Occurrence of symptoms and depressive mood among working-aged coronary heart disease patients
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Occurrence of symptoms and depressive mood among working-aged coronary heart disease patients Markku PT Sumanen*1, Sakari B Suominen2, Markku J Koskenvuo3, Lauri H Sillanmäki3 and Kari J Mattila4 Address: 1Kangasala Health Centre, Finland, 2Department for Social and Health Services, University of Turku, Finland, 3Department of Public Health, University of Turku, Finland and 4Medical School, University of Tampere and Department of General Practice, Hospital District of Pirkanmaa, Finland Email: Markku PT Sumanen* - [email protected]; Sakari B Suominen - [email protected]; Markku J Koskenvuo - [email protected]; Lauri H Sillanmäki - [email protected]; Kari J Mattila - [email protected] * Corresponding author
Published: 08 November 2004 Health and Quality of Life Outcomes 2004, 2:60
doi:10.1186/1477-7525-2-60
Received: 02 June 2004 Accepted: 08 November 2004
This article is available from: http://www.hqlo.com/content/2/1/60 © 2004 Sumanen et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract Background: The typical symptoms of coronary heart disease (CHD), chest pain and breathlessness, are well-known. They are considered quite dramatic, and can thus be fairly reliably mapped by a survey. However, people might have other clearly unpleasant symptoms impairing quality of life. The aim of this study is to evaluate the appearance of these complaints of workingaged people with self-reported CHD. Methods: The study consists of a postal questionnaire of randomly selected Finns in age groups 30–34, 40–44 and 50–54, a response rate of 39% (N = 15,477). The subjects were asked whether or not a doctor had told them that they had angina pectoris or had had myocardial infarction. Four randomly selected age and sex matched controls were chosen for every patient. The occurrence of self-reported dyspnoea, chest pain during anger or other kind of emotion, palpitation and perspiration without physical exercise, irregular heartbeats, flushing, trembling of hands and voice, jerking of muscles, depression and day-time sleepiness were examined. Odds ratios (OR) with 95% confidence intervals (CI), between occurrence of symptoms and CHD with and without heart infarction, were computed by multivariate logistic regression analysis. Results: The sample eventually comprised 319 CHD patients. Dyspnoea, chest pain during anger or other kind of emotion, palpitation, perspiration without physical exercise, irregular heartbeats daily or almost daily, trembling of hands and voice, and jerking of muscles occurred statistically significantly more frequently among CHD patients than among controls. The CHD patients also reported more depressive mood according to Beck's inventory scores and poorer sleep and more frequent day-time sleepiness than control
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