Journal of International Psychiatry

[Abstract] Objective To investigate the impact of comorbid anxiety on prehospital delay and prognosis in patients with acute myocardial infarction. Methods Eighty-six patients with acute myocardial infarction from January 2021 to December 2022 were the study objects. Anxiety was assessed on admission using the Self-Assessment Scale for Anxiety (SAS) and set as anxiety disorder as well as non-anxiety disorder. To compare the time to decision, time to transport, and pre-hospital delay between the two groups. To compare the increase in left ventricular ejection fraction (LVEF) and the incidence of major adverse cardiovascular events (MACE) after percutaneous coronary intervention (PCI). Results Forty-eight cases of anxiety were detected in 86 cases of acute myocardial infarction, with a detection rate of 55.81%. Decision time and pre-hospital delay time were significantly higher in the anxiety group than in the non-anxiety group (P<0.05). The difference in transfer time was not statistically significant (P>0.05). The postoperative LVEF increase was significantly lower in the anxious group than in the non-anxious group, and the incidence of MACE was significantly higher than in the non-anxious group (P<0.05). Conclusion Comorbid anxiety increases prehospital delay in patients with acute myocardial infarction and adversely affects the immediate prognosis.

Key words Anxiety; Acute Myocardial Infarction; Prehospital Delay; Prognosis