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Open Access Evaluation of Multidisciplinary Collaborative Care in Patients with Acute Coronary Syndrome and Depression and/or Anxiety Disorders

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Objective: To evaluate the effect of multidisciplinary collaborative care (MCC) in patients with both acute coronary syndrome (ACS) and depression and/or anxiety disorders compared with usual physician care (UPC).

Methods: Depression and/or anxiety were screened by using SDS and SAS, ACS patients with depression and/or anxiety disorders were randomized into MCC and UPC groups. The cardiac outcomes and the life quality were evaluated at 1 year follow-up.

Results: Overall, 30.19% (96/318) patients had positive screen results. At 1 year, Cardiac outcome measures for patients in MCC group were significantly better for composite events of cardiac death and non-fatal MI (6.12% vs 23.40%, p=0.016), cardiac function (NYHA functional classification III or IV, 0% vs 25%, p=0.05), and angina pectoris (21.28% vs 85%, p<0.0005), than patients in UPC group; the life quality were improved in patients in MCC group.

Conclusion: After ACS, 30.19% of patients had depression and/or anxiety disorders, MCC had better effects on cardiac outcomes and quality of life in ACS patients with Psychiatric disorders.
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Keywords: acute coronary syndrome; anxiety; depression; multidisciplinary collaborative care

Document Type: Original Article

Publication date: 2017-05-01

More about this publication?
  • Cardiovascular Innovations and Applications (CVIA) publishes focused articles and original clinical research that explore novel developments in cardiovascular disease, effective control and rehabilitation in cardiovascular disease, and promote cardiovascular innovations and applications for the betterment of public health globally. The journal publishes basic research that has clinical applicability in order to promote timely communication of the latest insights relating to coronary artery disease, heart failure, hypertension, cardiac arrhythmia, prevention of cardiovascular disease with a heavy emphasis on risk factor modification. Cardiovascular Innovations and Applications is the official journal of the Great Wall International Congress of Cardiology (GW-ICC). It aims to continue the work of the GW-ICC by providing a global scientific communication platform for cardiologists that bridges East and West.

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