Management of anxiety and depression in post coronary artery bypass graft surgery
Depression and anxiety are common events in 30-40 percent of post coronary artery bypass graft (CABG) surgery patients. Depression symptoms in patients with CAD are expected to be significantly more, comparing the public incidence rate. Impaired remedy after coronary artery events may partly be a...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-04-01
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| Series: | Journal of Mind and Medical Sciences |
| Subjects: | |
| Online Access: | https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1360&context=jmms |
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| Summary: | Depression and anxiety are common events in 30-40 percent of post coronary artery
bypass graft (CABG) surgery patients. Depression symptoms in patients with CAD are
expected to be significantly more, comparing the public incidence rate. Impaired remedy
after coronary artery events may partly be attributed to depression and anxiety. If anxiety
continues, it may lead to elevate metabolism and oxygen consuming. High level of
anxiety increases the pain sensation in post CABG patients. This paper aimed to review
results and findings of previous studies in the field of anxiety and depression management
of post coronary artery bypass graft surgery. Up to 78 credited studies collected and
compared in this review. Findings revealed that depression and anxiety could more
complicate medical post CABG remedy. In addition, preoperative depression and anxiety
symptoms would be persisted in post CABG recovery. Therefore, prior patients training
about depression and anxiety symptoms would be wise strategy to help them describe
their psychological mood before and after surgery. Findings also suggest that anxiety
amplified depression prevalence in post CABG patients. Among the other methods,
Benson relaxation is the best complementary medicine to mitigate pre-CABG anxiety. In
addition, massage and music therapy could influence on post CABG anxiety and
depression. There are also some robust evidences, indicating that perceived social support
could influence post CABG anxiety and depression. Furthermore, sedative (such as
propofol) and opioid and non-opioid analgesics, which used in post CABG pain
management, could directly reduce anxiety level. Antidepressants sertraline and
citalopram are the best studied post CABG pharmacological treatments which influence
on post CABG remedy and hospitalization. The results suggest that treatment for anxiety
is essential for alleviating patient suffering. In addition, anxiety treatment could protect
patient against depression before and after CABG surgery. |
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| ISSN: | 2392-7674 |