Prevalence of Burnout Syndrome in Patients Admitted with Acute Coronary Syndrome

Abstract

BackgroundBurnout Syndrome is the extreme emotional response to chronic occupational stress, manifesting as physical and mental exhaustion. Although associated with higher prevalence of cardiovascular risk factors, no study so far has evaluated whether the Burnout Syndrome could be a prevalent factor in non-elderly individuals active in the labor market, admitted for acute coronary syndrome (ACS).ObjectiveTo evaluate the prevalence of the Burnout Syndrome in non-elderly, economically active patients, hospitalized with ACS.MethodsCross-sectional study conducted in a tertiary and private cardiology center, with economically active patients aged <65 years, hospitalized with diagnosis of ACS. The Burnout Syndrome was evaluated with the Burnout Syndrome Inventory (BSI), which assesses workplace conditions and four dimensions that characterize the syndrome: emotional exhaustion (EE), emotional distancing (EmD), dehumanization (De) and professional fulfillment (PF). The Lipp’s Stress Symptoms Inventory for Adults (LSSI) was applied to evaluate global stress.ResultsOf 830 patients evaluated with suspected ACS, 170 met the study criteria, 90% of which were men, overall average age was 52 years, and 40.5% had an average income above 11 minimum wages. The prevalence of the Burnout Syndrome was 4.1%. When we evaluated each dimension individually, we found high EE in 34.7%, high De in 52.4%, high EDi in 30.6%, and low PF in 5.9%. The overall prevalence of stress was 87.5%.ConclusionWe found a low prevalence of Burnout Syndrome in an economically active, non-elderly population among patients admitted for ACS in a tertiary and private hospital.

Impact of metoprolol treatment on mental status of chronic heart failure patients with neuropsychiatric disorders

“…23 A recent study reported a 4.1% prevalence of burnout syndrome and approximately 80%–90% stress among acute coronary syndrome patients. 24 However, the prevalence in HF patients has not been reported till date, yet it is plausible that a similar rate will be observed. Therefore, we prospectively investigated the impact of metoprolol (a moderately lipophilic β blocker) treatment on change in the mental status (depression, anxiety, and burnout syndrome) of CHF patients.…”

Is Acute Coronary Syndrome Secondary to Coronary Vasculitis Underestimated in Daily Cardiology Practice?

“…The better-known risk factors for ACS are dyslipidemia, diabetes mellitus [1] , hypertension [2] and coronary vasospasm. Among less appreciated risk factors, hypercoagulable states such as hyperhomocycteinemia and antiphospholipid syndrome and extreme emotional response to chronic occupational stress (Burnout Syndrome) [3] are noted. Coronary vasculitis is the least appreciated cause of ACS that is subject to neglect among clinicians [4] .…”