Prognostic Association of Anxiety Post Myocardial Infarction With Mortality and New Cardiac Events: A Meta-Analysis

Roest, Annelieke M.; Martens, Elisabeth J.; Denollet, Johan; Jonge, Peter de

doi:10.1097/psy.0b013e3181dbff97

Cited by 355 publications

(270 citation statements)

References 51 publications

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“…The relevance of the presence of anxiety and depression in cardiac patients has repeatedly been shown in systematic reviews; both are associated with higher death rates and poorer prognoses in general in cardiovascular disease (3)(4)(5).…”

mentioning

confidence: 89%

Revisiting the dimensionality of the Hospital Anxiety and Depression Scale in an international sample of patients with ischaemic heart disease

Burns

Höfer

Curry

et al. 2014

Journal of Psychosomatic Research

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mentioning

confidence: 89%

Revisiting the dimensionality of the Hospital Anxiety and Depression Scale in an international sample of patients with ischaemic heart disease

Burns

Höfer

Curry

et al. 2014

Journal of Psychosomatic Research

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“…41,50,53 A An nk ks si iy ye et te e Anksiyete, kısa ve uzun dönem iyileşmeyi etkileyebilir. Negatif duygular ya da stresörler [platelet, makrofaj hücre aktivasyonu ve lipit seviyesinde artma, kalp hızında ve kan basıncı (KB)'nda artma ve miyokardiyal oksijen sunumunda azalma gibi yanıtlar) psikolojik değişikliğin tetiklenmesi ile nöroendokrin sistemi aktive eder.…”

Section: Negati̇f Etki̇unclassified

“…Bir meta-analizde, 11 yıllık takip sonunda anksiyeteli bireylerde diğer prognostik faktörlerden bağımsız olarak KKH riskinin 1,3 kat, kardiyak mortalite riskinin ise 1,5 kat arttığı gösterilmiştir. 53 Diğer bir meta-analizde de anksiyeteli olan hastaların hastalık süreci ve seyrinin daha kötü olduğu saptanmıştır. Özellikle, anksiyete riski bütün sebeplerden mortalite için 1,5 kat, kardiyak mortalite için 1,2 kat ve yeni kardiyak sorunlar için 1,7 kat artmıştır.…”

Section: Negati̇f Etki̇unclassified

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Psychosocial Approach in the Rehabilitation of Heart Patients: Review

Uysal¹

2016

Turkiye Klinikleri J Nurs Sci

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sikolojik durum ve kalp sağlığı arasındaki ilişki komplekstir ve hem direkt (örneğin; immünolojik fonksiyon üzerine psikolojik etkileri) hem de indirekt (örneğin; davranışsal faktörler) mekanizmaların rol A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Rehabilitasyon; sosyal destek; psikoloji A AB BS S T TR RA AC CT T The relationship between psychological status and heart health is complex. Both direct (e.g., psychological effects on immunological function) and indirect mechanisms (e.g., behavioral factors) play a role. Rehabilitation of heart patients is based on the addition of seven core components; health behavior change and education, lifestyle risk factor management, psychosocial health, management of risk factors, preventive therapy for heart health, long-term management, control and evaluation.American Association of Cardiovascular and Pulmonary Rehabilitation, Cardiac Rehabilitation / Secondary Prevention Program focuses on the importance of evaluating the psychological distress of heart patients. In addition, this program suggests routed to the appropriate professional for the stress management, social support and treatment of anxiety or depression. In the INTERHEART case-control study, low socioeconomic status possessed by a powerful effect on coronary heart disease development, this situation is described as the lack of environmental factors and psychosocial resources that lead to despair and chronic stress, tension, loss of ability to deal. As can be seen, evaluating psychosocial approach is one of the most basic issues required for the rehabilitation of heart patients. Psychosocial support is important to provide for improving the quality of life of patients with heart disease, reduction of the recurrence risk of cardiovascular disease and biological risk factors.K Ke ey y W Wo or rd ds s: : Rehabilitation; social support; psychology T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J N Nu ur rs s S Sc ci i 2 20 01 16 6; ;8 8( (3 3) ): :2 25 57 7--7 70 0

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“…Notably however, the meta-analytic estimate for the association with CHD was not adjusted for depression. A further meta-analysis examining the prognostic association of anxiety in post-MI patients found that elevated anxiety was predictive of allcause mortality, cardiac mortality and new cardiac events at three years follow-up [116]. More recently a study of 1411 patients with CHD found that while both depression and anxiety predicted all-cause mortality 10 years post-PCI, anxiety conferred no additional risk in the case of co-morbid depression [117].…”

Section: Anxietymentioning

confidence: 99%

Psychological Aspects of Cardiac Care and Rehabilitation: Time to Wake Up to Sleep?

2015

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Psychological aspects of cardiac care & rehabilitation: Time to wake up to sleep? Abstract:Psychological and psychosocial factors have long been linked to cardiovascular disease. These psychosocial factors, including low socioeconomic status, social support/isolation, stress and distress, personality and sleep disturbance increase risk of cardiovascular events and negatively impact on quality of life. These factors may have direct effects on cardiovascular disease via immune or neuroendocrine pathways, or more indirect effects, by for example limiting adherence to recommended therapies and cardiac rehabilitation. Most psychosocial risk factors can be assessed relatively easily using standardised tools. Sleep disturbance, in particular, is gaining evidence for its importance, and may be crucial to address. While the management of certain psychosocial risk factors is an ethical requirement for care and improves quality of life, unfortunately there is little evidence that such strategies impact on 'hard' endpoints such as recurrent myocardial infarction. A comprehensive biopsychosocial approach to management of these psychosocial factors is required to maximise the benefits patients derive from cardiac care.

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Prognostic Association of Anxiety Post Myocardial Infarction With Mortality and New Cardiac Events: A Meta-Analysis

Cited by 355 publications

References 51 publications

Revisiting the dimensionality of the Hospital Anxiety and Depression Scale in an international sample of patients with ischaemic heart disease

Revisiting the dimensionality of the Hospital Anxiety and Depression Scale in an international sample of patients with ischaemic heart disease

Psychosocial Approach in the Rehabilitation of Heart Patients: Review

Psychological Aspects of Cardiac Care and Rehabilitation: Time to Wake Up to Sleep?

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