Background

Ten to thirty percent of angina like chest pain patients appears to have normal coronary arteries. Depression and anxiety disorders are most common mental disorders that accompanied to chest pain with normal coronary arteries patients. It is known that mental disorders and psychosocial factors are important in occurrence of angina like chest pain and sometimes in making repetitive coronary angiography. The aim of this study was to assess the mental and physical quality of life and psychiatric co morbidities in patient angina like chest pain with normal coronary angiography.

Materials-Methods

Eighty-seven patients with normal coronary angiography and thirty-one patients with coronary artery disease (CAD) were included to the study.

The socio-demographic characteristics, co morbid disorders, Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI), and Health Related Quality of Life (HRQoL) scale scores were compared between groups. It was estimated using the short form (SF)-36 questionnaires for total HRQoL and its two dimensions for physical and mental health.

Materials-Methods

Eighty-seven patients with normal coronary angiography and thirty-one patients with coronary artery disease (CAD) were included to the study.

The socio-demographic characteristics, co morbid disorders, Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI), and Health Related Quality of Life (HRQoL) scale scores were compared between groups. It was estimated using the short form (SF)-36 questionnaires for total HRQoL and its two dimensions for physical and mental health.

Results

There were significant differences in age, gender, employment and psychiatric disorders history in family between two groups (Table 1). Anxiety scores were significantly higher level in NCA group. No difference was found in terms of depression between the NCA and CAD groups. There were significant differences in pain, general health and social function subgroups of SF-36 in NCA group. Physical and mental health was not differences between two groups. Psychiatric co morbidities were found in 82.8 % (n=72) of the patients with normal angiographic findings and 54.8 % (n= 17) of the patients with angiographic coronary disease.