scores, a total of 45 (38.8%) patients had moderate to severe anxiety, and 32 (27.6%) had moderate to severe depression. Patients with severe anxiety tended to be younger, and no other factors predicted anxiety or depression. The proportion of patients with severe depression was higher among patients with CHF (31.4%), and no other differences were observed between patients with ACS or CHF.Conclusion: A substantial proportion of patients admitted to our institution in Oman with CVD had se -vere anxiety and depression. Treating physicians and caregivers should be more open to identifying these pa-tients, and steps should be taken to address their psy-chological wellbeing along with the medical management of their illness.

Automated summary

This study found a significant proportion of patients in Oman admitted for the first time due to ACS or CHF experienced moderate to severe anxiety and depression, with higher rates among CHF patients. Healthcare providers should pay closer attention to the psychological well-being of these patients.