Depressive symptoms and health-related quality of life following acute myocardial infarction - Scorecard - MDSpire

Depressive symptoms and health-related quality of life following acute myocardial infarction

  • By

  • Manuel Mallol-Simmonds

  • Claudia Gay Rojas

  • Ivan Cañete Palta

  • Criss Diaz

  • Alfredo Parra-Lucares

  • June 29, 2026

  • 0 min

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Clinical Scorecard: Impact of Depressive Symptoms on Health-Related Quality of Life After Acute Myocardial Infarction

At a Glance

CategoryDetail
ConditionAcute Myocardial Infarction
Key MechanismsDepressive symptoms are associated with lower health-related quality of life post-infarction.
Target PopulationPatients with ST-segment elevation myocardial infarction (STEMI) in public healthcare settings.
Care SettingPublic tertiary care hospital in Chile.

Key Highlights

  • 94.1% of patients exhibited at least mild depressive symptoms.
  • Higher depressive symptom severity correlated with lower physical and mental health scores.
  • Depressive symptoms were independently associated with poorer quality of life.
  • Mortality analyses were descriptive due to limited events.

Guideline-Based Recommendations

Diagnosis

  • Use the 17-item Hamilton Depression Rating Scale (HAM-D) for evaluating depressive symptoms.

Management

  • Integrate mental health assessments into post-infarction follow-up.

Monitoring & Follow-up

  • Assess health-related quality of life using the SF-36 questionnaire.

Risks

  • Depressive symptoms are linked to increased all-cause and cardiovascular mortality.

Patient & Prescribing Data

Survivors of ST-segment elevation myocardial infarction (STEMI).

Depressive symptoms may hinder adherence to secondary prevention medications and cardiac rehabilitation.

Clinical Best Practices

  • Conduct regular mental health evaluations in post-infarction patients.
  • Utilize validated tools for assessing depressive symptoms and quality of life.

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