The evaluation of the prevalence of stress and its phases in acute myocardial infarction in patients active in the labour market.

Abstract

IntroductionAcute myocardial infarction is a social health problem of epidemiological relevance, with high levels of morbidity and mortality. Stress is one of the modifiable risk factors that triggers acute myocardial infarction. Stress is a result of a set of physiological reactions, which when exaggerated in intensity or duration can lead to imbalances in one's organism, resulting in vulnerability to diseases.ObjectiveTo identify the presence of stress and its phases in hospitalized and active labor market patients with unstable myocardial infarction and observe its correlation with the life of this population with stress.MethodsThe methodology used was a quantitative, descriptive and transversal research approach conducted with a total of 43 patients, who were still active in the labor market, presenting or not morbidities. Data collection occurred on the fourth day of their hospitalization and patients responded to Lipp's Stress Symptom Inventory for adults.ResultsThirty-one patients (72.1%) presented stress and twelve (27.8%) did not. In patients with stress, the identified phases were: alert - one patient (3.2%); resistance -twenty-two patients (71.0%); quasi-exhaustion - six patients (19.4%) and exhaustion - two patients (6.5%). All women researched presented stress.ConclusionThe results suggest a high level of stress, especially in the resistance phase, in the male infarcted population, hospitalized and active in the labor market.

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

“…Nesse estudo, observou-se que a prevalência de estresse entre pacientes com IAM foi de 74%, semelhante às descritas para pacientes cardiopatas, que variam entre 72 e 85% em hipertensos. 14,19 Há, portanto, alta prevalência de estresse entre os pacientes acometidos de infarto e submetidos à intervenção coronariana percutânea primária.…”

“…12,13 Contudo, nos estudos sobre estresse e doença isquêmica, o sexo feminino apresenta menor prevalência e casos em maior idade do que o sexo masculino. 14,15 Tendo em vista o exposto, o objetivo deste estudo foi investigar os preditores de estresse, principalmente se o sexo feminino é preditor independente de risco, bem como comparar características sociodemográficas e clínicas, história pregressa e evolução intra-hospitalar, além dos níveis de estresse entre mulheres e homens com IAM.…”

Should Sabbath Prohibitions Be Overridden to Provide Emotional Support to a Sick Relative?

“…Hans Selye identified a three-stage common physiological response to stress—physical or psychological—coining the term “general adaptation syndrome” (GAS): alarm, resistance, and exhaustion 18. Lipp (in Lucinda et al) identified an additional stage of semi-exhaustion 19. In the alarm stage, stress launches the secretion of adrenaline, accompanied by psychological arousal.…”

Effect of sympathetic autonomic stress from the cold pressor test on left ventricular function in young healthy adults

“…) which might negatively affect the cardiovascular system acutely by precipitating myocardial infarction (Lucinda et al. ), left ventricular dysfunctions (Barclay and Vega ; Ramaraj ) and arrhythmias (Ziegelstein ). Stress activates the sympathetic function of the autonomic nervous system causing an increase in blood pressure (Trapp et al.…”

“…The cardiovascular system is prone to being affected by stress caused by many factors experienced in modern life. Stress elicits changes in sympathetic-parasympathetic balance (Brotman et al 2007) which might negatively affect the cardiovascular system acutely by precipitating myocardial infarction (Lucinda et al 2015), left ventricular dysfunctions (Barclay and Vega 2005;Ramaraj 2007) and arrhythmias (Ziegelstein 2007). Stress activates the sympathetic function of the autonomic nervous system causing an increase in blood pressure (Trapp et al 2014), heart rate (Ayada et al 2015) and cardiac output (Von Baeyer et al 2005), and release of stress hormones.…”