Analysis of the Relationship Between Depression and Hypertension in Elderly Patients with Coronary Heart Disease

 Ran Li 

The Second Affiuated Hospital of Chongqing, Mesical Unmersity, Chongqing, 400010, China

Abstract: Objective: To observe and analyze the relationship between coronary heart disease, hypertension and depression in elderly patients with hypertension and coronary heart disease. Methods: The elderly patients with hypertension and coronary heart disease over 60 years old who were admitted to a hospital from February 2017 to November 2018 were selected as the research objects, and the clinical data were collected. The effects of coronary heart disease and hypertension on depression and anxiety of elderly patients and their relationship were discussed and analyzed. Among them, 92 patients aged 60-85, 71 patients with coronary heart disease, 73 patients with hypertension, and 4 patients with simple arrhythmia. Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS) were used to test the degree of depression in elderly patients. Results: 21 cases (22.8%) were found to be depressed, 18 cases (19.6%) were anxious and 12 cases were depressed with anxiety. At the same time, 57 patients with hypertension and coronary heart disease (observation group) had significantly higher SAS score than 35 patients with single coronary heart disease ｏｒ hypertension ｏｒ arrhythmia (control group), P < 0.01; but there was no significant difference in the number of depression, anxiety and SDS score. SAS items comparison found that the observation group had significantly higher scores in 8 items of unfortunate foreboding, hand and foot tremor, fatigue, dyspnea, hand and foot tingling, frequency of urine, facial flushing and nightmare than the control group, all P < 0.05. The anxiety score of women in the observation group was significantly higher than that of men. Conclusion: Elderly patients with coronary heart disease and hypertension are more anxious than elderly patients with single cardiovascular disease. Meanwhile, the incidence of depression and anxiety in women is higher than that in men. Clinical attention should be paid to it and corresponding countermeasures should be given for treatment.

Keywords: Hypertension; Coronary heart disease; Depression; Elderly patients