FREQUENCY OF DEPRESSION IN PATIENTS WITH CHRONIC HEART FAILURE
Abstract
Abstract: Heart failure is a prevalent debilitating disease of poor prognosis in which heart cannotfill with or eject the sufficient amount of blood that is required due to structural or functional
cardiac disorder. Depression is 4-5 times as common in heart failure (HF) patients as in the
general population, and it might confer a higher risk of developing HF and negatively affect
prognosis in established HF. Objective: To determine the frequency of depression among patients
presenting with chronic heart failure. Methods: This descriptive cross sectional study was
conducted in cardiology department Hayat Abad Medical Complex Peshawar from November
2011 to April 2012. In this study a total of 121 patients were observed by using 13% proportion of
depression in heart failure, 95% confidence level and 6% margin of error, under WHO software
for sample size determination. Results: Mean age was 55±1.26 years. Sixty-eight percent patients
were male and 32% were female. Fifteen percent patients had chronic heart failure for less than 1
year, 37% had chronic heart failure for 2-3 years and 48% patients had chronic heart failure for 3-
4 years. Seventy percent patients had HADS score <11 and 30% had HADS scored of >11. Thirty
percent patients had depression in chronic heart failure while 70% did not have depression in heart
failure. Conclusion: Depression is common among CHF patients. Severe depression is more
frequent than mild depression.
Keywords: Depression, Congestive Heart failure, NYHA, HADS
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