Um Olhar sobre o Stress nas Mulheres com Infarto Agudo do Miocárdio

Lima, Aline da Silva; Schmitt, K; Moraes, Maria Antonieta; Schmidt, Márcia Moura

doi:10.36660/abc.20190282

Cited by 8 publications

(9 citation statements)

References 24 publications

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“…The findings on significant differences in stress as a function of participant gender replicate findings in the literature (Viertiö et al, 2021). Although women and men share many particularly stressful situations in everyday life (financial conditions, job security, relationship problems), stress symptoms are more prevalent and intense in women (Lipp & Lipp, 2020;Schmidt et al, 2020).…”

Section: Discussionsupporting

confidence: 68%

Psychometric Evidence for the Lipp’ Adult Stress Symptoms Inventory

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Marques

Andrade

et al. 2022

Paidéia (Ribeirão Preto)

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Although stress assessment is important in different health areas, there are few instruments with adequate psychometric evidence to assess it. The study aimed to present new validity evidence of Lipp’s Inventory of Stress Symptoms for Adults (LSSI), describe and discuss clinical characteristics of the LSSI with data obtained from patients seen in a hospital outpatient clinic and a Psychosocial Care Center (Centro de Atenção Psicossocial - CAPS). Sampling was based on post-stratification via the Raking method. In total, 4,500 participants from all over Brazil of both sexes, different age groups and academic levels composed the study. The results via Item Response Theory indicated a structure with high internal consistency. Symptoms of apathy, depression or prolonged anger were the most associated with stress and women scored higher. There was a significant correlation between the LSSI-R and another mental health measure (DASS-21) in the clinical group.

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Section: Discussionsupporting

confidence: 68%

Psychometric Evidence for the Lipp’ Adult Stress Symptoms Inventory

Anunciação

Marques

Andrade

et al. 2022

Paidéia (Ribeirão Preto)

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“…This study found a higher prevalence of grades I and II angina in women, which can be explained by the greater exposure of this group to stress 14 , in addition to the fact that men usually present different clinical pictures in coronary heart disease such as acute infarction and sudden death 15 .…”

Section: Discussionmentioning

confidence: 57%

Prevalence of Angina Pectoris and Associated Factors in the Adult Population of Brazil: National Survey of Health, 2019

Malta

Pinheiro

Vasconcelos³

et al. 2021

Rev. bras. epidemiol.

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Objective: to estimate the prevalence and factors associated with angina pectoris in the Brazilian adult population and per federated units. Methods: Cross-sectional descriptive study that analyzed data from the National Survey of Health 2019 and assessed the prevalence of angina in the Brazilian population. Angina was defined as chest pain or discomfort when climbing hills or stairs, or when walking fast on flat terrain (angina I) or when walking at normal speed on flat terrain (angina II). Prevalence, crude and adjusted prevalence ratios were calculated, with a 95% confidence interval, according to sociodemographic characteristics (sex, age group, self-reported race/skin color and region of residence) and federative units. Results: The prevalence of mild angina (grade I) was 8.1% and of moderate/severe angina (grade II) was 4.5%, being both more prevalent in women (9.8 and 5.5%, respectively). The prevalence increased progressively with age and was inversely proportional to years of formal study. Grade I angina was higher in individuals self-reportedly black and residents of Sergipe (10,4%). Angina II was more prevalent in people self-reportedly brown and living in Amazonas (6.3%). Conclusion: Angina affects more than 10% of the Brazilian population aged 18 years old and more, with higher prevalence in states in the North and Northeast. This is a problem that affects the most vulnerable populations unequally, which places coronary heart disease as a public health problem and points to the need to think about public policies aimed at these strata of the population.

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“…29,30 Women are also more susceptible to psychosocial stress than men, and stress is associated with worse outcomes after AMI. 31 Further studies are needed to understand the worse clinical outcomes after AMI in women.…”

Section: Discussionmentioning

confidence: 99%

“…29,30 Women are also more susceptible to psychosocial stress than men, and stress is associated with worse outcomes after AMI. 31…”

Section: Gender Differencesmentioning

confidence: 99%

Clinical characteristics, prognostic factors, and outcomes of ventricular septal rupture in patients with acute myocardial infarction

Ning

Liu

Yan

2023

Journal of Investigative Medicine

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Ventricular septal rupture (VSR) is a rare but devastating complication in patients with acute myocardial infarction (AMI). This was a retrospective single-center observational study which aimed to assess the characteristics and outcomes of VSR patients and identify risk factors for in-hospital mortality of VSR patients in the era of percutaneous intervention. Patients with VSR after AMI at the First Affiliated Hospital of Xi’an Jiaotong University from January 2016 to December 2020 were enrolled. Among 5395 consecutive patients with AMI, 42 patients (0.78%) were diagnosed with VSR. Left anterior descending coronary artery was the culprit vessel in most cases (84.4%, 27/32). In the multivariate analysis, female sex (odds ratio (OR): 14.043, 95% confidence interval (CI): 1.396–141.283, p = 0.025) and lower platelet count on admission (OR: 0.979; 95% CI: 0.963–0.995; p = 0.009) were significant risk factors of in-hospital death in VSR patients. In all, 11 patients (26.2%) underwent surgical repair, and the rest were treated medically. The 1-year mortality was lower in the surgical group (36.4%, 4/11) than that in the conservative group (74.2%, 23/31) (p = 0.034). During the follow-up, VSR patients treated surgically tended to have a higher long-term survival rate than those treated medically (log rank χ2 = 5.005, p = 0.025). The prognosis of patients with VSR remained poor in this study. Female sex and lower platelet count were independent risk factors of in-hospital death in VSR patients. The long-term survival rate of patients treated with surgical repair was significantly better than that of patients treated conservatively.

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Um Olhar sobre o Stress nas Mulheres com Infarto Agudo do Miocárdio

Cited by 8 publications

References 24 publications

Psychometric Evidence for the Lipp’ Adult Stress Symptoms Inventory

Psychometric Evidence for the Lipp’ Adult Stress Symptoms Inventory

Prevalence of Angina Pectoris and Associated Factors in the Adult Population of Brazil: National Survey of Health, 2019

Clinical characteristics, prognostic factors, and outcomes of ventricular septal rupture in patients with acute myocardial infarction

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