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In addition, routine medical data were extracted from the electronic health record.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 641 patients were included in the study. Mean (\u00b1SD) age was 68.8 (\u00b110.8) years and 41.7% were female. Based on screening instruments, 28.4% of patients were affected with comorbid MHCs. Patients reported clinically significant symptoms of depression (23.3% PHQ\u20109\u00a0\u226510), generalized anxiety disorder (12.2% GAD\u20107\u00a0\u226510), and panic disorder (4.7% PHQ\u2010PD). Patients with MHCs were more likely to be younger, female, lower educated, and unemployed. The presence of MHCs was associated with higher cardiac symptom burden and subjective treatment urgency as well as more psychosocial distress (PHQ\u2010stress) and impaired quality of life (SF\u201012v2). Of all patients, 15.6% were identified with new or unrecognized MHCs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>MHCs are prevalent in nearly one\u2010third of patients presenting with cardinal cardiac symptoms. Thus, the ED visit offers an opportunity to identify and refer patients with MHCs to appropriate and timely care after exclusion of life\u2010threatening conditions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acem.14349","type":"journal-article","created":{"date-parts":[[2021,7,26]],"date-time":"2021-07-26T09:16:57Z","timestamp":1627291017000},"page":"1262-1276","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Mental health conditions in older multimorbid patients presenting to the emergency department for acute cardiac symptoms: Cross\u2010sectional findings from the EMASPOT study"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1240-1501","authenticated-orcid":false,"given":"Andrea","family":"Figura","sequence":"first","affiliation":[{"name":"Department of Psychosomatic Medicine Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin Berlin 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