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Q Do depressive symptoms predict the risk of new cardiac events in people with a recent heart attack?
Prospective cohort study.
Four hospitals, the Netherlands. Recruitment: September 1997 to September 2000.
528 people (81% male; mean age 61 years) with clinically diagnosed myocardial infarction (chest pain for ⩾20 min, creatinine phosphokinase MB levels ⩾10% or creatinine phosphokinase 100% above normal, and new pathological Q waves on ECG in ⩾2 leads). Exclusions: poor physical condition; life expectancy ⩽1 year due to another condition; non-Dutch speaking; cognitive dysfunction; heart attack occurred after admittance for another condition; or follow-up planned in a hospital not involved in the study.
Depression assessed at baseline (in hospital), 3, 6 and 12 months using the Beck Depression Inventory (BDI). The Composite International Diagnostic interview diagnosed ICD-10 depressive disorders. Latent Class Analysis was performed on BDI …
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