Wan Adnan Wan-Nor-Asyikeen - School of Medical Sciences, Universiti Sains Malaysia, ۱۶۱۵۰, Kubang Kerian, Kelantan, Malaysia
Ab Hamid Siti-Azrin - School of Medical Sciences, Universiti Sains Malaysia, ۱۶۱۵۰, Kubang Kerian, Kelantan, Malaysia.
Zatul Rathiah Sulong - School of Medical Sciences, Universiti Sains Malaysia, ۱۶۱۵۰, Kubang Kerian, Kelantan, Malaysia.
Mohd Hashairi Fauzi - School of Medical Sciences, Universiti Sains Malaysia, ۱۶۱۵۰, Kubang Kerian, Kelantan, Malaysia.

Background and purpose: Anxiety is a common condition among acute coronary syndrome patients. This syndrome often goes unrecognised and can persist for months to years, while impacting substantially the quality of life. Therefore, this study aimed to identify the associated factor of anxiety among acute coronary syndrome patients in Hospital Universiti Sains Malaysia and Hospital Sultanah Nur Zahirah. Materials and Methods: This cross-sectional study involved acute coronary syndrome patients admitted to Hospital Universiti Sains Malaysia, Kelantan and Hospital Sultanah Nur Zahirah, Terengganu between August ۲۰۱۴ and May ۲۰۱۵. A standardised questionnaire was developed to interview the respondents. The questionnaire was separated into two sections. The first section comprised the socio-demographic details of the patients. The second section was the validated Depression Anxiety Stress Scale ۲۱ (DASS-۲۱) questionnaire. Simple and multiple logistic regressions were used for analysing the collected data. Results: The mean (standard deviation (SD)) age of acute coronary syndrome patients was ۶۰.۴ (۱۱.۳) years and ۶۱.۲ (۱۰.۴) years in Hospital Universiti Sains Malaysia and Hospital Sultanah Nur Zahirah respectively. The majority of acute coronary syndrome patients who experienced anxiety were male (۸۶.۳%) with ۸۴.۹% of them Malay ethnicity and ۸۵.۹% of them married. The factor associated with anxiety among acute coronary syndrome patients was having a history of ischemic heart disease (adjusted odd ratio (OR): ۲.۲۰, as well as confidence interval (CI): ۱.۱۹, ۴.۱۰, p=۰.۰۱۳). Conclusion: It was concluded that anxiety had myriad effects on cardiovascular physiology, which plays an important role in the increased incidence of ischemic events in patients. A screening tool should be created to refine and identify the psychological status of acute coronary syndrome patients, so that early treatment could be given.

Acute Coronary Syndrome, Anxiety, Kelantan, Terengganu