The Interaction Between Psychologic Distress and Biobehavioral Processes in Cardiovascular Disease

Kop, Willem J.; Gottdiener, John S.

doi:10.1002/9780470975138.ch1

Cited by 2 publications

(1 citation statement)

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“…However, other psychological characteristics in SCAD patients have not been documented. Conditions reflecting psychological distress, such as anxiety and depression, develop in the context of psychosocial factors, including personality characteristics and patients’ reactions to physical symptoms [ 6 ]. In this study, we assess the prevalence of psychological factors and clinical characteristics in patients with a history of SCAD and investigate whether specific clusters of SCAD patients can be identified.…”

Section: Introductionmentioning

confidence: 99%

Psychological and clinical characteristics of female patients with spontaneous coronary artery dissection

et al. 2020

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Aims Spontaneous coronary artery dissection (SCAD) is increasingly recognised as a cause of myocardial infarction, but psychological characteristics of patients with SCAD have not yet been extensively investigated. We assessed the prevalence of a broad range of psychological and clinical factors, and their inter-relationships in patients with a history of SCAD. Furthermore, we investigated whether specific clusters of patients with SCAD can be identified. Methods Participants were recruited between March and May 2019 from a Dutch SCAD database and completed online questionnaires. Clinical information was verified by review of medical records. Participants were predominantly female (172/183; 94%). Analyses focused on the 172 female patients (mean age 52.0 ± 7.5 years, 37% postmenopausal). Results The most common comorbidities of SCAD were migraine (52%), fibromuscular dysplasia (FMD; 29%), chronic pain (29%), and tinnitus (28%). Six women (3%) had pregnancy-associated SCAD. Traditional cardiovascular risk factors were rare (<10%), except for hypertension (31%). Psychological assessment indicated high levels of perceived stress (PSS-10 ≥14; 50%), fatigue (FAS-10 ≥22; 56%), and a frequent history of burnout (25%). The prevalence of depression (9%) and anxiety (12%) was relatively low. Three clusters were identified: (A) FMD and chronic non-ischaemic conditions (tinnitus, chronic pain, and irritable bowel syndrome); (B) migraine; and (C) none of these conditions. Conclusion This study shows that perceived stress and fatigue are common in patients with SCAD, in addition to prevalent comorbid FMD, migraine, tinnitus, and non-ischaemic pain conditions. These factors may add to developing tailored rehabilitation programmes for patients with SCAD. Electronic supplementary material The online version of this article (10.1007/s12471-020-01437-7) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%