The association between post-traumatic stress disorder and coronary artery disease: a meta-analysis

Abstract

This study demonstrates an association between CHD and PTSD.

Psychological Stress and Heart Disease: Fact or Folklore?

“…A meta-analysis of 9 prospective studies comprising 151,144 total participants assessing the association between PTSD and incident coronary heart disease calculated a hazard ratio of 1.61 (HR=1.46 after controlling for concurrent depression). 34 Overall, psychological stress has been estimated to be associated with an ≈40-60% excess risk of coronary heart disease, 1;13 with extreme stress in childhood perhaps having a greater associated hazard ratio than stress in adulthood. 6 The absolute magnitude of increased cardiovascular risk with stress may be greater in those at high risk for or with established coronary heart disease than in healthier individuals.…”

Psychological Backgrounds of Medically Compromised Patients and Its Implication in Dentistry: A Narrative Review

“…Stress is a major exacerbation factor for hypertension, cardiac diseases, and arteriosclerosis [42,43]. Table 2 shows the psychological backgrounds of patients with cardiovascular diseases [5,6,[42][43][44][45][46][47][48][49][50][51][52][53]. Anxiety and depression are major psychological factors in patients with cardiovascular diseases [5,48,49].…”

“…Anxiety and depression are major psychological factors in patients with cardiovascular diseases [5,48,49]. Furthermore, patients with cardiovascular diseases often have post-traumatic stress disorder (PTSD) induced by the event of a heart attack [6,50] and may experience anticipatory anxiety, which could be linked to other types of anxiety and depression. A recent meta-analysis showed a random-effects pooled prevalence of 13.1% for anxiety disorders, 28.79% for probable clinically significant anxiety, and 55.5% for elevated symptoms of anxiety among patients with heart failure [48].…”

“…Medically compromised patients may require regular prescriptions for their diseases or may experience an event that can interfere with their daily life. Many of these patients often have underlying psychological problems [3][4][5][6][7][8][9][10]. Dentists generally focus on dental problems, and the psychological backgrounds of these patients might often be neglected.…”

Update Psychokardiologie

“…Depressive Symptomatik kann zudem kardiale Ereignisund Mortalitätsraten bei bekannter Herz-Kreislauf-Erkrankung erhöhen und wird nach akutem Koronarsyndrom als Risikofaktor für weitere kardiale Ereignisse betrachtet[5]. Laut einer Metaanalyse erhöht das Vorliegen einer posttraumatischen Belastungsstörung das Risiko, an einer KHK zu erkranken, um 61 %[9].Bei Optimismus steht insbesondere das Gefühl der Hoffnung, Zuversicht und des Vertrauens in eine bestmögliche Zukunft im Vordergrund. Eine Metaanalyse belegt, dass Optimismus mit einem um 35 % reduzierten Risiko eines kardiovaskulären Ereignisses und einer um 14 % reduzierten Mortalität assoziiert ist[10].…”