Lifestyle Differences between Middle-aged and Old-aged Patients with Acute Myocardial Infarction

Purpose: This study aimed to identify the relationship between death anxiety, knowledge, and attitudes toward advance directives in middle-aged patients with acute myocardial infarction.Methods: Data were collected through a survey of 142 middle-aged adults from August 27th to October 4th, 2019 in G city. Data analysis was performed using descriptive statistics, t-test, one-way ANOVA, Scheffé test, and Pearson correlation coefficient.Results: The average score of participants’ death anxiety and attitudes toward advance directives was 44.14± 6.71 and 43.61±3.53, respectively, and the average correct rate in knowledge of advance directives was 57.1%. Participants showed significant differences in death anxiety (F=3.75, p=.013), knowledge of advance directives (F=3.02, p=.033), and attitudes toward advance directives (t=2.31, p=.022) depending on the presence or absence of an object to discuss their health status. Also, there were significant differences in knowledge of advance directives (t=3.43, p=.001) and attitude toward advance directives (t=2.23, p=.027) depending on whether participants perceived the meaning of advance directives. There were positive correlations (r=.38, p<.001) between knowledge of advance directives and attitudes toward advance directives in middle-aged patients with acute myocardial infarction.Conclusion: Active information-provision and promotional strategies are needed to enhance a correct understanding of advance directives for middle-aged acute myocardial infarction patients with a high probability of sudden death to recognize the need for an advance directive and reinforce a positive attitude.

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Assessment of Acute Stress Disorder of Young and Middle-Aged Patients With Acute Myocardial Infarction And Analysis of The Influencing Factors

10.21203/rs.3.rs-1185822/v1 ◽

2021 ◽

Author(s):

Minjuan Wu ◽

Wang Wenqin ◽

Zhang Xingwei ◽

Li Junhua

Keyword(s):

Myocardial Infarction ◽

Social Support ◽

Acute Myocardial Infarction ◽

Cardiac Rehabilitation ◽

Stress Disorder ◽

Acute Stress ◽

Acute Stress Disorder ◽

Middle Aged ◽

Aged Patients ◽

Aged People

Abstract Background: Young and middle-aged people are considered a vulnerable group to experience acute stress disorder (ASD) after acute myocardial infarction (AMI). This study aims to explore influencing factors to ASD in young and middle-aged groups.Methods: 190 patients of 18–60 years of age with acute myocardial infarction were enrolled in this study. We assessed the association between ASD and demographic data, adult attachment, and social support.Results: A total of 190 young and middle-aged people were investigated in this study. Among them, 65 cases were positive for acute stress disorder, with a positive rate of 34.21%. Multivariate stepwise regression showed that attachment-related anxiety, distribution of criminal vessels, perceived support, complications, and attachment-related avoidance are the main factors affecting acute stress disorder of young and middle-aged patients with AMI.Conclusions: The incidence of acute stress disorder in young and middle-aged patients with AMI is high. We should strengthen social support and pay attention to the psychological state of patients in the process of follow-up cardiac rehabilitation to improve their ability to deal with acute stress events and actively participate in postoperative cardiac rehabilitation.

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Prehospital mortality from acute myocardial infarction in young and middle-aged patients as an indicator of social tension: is it possible to change the existing situation?

Russian Heart Journal ◽

10.18087/rhj.2015.5.2104 ◽

2015 ◽

Vol 14 (5) ◽

pp. 281-286

Author(s):

A.A. Garganeeva ◽

◽

K.N. Borel ◽

S.A. Okrugin ◽

◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Middle Aged ◽

Aged Patients ◽

Social Tension

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Elevated levels of cortisol in hair precede acute myocardial infarction

Scientific Reports ◽

10.1038/s41598-020-80559-9 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Tomas Faresjö ◽

Susanna Strömberg ◽

Mike Jones ◽

Andreas Stomby ◽

Jan-Erik Karlsson ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Population Based ◽

Bivariate Analysis ◽

Control Group ◽

Middle Aged ◽

Aged Patients ◽

Acute Event ◽

Control Study

AbstractLong term stress exposure is typical for modern societies and might trigger different diseases. This case–control study reveals that persons who had suffered an acute myocardial infarction (AMI) had elevated cortisol concentrations in the month before the acute event. Middle-aged patients admitted to cardiology clinics with acute myocardial infarction (AMI) (n = 174) were compared to 3156 controls from a population-based cohort in southeast Sweden. The median Hair Cortisol Concentrations (HCC) for those who had suffered an AMI was 53.2 pg/mg compared to 22.2 pg/mg for the control group (p < 0.001). In bivariate analysis, higher levels of HCC were strongly (OR = 5.69) and statistically significantly associated with current AMI status. The discrimination of cases with AMI from controls remained statistically significant (OR = 5.04) even after controlling for established cardiovascular risk factors in a multivariate analysis. Middle-aged persons with acute myocardial infarction had significantly elevated cortisol levels during the month before the cardiac event. This was evident for both men and women. The biomarker cortisol concentration was independently and statistically significantly related to AMI. Chronic stress seems to be a new promising risk factor for AMI.

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Trends and Inequalities in the Incidence of Acute Myocardial Infarction among Beijing Townships, 2007–2018

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182312276 ◽

2021 ◽

Vol 18 (23) ◽

pp. 12276

Author(s):

Jie Chang ◽

Qiuju Deng ◽

Moning Guo ◽

Majid Ezzati ◽

Jill Baumgartner ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Urban Areas ◽

Disease Surveillance ◽

Temporal Trends ◽

Relative Increase ◽

Mitigation Strategies ◽

Middle Aged ◽

Geographic Variations ◽

Cross Sectional

Acute myocardial infarction (AMI) poses a serious disease burden in China, but studies on small-area characteristics of AMI incidence are lacking. We therefore examined temporal trends and geographic variations in AMI incidence at the township level in Beijing. In this cross-sectional analysis, 259,830 AMI events during 2007–2018 from the Beijing Cardiovascular Disease Surveillance System were included. We estimated AMI incidence for 307 consistent townships during consecutive 3-year periods with a Bayesian spatial model. From 2007 to 2018, the median AMI incidence in townships increased from 216.3 to 231.6 per 100,000, with a greater relative increase in young and middle-aged males (35–49 years: 54.2%; 50–64 years: 33.2%). The most pronounced increases in the relative inequalities was observed among young residents (2.1 to 2.8 for males and 2.8 to 3.4 for females). Townships with high rates and larger relative increases were primarily located in Beijing’s northeastern and southwestern peri-urban areas. However, large increases among young and middle-aged males were observed throughout peri-urban areas. AMI incidence and their changes over time varied substantially at the township level in Beijing, especially among young adults. Targeted mitigation strategies are required for high-risk populations and areas to reduce health disparities across Beijing.

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