Posttraumatic stress disorder after myocardial infarction and coronary artery bypass grafting

Singh, Amitoj; Agrawal, Sahil; Gargya, Sanchita; Saluja, Sabir; Kumar, Akshat; Kumar, Abhishek; Kalra, Kartik; Thind, Munveer; Saluja, Sajeev; Stone, Lauren E; Ali, Farhan; Duarte-Chavez, Rodrigo; Marchionni, Christine; Sholevar, Farhad; Shirani, Jamshid; Nanda, Sudip

doi:10.4103/ijciis.ijciis_27_17

Cited by 11 publications

(5 citation statements)

References 68 publications

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“…Higher quality of life level along with the absence of posttraumatic symptoms can be recognized as an indicator of adaptation to the new reality of life with demands and limitation of one's state of health and effective psychological coping in a situation of the sudden collapse of one's capabilities and sense of security. On the other hand, a manifestation of PTSD symptoms and reduced quality of life may contribute to an increased risk of another heart attack and mortality (7,8).…”

Section: Introductionmentioning

confidence: 99%

Quality of Life After Myocardial Infarction as a Function of Temperamental Traits, Stress Coping Styles, and Posttraumatic Stress Disorder Symptoms

Burnos

Wrzosek

2022

Front. Psychiatry

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The presented study aims to explore the relationship between quality of life after myocardial infarction and factors such as temperamental traits, stress coping, and posttraumatic stress disorder (PTSD) symptoms. Ninety-six participants, including 51 females and 45 males aged 24–85 years, who have survived ST-elevation myocardial infarction were asked to complete the Formal Characteristics of Behavior—Temperament Inventory, Coping Inventory for Stressful Situations, PTSD Inventory, and Quality of Life SF-36 questionnaire. According to the obtained results, a lower level of briskness and sensory sensitivity, as well as a higher level of perseverance and endurance, correlates with a higher level of emotion-oriented coping, whereas a higher level of perseverance, endurance, and activity correlates with a higher level of avoidant-distracted coping. Moreover, a higher level of briskness and activity is correlated with a higher level of avoidant-social coping. A higher level of emotion-oriented and avoidant-distracted coping is, in turn, associated with a higher intensity of PTSD symptoms, whereas a higher level of avoidant-social coping correlates with lower intensity of PTSD symptoms. Furthermore, a higher level of avoidant-distracted coping is correlated to a better physical quality of life, whereas higher levels of endurance and activity are associated with a better emotional quality of life. Also, the more severe the PTSD symptoms, the lower quality of life in general. Contrastingly, higher sensory sensitivity and briskness correlate with better quality of life. The meaning of other temperamental traits, however, is more ambiguous. Nevertheless, the findings support the model of psychological processes in which the subsequent stages are temperament, coping, PTSD, and quality of life.

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Section: Introductionmentioning

confidence: 99%

Quality of Life After Myocardial Infarction as a Function of Temperamental Traits, Stress Coping Styles, and Posttraumatic Stress Disorder Symptoms

Burnos

Wrzosek

2022

Front. Psychiatry

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Section: Discussionmentioning

confidence: 99%

“…Affective disorders characterized by immense psychological trauma, such as war-related PTSD, are associated with cardiovascular disorders [ 6 , 28 ]. Such disorders exert their effect through sympathetic overstimulation, hypothalamic-pituitary-adrenal axis dysregulation, and promoting immune-inflammatory dysfunction [ 6 , 7 , 28 ]. Furthermore, PTSD is associated with behavioral alternations such as increased smoking or increased alcohol consumption, which acts as potentiating factors to CAD development [ 29 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

The Impact of War-Related Stress on Coronary Artery Disease Severity in War Survivors: A SYNTAX Study

Al-Makhamreh

Alkhulaifat

Al-Ani

et al. 2021

IJERPH

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Background: Due to the strong relationship between stress and heart disease, particularly acute myocardial infarction (MI), this study investigated the complexity of coronary artery disease (CAD) among Syrian refugee patients referred to Jordan University Hospital and its relation to war-related stressors. Methods: This is a retrospective study that utilized the SYNTAX I score in order to evaluate all Syrian refugees that underwent coronary artery catheterization at Jordan University Hospital during the period between May of 2014 and December of 2017. Results: There was a significant association between war-related stressors and high SYNTAX score (SX score), thus indicating a higher complexity of CAD in Syrian war survivors with higher stress scores. The strongest war-related correlation was observed with crossing green-lines, in which Syrian refugee patients who had crossed such lines had significantly higher SYNTAX scores. Regression analysis demonstrated that war stressors were positive predictors of increased SYNTAX scores even when adjusted for conventional CAD risk factors. Surprisingly, none of the CAD risk factors were significantly associated with SYNTAX score. Conclusion: Our findings suggest that exposure to multiple war-related stressors may increase the complexity and severity of CAD in Syrian war survivors. Thus, special attention, efforts, and resources should be allocated to screen for such vulnerable patients in order to provide them with the appropriate healthcare.

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“…AMI is a stressful traumatic event, and AMI patients usually have a severe psychologically traumatic experience that endangers their lives. Recently, an increasing number of studies have explored AMI-related PTSD ( Edmondson et al, 2011 ; Perkins-Porras et al, 2015 ; Singh et al, 2017 ; Birk et al, 2019 ). Previous study ( Meli et al, 2019 ) showed that invasive treatment was a risk factor for PTSD in AMI patients, and AMI patients that received invasive surgery were more prone to develop PTSD symptoms than those that received conservative treatment.…”

Section: Introductionmentioning

confidence: 99%

Post-traumatic Stress Disorder and Risk Factors in Patients With Acute Myocardial Infarction After Emergency Percutaneous Coronary Intervention: A Longitudinal Study

Cao

Jiaqi

et al. 2021

Front. Psychol.

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This study aimed to investigate the status and risk factors of post-traumatic stress disorder (PTSD) in patients with acute myocardial infarction (AMI) after emergency percutaneous coronary intervention (PCI) in acute and convalescence phases. A longitudinal study design was used. Two questionnaire surveys were conducted in the acute stage of hospitalization, and 3 months after onset in patients. Logistic regression was used to analyze the risk factors for PTSD in AMI patients. The incidence of PTSD was 33.1 and 20.4% in acute and convalescent patients, respectively. The risk factors related to PTSD were door-to-balloon time (DTB) (≥92.6 min), left ventricular ejection fraction (LVEF) (<50%), smoking, anxiety, and depression. AMI patients after PCI had PTSD in the acute and convalescent stage. The findings indicate that tailored measures should be developed and carried out to prevent PTSD and improve the mental health of patients with AMI after undergoing PCI.

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Posttraumatic stress disorder after myocardial infarction and coronary artery bypass grafting

Cited by 11 publications

References 68 publications

Quality of Life After Myocardial Infarction as a Function of Temperamental Traits, Stress Coping Styles, and Posttraumatic Stress Disorder Symptoms

Quality of Life After Myocardial Infarction as a Function of Temperamental Traits, Stress Coping Styles, and Posttraumatic Stress Disorder Symptoms

The Impact of War-Related Stress on Coronary Artery Disease Severity in War Survivors: A SYNTAX Study

Post-traumatic Stress Disorder and Risk Factors in Patients With Acute Myocardial Infarction After Emergency Percutaneous Coronary Intervention: A Longitudinal Study

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