Atypical cognitive profile in patients with depression after myocardial infarction

J Affect Disord. 2002 Jul;70(2):181-90. doi: 10.1016/s0165-0327(01)00348-2.

Abstract

Background: We evaluated the cognitive profile of 48 patients with major depression following their first myocardial infarction (MI).

Methods: The cognitive performance of the patients was compared with the performance of 48 non-depressed MI patients and 48 healthy controls.

Results: Depressed MI patients performed slower on a simple cognitive speed related measure compared with non-depressed MI patients and healthy controls. Attention and speed-related aspects of cognitive functioning were not affected. Surprisingly, (depressed) MI patients showed even better performances with respect to memory function.

Limitation: No patients with non-MI-related depression were included.

Conclusions: The cognitive profile of major depression after MI differs from that of non-cardiac-related depressive disorder, as described in the literature. This may reflect a different etiology of post MI depression from non-cardiac-related depression.

MeSH terms

  • Adult
  • Aged
  • Cognition Disorders / diagnosis
  • Cognition Disorders / etiology*
  • Depressive Disorder, Major / etiology*
  • Depressive Disorder, Major / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / psychology*
  • Neuropsychological Tests
  • Severity of Illness Index