Arrhythmias & electrophysiology

Severity of Brugada syndrome disease manifestation and risk of new-onset depression or anxiety: a Danish nationwide study

EuropacePublished Retrospective cohort study

Main finding · New-onset depression or anxietyResult — go to the resultHazard ratio 3.43 CI 1.46–8.05

Authors' conclusion

Approximately, one-sixth of patients with BrS developed new-onset depression or anxiety following a diagnosis of BrS. Symptomatic BrS disease manifestation was significantly associated with new-onset depression or anxiety.

Study context

Population
Danish patients diagnosed with Brugada syndrome 2006–2018, no history of psychiatric disease, ≥6 months follow-up45.3% symptomatic
Participants
223 patients
Exposure
Symptomatic vs asymptomatic/unspecified Brugada syndrome (BrS) at diagnosis
  • Symptomaticn = 101
  • Asymptomatic/unspecifiedn = 122reference
Outcome
New-onset depression or anxiety (prescriptions and diagnosis codes)
Follow-up
Up to 5 years after diagnosis
Methodological detailsnationwide registries
  • Nationwide registries

Main finding

New-onset depression or anxiety · median follow-up 5.0 years

Hazard ratio

3.43

CI 1.46–8.05

Events by group

Symptomaticvs Asymptomatic/unspecified
HR 3.43 (CI 1.46–8.05)

As reported in the abstract

Overall new-onset depression or anxiety
15.7% (35/223)

Observational data: associations, not effects.

Further findings

New-onset depression or anxiety by age (lower vs. upper tertile)

Older age (lower vs. upper tertile) HR
4.41, 1.42-13.63

All-cause mortality

Deaths
4, 1.8%
Developed depression or anxiety before death
3/4

Original publication

Severity of Brugada syndrome disease manifestation and risk of new-onset depression or anxiety: a Danish nationwide study. Europace. Published 2 May 2023. doi:10.1093/europace/euad112

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