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Association Between Depressive Symptoms and Cardiac Structure and Function in a Peruvian Population Cover

Association Between Depressive Symptoms and Cardiac Structure and Function in a Peruvian Population

Open Access
|Oct 2022

Figures & Tables

Table 1

Characteristics of CRONICAS participants with and without depressive symptoms using CES-D.

NO DEPRESSIVE SYMPTOMS (N = 282)DEPRESSIVE SYMPTOMS (N = 91)P VALUE
Age (mean)56.258.30.15
Female, n (%)135 (47.9)76 (83.5)<0.001
Weekly physical activity, MET (mean)289.5138.60.10
Hazardous Alcohol Use, n (%)57 (20.2)6 (6.6)0.06
Body mass index, kg/m2 (mean)27.727.70.99
Pack-years of tobacco use (mean)1.20.40.15
Primary education or less, n (%)104 (36.9)51 (56.0)0.001
Pampas site, n (%)148 (52.5)39 (42.9)0.11
Diastolic blood pressure, mmHg (mean)72.269.40.02
Systolic blood pressure, mmHg (mean)114.3109.30.01
Hypertension diagnosis, n (%)39 (13.8)14 (15.4)0.71
Current BP medication use, n (%)18 (6.4)4 (4.4)0.50
Heart disease diagnosis, n (%)11 (3.9)7 (7.7)0.14
Current heart disease medication use, n (%)10 (3.5)4 (4.4)0.70
Diabetes, n (%)13 (4.6)9(9.9)0.06
Biomass exposure, n (%)217 (77.0)72 (79.1)0.67
Unemployed, n (%)84 (29.8)42 (46.2)0.004
Figure 1

Septal e’ velocity and E/e’ ratio in depressed and non- depressed groups.

Table 2

Multivariable linear regression analysis comparing left atrial and ventricular echocardiographic parameters in clinically significant depressive participants versus non- depressive participants. Multivariable model controls for age, gender, site, biomass utilization, height, BMI, total physical activity, prior diabetes diagnosis, pack- years of smoking, hazardous alcohol consumption as well as systolic and diastolic blood pressure.

FULLY ADJUSTED β (95% CI)P VALUE
LV internal diameter, diastole, cm0.07 (–0.59, 0.20)0.29
LV internal diameter, systole, cm0.11 (–0.04, 0.27)0.16
LV stroke volume, mL0.41 (–3.14, 3.95)0.82
LV ejection fraction, %0.88 (–0.33, 2.09)0.15
LV mass, g (logged form)–0.04 (–0.10, 0.02)0.22
LA diameter, systole, cm–0.5 (–0.16, 0.07)0.41
LA area, four- chamber, cm20.10 (–0.99, 1.19)0.86
LA area, two- chamber, cm20.45 (–0.63, 1.53)0.42
E/A Ratio (logged form)0.003 (–0.06, 0.06)0.93
Lateral e’ Velocity, cm/s–0.27 (–0.76, 0.23)0.29
Septal e’ Velocity, cm/s–0.72 (–1.21, –0.24)0.004
E/e’ ratio0.47 (–0.08, 1.02)0.09
Table 3

Multivariable linear regression analysis comparing right atrial and ventricular echocardiographic parameters in clinically significant depressive participants versus non- depressive participants. Multivariable model controls for age, gender, site, biomass utilization, height, BMI, total physical activity, prior diabetes diagnosis, pack- years of smoking, hazardous alcohol consumption as well as systolic and diastolic blood pressure.

FULLY ADJUSTED β (95% CI)P VALUE
Right ventricular diameter, base, cm0.01 (–0.13, 0.15)0.86
Right ventricular diameter, mid- cavity, cm–0.004 (–0.14, 0.13)0.95
Right ventricular length, cm0.02 (–0.17, 0.21)0.83
RVSP*, mm Hg1.27 (–0.68, 3.23)0.20
TAPSE*, cm–0.06 (–0.15, 0.04)0.26
Right ventricular outflow tract time to peak velocity, ms0. 99 (–6.13, 8.10)0.79

[i] * RVSP, right ventricular systolic pressure; TAPSE, tricuspid annular plane systolic excursion.

Figure 2

RVSP and E/e’ ratio in depressed and non- depressed groups greater than or equal to 65 years of age.

DOI: https://doi.org/10.5334/gh.981 | Journal eISSN: 2211-8179
Language: English
Submitted on: Dec 27, 2020
Accepted on: Oct 5, 2022
Published on: Oct 27, 2022
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2022 Christine Santiago, Melissa Burroughs Peña, Timothy Brown, Saate Shakil, James Januzzi, Eric Velazquez, J. Jaime Miranda, Danny Rivera, William Checkley, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.