Risk factors for post-acute myocardial infarction depression in elderly

Objective: To determine risk factors for development of post-acute ST elevation myocardial infarction (STEMI) depression in elderly. Material and Methods: We included 104 elderly patients diagnosed with STEMI. Clinical, lab and imagistic data was recorded in the first week after STEMI. Six months after STEMI patients were evaluated for the presence of depression. Results: Bivariate analysis showed statistically significant association between post-STEMI depression and sex, arterial hypertension, type 2 diabetes, socio-economic status, presence of family, left ventricular ejection fraction, Lown classification and HDL-cholesterol values. Multivariate analysis determined that following parameters increased the probability of onset of depression six months post-STEMI in elderly: sex (OR – 3.2), type 2 diabetes (OR – 2.6), poor socio-economic status (OR – 3.5) and absence of family (OR – 4.2). Conclusion: diabetes, precarious socio-economic status, absence of family and female sex were risk factors for post-STEMI depression.