ArticleWorld journal of psychiatry2025
Post-percutaneous coronary intervention psychological disorders predict poor adherence and cardiovascular events in elderly heart failure patients.
Article in World journal of psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Real-world characteristics and management of ventricular tachycardias in ICD patients: Data from the VIDEO registry.Clinical research in cardiology : official journal of the German Cardiac Society · 2026Article
- Smart Technology-Assisted Patient-Centered Management in Venous Thromboembolism: Pilot Study on Anticoagulation Adherence.JMIR formative research · 2026Article
- Symptom Burden in Patients with Acute Coronary Syndrome After Percutaneous Coronary Intervention: A Network and Latent Profile Analysis.Patient preference and adherence · 2026Article
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPost-procedural psychological disorders are frequently overlooked in elderly patients undergoing percutaneous coronary intervention (PCI), despite their potential impact on long-term cardiovascular outcomes.
aimTo evaluate the incidence and prognostic significance of post-PCI psychological disorders in elderly patients with heart failure, and to examine their association with medication adherence and major adverse cardiovascular events (MACE).
methodsThis retrospective cohort study included 330 consecutive patients aged ≥ 60 years with heart failure who underwent PCI between 2018 and 2021 at a single center, excluding those with prior psychiatric diagnoses. Psychological status within six months post-discharge was assessed using validated Chinese versions of the 9-item Patient Health Questionnaire and the 7-item Generalized Anxiety Disorder Scale, and medication adherence was measured by the 8-item Morisky Medication Adherence Scale (MMAS-8) scale. A subset of 145 patients with ≥ 24 months of follow-up were analyzed for MACEs. Multivariate logistic regression and Kaplan-Meier survival analyses were performed.
resultsPost-PCI psychological disorders were identified in 40% of patients, with anxiety (36%), depression (32%), and comorbid symptoms (22%) being most prevalent. Affected patients had lower MMAS-8 scores [median 5 (IQR 4-6)
conclusionPost-PCI psychological disorders are common in elderly patients with heart failure and independently predict poorer adherence and worse cardiovascular outcomes. Routine psychological assessment and adherence interventions may improve prognosis in this vulnerable population.
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