Comparison of Brain Activation According to fMRI Data in Patient with Depression (After Acute Coronary Syndrome and Somatically Healthy) and Healthy Volunteers

Beliaevskaia Alena Antonovna; Petelin Dmitry Sergeevich; Akhapkin Roman Vitalievich; Volel Beatrice Albertovna; Ternovoy Sergey Konstantinovich

doi:10.18502/ijps.v19i1.14335

Beliaevskaia Alena Antonovna Miasnikov Clinical Cardiology Institute, Moscow, Russia.
Petelin Dmitry Sergeevich Department of Psychiatry and Psychososmatics, Sechenov University, Moscow, Russia.
Akhapkin Roman Vitalievich Research Institute of Psychiatry, Branch of the Serbsky State Scientific Center for Social and Forensic Psychiatry, Moscow, Russia.
Volel Beatrice Albertovna Department of Psychiatry and Psychososmatics, Sechenov University, Moscow, Russia.
Ternovoy Sergey Konstantinovich Department of Radiation Diagnosis and Therapy, Sechenov University, Moscow, Russia.

DOI: https://doi.org/10.18502/ijps.v19i1.14335

Keywords: Acute Coronary Syndrome; Depression; fMRI; Brain; Neurophysiology

Abstract

Objective: The present study is devoted to the study of brain activation using fMRI in patients with depression (after acute coronary syndrome and somatically healthy) and in healthy volunteers.

Method: The study enrolled a total of 51 patients: 11 with depression after acute coronary syndrome, 16 with primary depressive episode and recurrent depression without prior coronary event, and 24 with ACS without depression. The groups were matched by sex and age. The emotional information processing was evaluated with the Pennsylvania Test of Emotion Recognition. All patients underwent fMRI at the time of this test. The data processing was performed with SPM12 and xjView applications.

Results: During the processing of emotional information in the depressed patients after ACS, specific activation zones in the frontal cortex (P < 0.001), right fusiform gyrus (P < 0.001), and right insular lobe were identified (P = 0.017). In the patients with primary depressive episode and recurrent depression without ACS, certain zones of activation were identified in frontal cortex (P < 0.001; 0.001), left fusiform gyrus (P < 0.001), occipital cortex (P < 0.001). In the patients who had ACS, without depression, some zones of activation were specified in the right middle occipital gyrus (P < 0.001), the right superior frontal gyrus (P = 0.088), and the putamen projection on the right (P < 0.001) and on the left (P = 0.009), as well as the left insular lobe (P = 0.015).

Conclusion: The pathogenesis of depression is significantly associated with the peculiarities of processing emotionally significant information, regardless of the conditions under which it develops.