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

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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Acute stress disorder and C-reactive protein in patients with acute myocardial infarction

European Journal of Preventive Cardiology ◽

10.1177/2047487318761091 ◽

2018 ◽

Vol 25 (7) ◽

pp. 702-705 ◽

Cited By ~ 1

Author(s):

Petar M Seferović ◽

Milika Ašanin ◽

Arsen D Ristić

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Stress Disorder ◽

Acute Stress ◽

Acute Stress Disorder ◽

C Reactive Protein ◽

Reactive Protein

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Resilience as a correlate of acute stress disorder symptoms in patients with acute myocardial infarction

Open Heart ◽

10.1136/openhrt-2015-000261 ◽

2015 ◽

Vol 2 (1) ◽

pp. e000261 ◽

Cited By ~ 10

Author(s):

Rebecca E Meister ◽

Tania Weber ◽

Mary Princip ◽

Ulrich Schnyder ◽

Jürgen Barth ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Stress Disorder ◽

Acute Stress ◽

Acute Stress Disorder

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Acute stress disorder and C-reactive protein in patients with acute myocardial infarction

European Journal of Preventive Cardiology ◽

10.1177/2047487317748506 ◽

2017 ◽

Vol 25 (3) ◽

pp. 298-305 ◽

Cited By ~ 10

Author(s):

Hannes Bielas ◽

Rebecca E Meister-Langraf ◽

Jean-Paul Schmid ◽

Jürgen Barth ◽

Hansjörg Znoj ◽

...

Keyword(s):

Myocardial Infarction ◽

Cardiovascular Disease ◽

Acute Myocardial Infarction ◽

Stress Disorder ◽

Acute Stress ◽

Acute Stress Disorder ◽

C Reactive Protein ◽

Protein Levels ◽

Reactive Protein ◽

Sum Score

Background Myocardial infarction-triggered acute stress disorder (ASD) and subclinical inflammation associate with the development of posttraumatic stress disorder, and worsen the prognosis of myocardial infarction patients. We examined the relationship between ASD severity and C-reactive protein levels in patients with acute myocardial infarction. Methods We assessed 190 patients (median age 59 years; 83% men) with a verified myocardial infarction within 48 h of an acute coronary intervention. Circulating levels of C-reactive protein were categorized according to their prognostic risk for cardiovascular disease: 0 to <5, 5 to <10, 10 to <20, and ≥ 20 mg/l. Patients completed the ASD-Scale (ASDS) for myocardial infarction-triggered symptoms and questionnaires for demographic factors, health behaviours, cardiac-related variables and psychosocial characteristics. Results The ASDS sum score was positively associated with C-reactive protein categories in the bivariate analysis ( r = 0.20, p < 0.01). Significant relationships with C-reactive protein also emerged for dissociation ( r = 0.25, p < 0.001) and avoidance ( r = 0.19, p < 0.01), but not for arousal and re-experiencing. Similarly, C-reactive protein levels ≥ 20 mg/l versus < 20 mg/l were predicted by the ASDS sum score, and the dissociation, avoidance and arousal subscores (all p-values < 0.05) in the fully adjusted binary regression analyses. C-reactive protein levels ≥ 20 mg/l were also independently predicted by male gender, body mass index, lower education, and lower left ventricular ejection fraction and higher white blood cell count. Conclusions Higher levels of myocardial infarction-triggered ASD symptoms associate with a greater inflammatory response in patients with acute myocardial infarction independently of important covariates. The findings suggest a link between myocardial infarction-triggered ASD symptoms and a heightened acute phase response with a potential impact on cardiovascular disease prognosis.

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