A Systematic Review of Depression and Anxiety in Patients with Atrial Fibrillation: The Mind-Heart Link
Table 3
A summary of the articles presented in the section on the connection between the pathophysiology of AF and depression and anxiety. Studies in italics only assessed depression. Studies in bold only assessed anxiety.
Study
Subject size
Aim of the study
Psychological test
Significant findings
The connection between the pathophysiology of AF and depression
3682 patients from the Framingham offspring study were followed for 10 years
To report if tension and anxiety can cause coronary artery disease and AF
(i) Framingham tension scale (ii) Framingham anxiety scale
(i) Tension was a predictor for coronary artery heart disease and mortality. (ii) Tension was a predictor for AF. (iii) Anxiety was a predictor of total mortality in men and women. (iv) Anxiety was a risk factor for incident AF.
To report the influence of obesity, physical inactivity, and depression in patients with stable AF
9-item Patient Health Questionnaire
(i) In unadjusted analyses, mild-to-moderate and severe depressions were associated with increased hs-CRP levels (ii) In multivariate analysis, depression was no longer associated with increased hs-CRP levels