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Назва: Prevalence and prognosis of anxiety, insomnia, and type D personality in patients with myocardial infarction: A Spanish cohort.
Автори: Bárbara, Izquierdo Coronel.;
López Javier, Pais.;
Ibáñez, Daniel Nieto.;
Renée, Olsen Rodríguez.;
David Galán, Gil.;
Álvarez, Cristina Perela.;
Rocío, Abad Romero.;
María, Álvarez Bello.;
María, Martín Muñoz.;
María, Jesús Espinosa Pascual.;
Rebeca, Mata Caballero.;
Alfonso, Fraile Sanz.;
Paula, Awamleh García.;
Francisco, Fernández-Avilés.;
Joaquín J, Alonso Martín.;
Ключові слова: anxiety,
infarction,
insomnia,
myocardial infarction and non-obstructive coronary arteries (MINOCA),
type D personality.
Дата публікації: 14-кві-2023
Видавництво: Cardiology Journal .
Бібліографічний опис: Cardiology Journal .-2023.
Короткий огляд (реферат): Background: It has been suggested that patients with myocardial infarction and non-obstructive coronary arteries (MINOCA) have more psycho-emotional disorders than patients with obstructive coronary artery disease (MICAD). The aim of this study is to compare the prevalence of anxiety, insomnia, and type D personality between MINOCA and MICAD and their impact on prognosis. Methods: Patients with myocardial infarction undergoing coronary angiography were prospectively enrolled. Psychological questionnaires were completed by each patient during admission. Results: Among a total of 533 patients, 56 had MINOCA and 477 had MICAD. There were no differences in the prevalence of anxiety and insomnia between both groups: trait anxiety median value (M) MINOCA = 18 (11–34) vs. MICAD M = 19 (12–27), p = 0.8; state anxiety MINOCA M = 19 (11–29) vs. MICAD M = 19 (12.2–26), p = 0.6; and insomnia MINOCA M = 7 (3–11) vs. MICAD M = 7 (3–12), p = 0.95. More MINOCA patients had type D personality (45.0% vs. 28.5%, p = 0.03). At 3-year follow-up, there were no differences in mortality between MINOCA and MICAD (hazard ratio [HR] 0.78, 95% confidence interval [CI] 0.28–2.17) in major adverse cerebral or cardiovascular events (MACCE) (HR 0.71, 95% CI 0.38–1.31). Scores of trait anxiety and negative affectivity were significantly associated with MACCE (HR 1.65, 95% CI [1.05–2.57]; HR 1.75, 95% CI [1.11–2.77], respectively). High insomnia levels were associated with greater mortality (HR 2.72, 95% CI [1.12–6.61]). Conclusions: Anxiety and insomnia levels were similar between patients with MINOCA and those with MICAD, whilst the prevalence of type D personality was higher in the MINOCA than in the MICAD group. Higher scores in trait anxiety, insomnia, and negative affectivity were related to a worse prognosis at 3-year follow-up. (Cardiol J).
URI (Уніфікований ідентифікатор ресурсу): http://e.ieu.edu.ua/handle/123456789/606
Розташовується у зібраннях:Європейська медична школа

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