Psychosocial Complications of Coronary Artery Disease

Moonaghi, Hossein Karimi; Mojalli, Mohammad; Khosravan, Shahla

doi:10.5812/ircmj.18162

Cited by 15 publications

(12 citation statements)

References 18 publications

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“…One possible explanation is that the subjective perception of health status differs among patients with different CVDs. Symptoms of IHD usually include occasional pain and possible fear of death [ 47 ], and IHD patients who have a higher nicotine dependence might have a stronger intention to stop smoking in order to prevent the occurrence of a life-threatening health problem. However, strokes are often accompanied with neurologic sequelae, such as paralysis, and therefore stroke patients who have a higher nicotine dependence may develop a stronger desire to smoke despite the stroke-induced disabilities.…”

Section: Discussionmentioning

confidence: 99%

Persistent smoking after a cardiovascular event: A nationwide retrospective study in Korea

et al. 2017

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Smoking is a major risk factor of cardiovascular disease (CVD) such as stroke and ischemic heart disease. Prior studies have observed people continued smoking even after being diagnosed with CVD. However, population-level data regarding smoking behavior changes among people who are diagnosed with CVD are still lacking. From the National Health Insurance sample cohort database, we identified 1,700 patients diagnosed as having CVD between 2003 and 2012, and underwent the national health screening examination in the year before and after the CVD event. We found that 486 (28.6%) were smokers before the CVD event. Among them, 240 (49.4%) continued to smoke despite the diagnosis. We observed that a higher smoking amount and longer smoking duration before the diagnosis were associated with persistent smoking. Our finding that approximately 50% of smokers continue smoking even after CVD events supports the need for an assessment of patients’ smoking statuses during follow-up after a CVD event and for health-care providers to offer the appropriate smoking cessation interventions to those who continue smoking.

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Section: Discussionmentioning

confidence: 99%

Persistent smoking after a cardiovascular event: A nationwide retrospective study in Korea

et al. 2017

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“…15 This creates the potential for a positive feedback loop between CAD and psychosomatic disorders. Aikens et al 16 demonstrated that fear from cardiopulmonary disease was a strong predictor of a composite index of cardiac complaints intensity in those presenting to the ED with NCCP.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Overlap of Noncardiac Conditions in the Evaluation of Low-risk Acute Chest Pain Patients

Al‐Ani

Winchester²

2015

Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine

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Background When patients present to the emergency department with a complaint concerning for heart disease, this often becomes the primary focus of their evaluation. While patients with noncardiac causes of chest pain outnumber those with cardiac causes, noncardiac etiologies are frequently overlooked. We investigated symptoms and noncardiac conditions in a cohort of patients with chest pain at low risk of cardiac disease. Methods We analyzed data from a prospective registry of patients who were evaluated in our chest pain evaluation center. Registry participants completed standardized and validated instruments for depression (by Patient Health Questionnaire PHQ-9), anxiety (by Generalized Anxiety Disorder GAD-7), and Gastroesophageal Reflux Disorder (GERD; by GERD Symptom Frequency Questionnaire). Chest pain characteristics were recorded; severity was reported on a 10-point scale. Results A total of 195 patients were included in the investigation. Using the instruments noted above, the prevalence of depression was 34%, anxiety was 30%, and GERD was 44%, each of at least moderate severity. 32.5% of patients had 2 or more conditions. The median for the severity of angina was 7/10 and the number of episodes over the preceding week was 2, respectively. Severity of angina was associated with PHQ-9 (r = 0.238; P < 0.001) and GAD-7 (r = 0.283; P < 0.001) scores. The number of angina episodes over the prior week correlated with GERD Symptom Frequency Questionnaire (r = 0.256; P < 0.001) and PHQ-9 (r = 0.175; P = 0.019) scores. No correlation was observed between any of the scores and body mass index, smoking tobacco, diabetes mellitus, hypertension, or hyperlipidemia. Conclusion In our cohort of low-risk acute chest pain patients, depression, anxiety, and GERD were common, substantial overlap was observed. The severity of these noncardiac causes of chest pain causes correlated with the self-reported severity and frequency of angina, but weakly. These conditions should be part of a comprehensive plan of care for chest pain management.

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“…The mechanisms of high smoking cessation rate after long-term sick leave is unclear as this is a little researched area. Psychological factors such as fear of death 23) or recurrence 24) might contribute to higher smoking cessation rate compared with those after diagnosis. Our data showing a higher smoking cessation rate among patients with a longer duration of sick leave may support this view, as severity of cancer or CVD might have progressed during long-term sick leave.…”

Section: Discussionmentioning

confidence: 99%

Smoking cessation after long-term sick leave due to cancer in comparison with cardiovascular disease: Japan Epidemiology Collaboration on Occupational Health Study

et al. 2020

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In occupational settings, smokers may take quitting smoking seriously if they experienced long-term sick leave due to cancer or cardiovascular disease (CVD). However, no study has elucidated the smoking cessation rate after long-term sick leave. We examined the smoking cessation rate after long-term sick leave due to cancer and CVD in Japan. We followed 23 survivors who experienced long-term sick leave due to cancer and 39 survivors who experienced long-term sick leave due to CVD who reported smoking at the last health exam before the leave. Their smoking habits before and after the leave were self-reported. Logistic regression was used to calculate adjusted smoking cessation rates. Smoking cessation rate after long-term sick leave due to cancer was approximately 70% and that due to CVD exceeded 80%. The adjusted smoking cessation rate was 67.6% (95% confidence interval [CI]: 47.0, 88.2) for cancer and 80.7% (95% CI: 67.7, 93.8) for CVD. Smoking cessation rate after a longer duration of sick leave (≥60 days) tended to increase for both CVD and cancer. Although any definite conclusion cannot be drawn, the data suggest that smoking cessation rate after long-term sick leave due to CVD is slightly higher than that for cancer.

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Psychosocial Complications of Coronary Artery Disease

Cited by 15 publications

References 18 publications

Persistent smoking after a cardiovascular event: A nationwide retrospective study in Korea

Persistent smoking after a cardiovascular event: A nationwide retrospective study in Korea

Prevalence and Overlap of Noncardiac Conditions in the Evaluation of Low-risk Acute Chest Pain Patients

Smoking cessation after long-term sick leave due to cancer in comparison with cardiovascular disease: Japan Epidemiology Collaboration on Occupational Health Study

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