Association of inflammatory markers and endothelial dysfunction with depression in patients with ischemic cerebrovascular disease

<p><strong>Foundation:</strong> depression in ischemic cerebrovascular disease is one of the most frequent non-neurological complications.<br /><strong>Objective:</strong> to determine the association of inflammatory markers and endothelial dysfunction with depres...

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Main Authors: Julcileia Imara D De Carvalho Muenho, Marisol Peña Sanchez, Alina González-Quevedo Monteagudo, Danay Martínez Puentes, Sergio González García, Marianela Arteche Prior, Asdrubal Arias Morales
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Language:Spanish
Published: Centro Provincial de Información de Ciencias Médicas. Cienfuegos 2023-10-01
Series:Medisur
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Online Access:http://medisur.sld.cu/index.php/medisur/article/view/5780
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author Julcileia Imara D De Carvalho Muenho
Marisol Peña Sanchez
Alina González-Quevedo Monteagudo
Danay Martínez Puentes
Sergio González García
Marianela Arteche Prior
Asdrubal Arias Morales
author_facet Julcileia Imara D De Carvalho Muenho
Marisol Peña Sanchez
Alina González-Quevedo Monteagudo
Danay Martínez Puentes
Sergio González García
Marianela Arteche Prior
Asdrubal Arias Morales
author_sort Julcileia Imara D De Carvalho Muenho
collection DOAJ
description <p><strong>Foundation:</strong> depression in ischemic cerebrovascular disease is one of the most frequent non-neurological complications.<br /><strong>Objective:</strong> to determine the association of inflammatory markers and endothelial dysfunction with depression in patients with ischemic cerebrovascular disease.<br /><strong>Methods:</strong> an analytical, prospective, cross-sectional study was carried out in patients with acute (N=22) and non-acute (N=37) ischemic cerebrovascular disease; treated at the Institute of Neurology and Neurosurgery; and the Manuel Fajardo Hospital, in Havana, Cuba. Demographic variables, risk factors, etiology and location of the infarction, neurological deficiency, disability for activities of daily living (Barthel index), neuropsychological (depression by Beck inventory and Hamilton test) were collected. C-reactive protein, alpha-1-antitrypsin, C3 and C4 complements, and microalbuminuria were determined.<br /><strong>Results:</strong> the scores of the neuropsychological tests did not have significant differences between the acute and non-acute phase, but there was a statistical increase in the frequency of patients without depression and with slight depression in the non-acute phase. In the acute phase, C4, and in the non-acute phase, C3, C-reactive protein and alpha-1-antitrypsin were directly correlated with the Beck inventory score. C-reactive protein and C3 were statistically correlated with the Hamilton test score. In the multivariate analysis, C-reactive protein showed an independent association with the degree of depression by the Hamilton test.<br /><strong>Conclusions:</strong> C-reactive protein could be related to the severity of depression, perhaps by association with the disability for activities of daily living.</p>
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spelling doaj-art-ce1439b065574908b4f3a74bdb5c364c2025-01-30T21:29:01ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2023-10-01215101410232388Association of inflammatory markers and endothelial dysfunction with depression in patients with ischemic cerebrovascular diseaseJulcileia Imara D De Carvalho Muenho0Marisol Peña Sanchez1Alina González-Quevedo Monteagudo2Danay Martínez Puentes3Sergio González García4Marianela Arteche Prior5Asdrubal Arias Morales6Hospital Central Dr. Antonio Aghostino Neto. Lubango, Angola.Instituto de Neurologia y Neurocirugía. La Habana.Cuba.Instituto de Neurología y Neurocirugía. La Habana, Cuba.Instituto de Neurología y Neurocirugía. La Habana, Cuba.Facultad de Medicina Dr. Miguel Enríquez.. La Habana, Cuba.Instituto de Neurología y Neurocirugía. La Habana, Cuba.Hospital Clínico-Universitario Comandante Manuel Fajardo. La Habana, Cuba.<p><strong>Foundation:</strong> depression in ischemic cerebrovascular disease is one of the most frequent non-neurological complications.<br /><strong>Objective:</strong> to determine the association of inflammatory markers and endothelial dysfunction with depression in patients with ischemic cerebrovascular disease.<br /><strong>Methods:</strong> an analytical, prospective, cross-sectional study was carried out in patients with acute (N=22) and non-acute (N=37) ischemic cerebrovascular disease; treated at the Institute of Neurology and Neurosurgery; and the Manuel Fajardo Hospital, in Havana, Cuba. Demographic variables, risk factors, etiology and location of the infarction, neurological deficiency, disability for activities of daily living (Barthel index), neuropsychological (depression by Beck inventory and Hamilton test) were collected. C-reactive protein, alpha-1-antitrypsin, C3 and C4 complements, and microalbuminuria were determined.<br /><strong>Results:</strong> the scores of the neuropsychological tests did not have significant differences between the acute and non-acute phase, but there was a statistical increase in the frequency of patients without depression and with slight depression in the non-acute phase. In the acute phase, C4, and in the non-acute phase, C3, C-reactive protein and alpha-1-antitrypsin were directly correlated with the Beck inventory score. C-reactive protein and C3 were statistically correlated with the Hamilton test score. In the multivariate analysis, C-reactive protein showed an independent association with the degree of depression by the Hamilton test.<br /><strong>Conclusions:</strong> C-reactive protein could be related to the severity of depression, perhaps by association with the disability for activities of daily living.</p>http://medisur.sld.cu/index.php/medisur/article/view/5780accidente cerebrovascular isquémicodepresiónproteína c reactivareacción en cadena de la polimerasabiomarcadores
spellingShingle Julcileia Imara D De Carvalho Muenho
Marisol Peña Sanchez
Alina González-Quevedo Monteagudo
Danay Martínez Puentes
Sergio González García
Marianela Arteche Prior
Asdrubal Arias Morales
Association of inflammatory markers and endothelial dysfunction with depression in patients with ischemic cerebrovascular disease
Medisur
accidente cerebrovascular isquémico
depresión
proteína c reactiva
reacción en cadena de la polimerasa
biomarcadores
title Association of inflammatory markers and endothelial dysfunction with depression in patients with ischemic cerebrovascular disease
title_full Association of inflammatory markers and endothelial dysfunction with depression in patients with ischemic cerebrovascular disease
title_fullStr Association of inflammatory markers and endothelial dysfunction with depression in patients with ischemic cerebrovascular disease
title_full_unstemmed Association of inflammatory markers and endothelial dysfunction with depression in patients with ischemic cerebrovascular disease
title_short Association of inflammatory markers and endothelial dysfunction with depression in patients with ischemic cerebrovascular disease
title_sort association of inflammatory markers and endothelial dysfunction with depression in patients with ischemic cerebrovascular disease
topic accidente cerebrovascular isquémico
depresión
proteína c reactiva
reacción en cadena de la polimerasa
biomarcadores
url http://medisur.sld.cu/index.php/medisur/article/view/5780
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