{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T20:13:35Z","timestamp":1793218415911,"version":"4.5.0"},"reference-count":34,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Psychiatry Med"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study examined the correlation between psychological status and major adverse cardiovascular events (MACE) in acute myocardial infarction (AMI) patients after percutaneous coronary intervention (PCI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted in 200 AMI patients who underwent PCI between January 2020 and December 2023 at a tertiary care hospital in China. The incidence of MACE was calculated, and the correlation between Hospital Anxiety and Depression Scale (HADS) scores and MACE was determined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three-quarters (75.0%) of patients scored above the threshold on significant anxiety (HADS-A &gt;9) and 61.0% did so for depressive symptoms (HADS-D &gt;9) post-PCI. Multivariate analysis identified higher education (OR = 1.75, 95% CI = 1.08-2.85), lower income (OR = 0.23, 95% CI = 0.09-0.59), and smoking (OR = 0.38, 95% CI = 0.16-0.93) as independent risk factors for anxiety, while low income (OR = 0.24, 95% CI = 0.11-0.53), smoking (OR = 5.13, 95% CI = 2.21-11.87), and female gender (OR = 3.04, 95% CI = 0.26-7.35) were significantly associated with depression (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). MACE occurred in 21.5% of patients. First-time PCI (OR = 0.03, 95% CI = 0.03-0.30) and depression scores were significantly associated with increased MACE risk (r = 0.21, OR = 47.80, 95% CI = 8.38-27.47,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05), whereas anxiety scores showed no significant association (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Anxiety and depression are common post-PCI symptoms in AMI patients, and depressive symptoms are significantly correlated with disease progression (MACE scores). Greater focus on patients\u2019 mental health, may help improve the prognosis of AMI patients after PCI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00912174251364051","type":"journal-article","created":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T23:41:09Z","timestamp":1753918869000},"page":"615-630","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Psychological Distress and Major Adverse Cardiovascular Events in Post-PCI Acute Myocardial Infarction: Risk Profiling and Management Implications"],"prefix":"10.1177","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5976-0439","authenticated-orcid":false,"given":"Lijun","family":"Sun","sequence":"first","affiliation":[{"name":"The Second People\u2019s Hospital of Mengcheng County"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Gao","sequence":"additional","affiliation":[{"name":"The Second People\u2019s Hospital of Mengcheng County"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Wu","sequence":"additional","affiliation":[{"name":"The Second People\u2019s Hospital of Mengcheng County"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lili","family":"Shao","sequence":"additional","affiliation":[{"name":"The Second People\u2019s Hospital of Mengcheng County"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Na","family":"Zheng","sequence":"additional","affiliation":[{"name":"The Second People\u2019s Hospital of Mengcheng County"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,30]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.59249\/LSWK8578"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2023.1249924"},{"issue":"11","key":"e_1_3_5_4_2","first-page":"1620","article-title":"Primary PCI and mental health: a 12-month follow-up study","volume":"11","author":"Vulcanescu D","year":"2023","unstructured":"Vulcanescu D, Gheorman V, Pirvu DC, et al. 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