• Saeed Maqsood ayub medical college
  • Attiq ur Rehman Jehangiri
  • Muhammad Nadeem Khan Bannu Medical College
  • Umar Hayat Ayub Medical College
  • Seemab Ajmal Islamia college university
  • Maryam Mushtaq KGMC Peshawar
  • Muhammad Naseem Khan
  • Syed Fahad Shah
  • Hamid Nisar Khan AMC abbottabad


Background: There is a considerably high prevalence of depression in post myocardial infarction (MI) patients. This study was designed with an aim to detect depression in patients with acute MI admitted to the CCU at Ayub Teaching Hospital Abbottabad. Methods: This descriptive cross-sectional study enrolled 246 male and female patients with acute MI. The patients were interviewed on the 3rd day of admission and their answers were marked according to the HADS-D scale. Results: With a cut-off score of 11, the frequency of depression in study participants was 27.24% (n=67). No statistically significant association was found between the age and sex of patients and depression. Conclusion: Depression is fairly common following acute MI and the management plans should include a consultation with psychiatric for individualized management of depression in post myocardial infarction patients.Keywords: Depression; Anxiety; Myocardial Infarction; Stress; Quality of Life

Author Biographies

Saeed Maqsood, ayub medical college

Cardiology ,Fellow

Muhammad Nadeem Khan, Bannu Medical College

Assistant professor of cardiology

Umar Hayat, Ayub Medical College

Professor of cardiology

Seemab Ajmal, Islamia college university

MSc Psychology Student

Maryam Mushtaq, KGMC Peshawar

House Officer IN hayat abad Medical Complex

Hamid Nisar Khan, AMC abbottabad

Pulmonology fellow


El Hammi E, Samp J, Rémuzat C, Auray JP, Lamure M, Aballéa S, et al. Difference of perceptions and evaluation of cognitive dysfunction in major depressive disorder patients across psychiatrists internationally. Ther Adv Psychopharmacol 2014;4(1):22–9.

Dzdek D, Jaeschke R, Styczeń K, Pilecki M. Depression and anxiety in the practice of cardiology. Kardiol Pol 2013;71(8):781–6.

Davidson KW. Depression and coronary heart disease. ISRN Cardiol 2012;2012:743813.

Khawaja IS, Westermeyer JJ, Gajwani P, Feinstein RE. Depression and coronary artery disease: the association, mechanisms, and therapeutic implications. Psychiatry (Edgmont) 2009;6(1):38–51.

Huffman JC, Celano CM, Januzzi JL. The relationship between depression, anxiety, and cardiovascular outcomes in patients with acute coronary syndromes. Neuropsychiatr Dis Treat 2010;6:123–36.

Huffman JC, Celano CM, Beach SR, Motiwala SR, Januzzi JL. Depression and cardiac disease: epidemiology, mechanisms, and diagnosis. Cardiovasc Psychiatry Neurol 2013;2013:695925.

Howren MB, Lamkin DM, Suls J. Associations of depression with C-reactive protein, IL-1, and IL-6: a meta-analysis. Psychosom Med 2009;71(2):171–86.

Pizzi C, Santarella L, Costa MG, Manfrini O, Flacco ME, Capasso L, et al. Pathophysiological mechanisms linking depression and atherosclerosis: an overview. J Biol Regul Homeost Agents 2012;26(4):775–82.

Williams MS, Rogers HL, Wang NY, Ziegelstein RC. Do Platelet-Derived Microparticles Play a Role in Depression, Inflammation, and Acute Coronary Syndrome? Psychosomatics 2014;55(3):252–60.

Williams RB. Cardiology Patient Page. Depression after heart attack: why should be concerned about depression after a heart attack? Circulation 2011;123(25):e639–40.

Glassman AH, Bigger JT Jr, Gaffney M. Psychiatric characteristics associated with long-term mortality among 361 patients having an acute coronary syndrome and major depression: seven-year follow-up of SADHART participants. Arch Gen Psychiatry 2009;66(9):1022–9.

Celermajer DS, Chow CK, Marijon E, Anstey NM, Woo KS. Cardiovascular disease in the developing world: prevalence



Most read articles by the same author(s)