Vital exhaustion, extent of atherosclerosis, and the clinical course after successful percutaneous transluminal coronary angioplasty

Appels, Ad; Kop, Willem J.; Swart, Hans de; Leon, Carlos Mendes de

doi:10.1093/oxfordjournals.eurheartj.a060842

Cited by 50 publications

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“…Although vital exhaustion is considered a short-term risk factor and predicts cardiac mortality up to the 40th month post-myocardial infarction (MI); it is a risk factor, which is on a par with hyperlipidemia [13 -15]. One study has shown that vital exhaustion may decrease following medical intervention, but most patients still remained exhausted after percutaneous transluminar coronary angioplasty (PTCA) [16]. A later 0022-3999/01/$ -see front matter D 2001 Elsevier Science Inc. All rights reserved.…”

Section: Introductionmentioning

confidence: 99%

Increased vital exhaustion among type-D patients with ischemic heart disease

Pedersen

Middel

2001

Journal of Psychosomatic Research

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Increased vital exhaustion among type-D patients with ischemic heart diseasePedersen, S.S.; Middel, B. General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.-Users may download and print one copy of any publication from the public portal for the purpose of private study or research -You may not further distribute the material or use it for any profit-making activity or commercial gain -You may freely distribute the URL identifying the publication in the public portal Take down policy If you believe that this document breaches copyright, please contact us providing details, and we will remove access to the work immediately and investigate your claim. Abstract Objective: To investigate the prevalence of the ''distressed personality'' (type-D) in cardiac patients and to explore the relationships between type-D, gender, vital exhaustion and angina pectoris. Methods: A questionnaire was completed by 171 patients scheduled for coronary angiography (CAG) at baseline and again at 6 weeks following implementation of treatment with invasive procedures or medication. Results: Women were more vitally exhausted at baseline and more likely to be classified as type-D. Type-D patients scored higher on vital exhaustion independent of all other variables. Angina was related to vital exhaustion, but improvement in angina following intervention was not associated with improvement in vital exhaustion scores. Conclusion: Although medical interventions reduced angina, a concomitant decrease in vital exhaustion scores was not found. It is suggested that type-D may explain gender differences on distress. Clinical implications are discussed, including the importance of including personality factors in future research, as they have been shown to have independent prognostic value. D

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Section: Introductionmentioning

confidence: 99%

Increased vital exhaustion among type-D patients with ischemic heart disease

Pedersen

Middel

2001

Journal of Psychosomatic Research

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“…12,13 Evidence from studies examining the physiological correlates of exhaustion indicates that exhaustion, as defined in the current study, cannot be thought of as a somatoform or similar disorder, as listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM IV-TR). Exhaustion has been related to increased inflammation, 14,15 impaired fibrinolysis, 16 and low vagal tone, 17 all of which have been associated with the pathogenesis of CAD.…”

Section: Methods Patient Population and Study Designmentioning

confidence: 83%

Poor Health-Related Quality of Life Is a Predictor of Early, But Not Late, Cardiac Events After Percutaneous Coronary Intervention

et al. 2007

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Poor health-related quality of life is a predictor of early, but not late, cardiac events after percutaneous coronary intervention Pedersen, Susanne; Martens, E.J.; Denollet, Johan; Appels, A. Published in: Psychosomatics Document version:Publisher's PDF, also known as Version of record Publication date: 2007 Link to publicationCitation for published version (APA): Pedersen, S. S., Martens, E. J., Denollet, J., & Appels, A. (2007). Poor health-related quality of life is a predictor of early, but not late, cardiac events after percutaneous coronary intervention. Psychosomatics, 48(aug), 331-337. General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.-Users may download and print one copy of any publication from the public portal for the purpose of private study or research -You may not further distribute the material or use it for any profit-making activity or commercial gain -You may freely distribute the URL identifying the publication in the public portal Take down policyIf you believe that this document breaches copyright, please contact us providing details, and we will remove access to the work immediately and investigate your claim.

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“…Various studies have associated VE with CHD and chronic heart failure (Appels, Kop et al 1995;Pedersen and Middel 2001;Smith, Gidron et al 2009). VE has been associated with a twofold to threefold increased risk of mortality and morbidity in patients with CHD (Kop, Appels et al 1994;Appels, Kop et al 1995).…”

Section: Vital Exhaustionmentioning

confidence: 99%

“…VE has been associated with a twofold to threefold increased risk of mortality and morbidity in patients with CHD (Kop, Appels et al 1994;Appels, Kop et al 1995). It has also been associated with sudden cardiac arrest and adverse cardiac events in patients that underwent successful angioplasty (Kop, Appels et al 1994;Appels, Golombeck et al 2000).…”

Section: Vital Exhaustionmentioning

confidence: 99%

“…The assessment of VE can be made with the 21-item Maastricht Questionnaire (Appels, Hoppener et al 1987) and, although there is an overlap between VE and depressive symptoms, there is evidence these are distinct conditions (Kopp, Falger et al 1998). Various studies have associated VE with CHD and chronic heart failure (Appels, Kop et al 1995;Pedersen and Middel 2001;Smith, Gidron et al 2009). VE has been associated with a twofold to threefold increased risk of mortality and morbidity in patients with CHD (Kop, Appels et al 1994;Appels, Kop et al 1995).…”

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confidence: 99%

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Anger, Hostility and Other Forms of Negative Affect: Relation to Cardiovascular Disease

Torquato¹,

Souza²,

Iosifescu³

et al. 2012

Recent Advances in Cardiovascular Risk Factors

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The mix of concepts: Hostility, anger, aggression and other negative affectOver the past decades, a large number of studies have investigated the association between negative affect and coronary heart disease (CHD). Many were cross-sectional case-control studies, which have been criticized for the recall bias of the CHD diagnosis and for the memory distortion (Chida and Steptoe 2009). More recently, several prospective longitudinal studies with more rigorous methodology have also been developed. Notwithstanding, results from this studies are not homogeneous, with both positive and negative results. Although more rigorous in their methodology, the prospective studies use www.intechopen.com Recent Advances in Cardiovascular Risk Factors 416 diverse and partially overlapping concepts to define negative affect associated with CHD (Table 1). Since each study analyzes only a single psychological construct at a time and since these concepts are only partially overlapping, it is not surprising to note the conflicting results in the literature. In addition, the single-factor approach ignores the clustering of psychosocial risk factors for physical disease, which may act synergistically (Suls and Bunde 2005). Another view, from a twin-designed study, is that some of this negative affect concepts may have a single common genetic factor and a nonshared environmental factor, i.e., enviroments uncorrelated between twins, such as accidents. (Raynor, Pogue-Geile et al. 2002). Type Some authors have proposed that anger, hostility and aggression should be considered a syndrome and other include anger and hostility in the concept of aggression. For others, hostility is characterized by interrelated elements of cynical beliefs and attributions, angry emotional states, and aggressive or antagonistic behaviors. Martin et al. advocate for the standardization of these concepts emphasizing that anger corresponds to affect, aggression to behavior, and hostility (or cynicism) to cognition. Together the three constructs form a three-factor "ABC" model of trait anger (Martin, Watson et al. 2000).Aside from hostility, anger and aggression, VE and distressed personality are more complex concepts. Although they overlap partially, these constructs include specific patterns and aspects not captured by general scales for hostility, anger and aggression. Last but not least, the concept of negative affectivity posits that these symptoms represent markers of a trait www.intechopen.com Anger, Hostility and Other Forms of Negative Affect: Relation to Cardiovascular Disease 417 characterized by hypersensitivity to negative stimuli (Watson and Clark 1984) and the concept of negative emotions postulate the existence of a continuum across these affective states. Depression: The mix beyond the negative affectsBeyond negative affect, depression and, secondarily, anxiety have the strongest evidence for associations with CHD, even after controlling for traditional CHD risk factors, such as serum cholesterol, blood pressure, and smoking. Intriguingly, as it ...

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Vital exhaustion, extent of atherosclerosis, and the clinical course after successful percutaneous transluminal coronary angioplasty

Cited by 50 publications

References 0 publications

Increased vital exhaustion among type-D patients with ischemic heart disease

Increased vital exhaustion among type-D patients with ischemic heart disease

Poor Health-Related Quality of Life Is a Predictor of Early, But Not Late, Cardiac Events After Percutaneous Coronary Intervention

Anger, Hostility and Other Forms of Negative Affect: Relation to Cardiovascular Disease

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