Type D personality in patients with coronary heart disease underwent coronary stenting: a prospective study

Abstract

Aim. To evaluate the type D personality relation with clinical and instrumental parameters in patients with coronary heart disease (CHD) underwent coronary stenting (CS) and to determine the influence of the personality type D on the prognosis in these patients within one year after CS. Material and methods. Into prospective study we included 977 patients (740 men and 237 women) aged 33 to 86 years (mean age 58.7±9.4) who underwent CS. The Cox proportional hazard regression model was used to estimate the relative risk (RR) with a 95% confidence interval (CI) of the end point. The end points included death from all causes, death from cardiovas- cular disease (CVD), myocardial infarction (fatal + non-fatal) (MI), non-fatal myocardial infarction (non-fatal MI), unstable angina (UA), and stroke. Results. Type D personality was found in 31.8% patients. These did not differ from the others in terms of age, gender, main cardiovascular risk factors. Patients of D-type had tendency to the increase of diabetes diagnosed – 25.1% vs 20.3% (p=0.09). At the same time D-type patients had more prevalent ≥2 myocardial infarction in anamnesis – 9.0% vs 4.5% (p=0,006) among those with post infarction cardiosclerosis. There was no difference between the groups according to echocardiography and the short-term outcomes of CS. During the prospective study period (12±1.8 months) 24 patients (2.4%) died from all causes, 21 patients (2.1%) died from CVD. MI developed in 47 patients (4.8%) of whom, 23 patients (2.4%) underwent non-fatal MI. In 50 patients (5.1%) ischemic heart disease in a prospective period complicated UA. In 8 patients (0.8%) developed a stroke. There was no effect of personality type D on the prognosis in patients with CHD who underwent CS for 1 year after surgery. Conclusion. Among CHD patients underwent CS, type D personality was found in 31.8%. There is no link for type D personality and severity of CHD clinically as well as the short-term and long-term outcomes of CS.

Is the concept of type D personality a component of personalized medicine or a prognostic factor in the treatment of cardiovascular diseases?

“…Так, у больных стабильной ИБС при проспективном наблюдении не менее 1 года тип Д был ассоциирован с худшим прогнозом [35], при выполнении кардиохирургических операций наличие типа Д ассоциировано с более длительными периодами мозговой дисфункции (делирий/кома) [36], у больных после коронарного шунтирования -с более частым развитием сердечно-сосудистых событий в отдаленном периоде [37], у больных ХСН -с частотой повторных госпитализаций [38]. В то же время при неишемической ХСН не удалось выявить неблагоприятного прогностического влияния типа личности Д в исследовании DANISH [39], также не влиял тип личности Д на прогноз у больных после имплантации кардиовертера-дефибриллятора [40], а также в течение года после имплантации коронарных стентов [41]. Можно отметить, что различия в результатах зависели не только от нозологической формы, но и от страны, в которой производились исследования.…”

Executive Attentional Dyscontrol as a Core Cognitive and Behavioral Feature of Individuals with Obesity and Cardiovascular Disease: A Cross-Sectional Investigation

“…However, while a considerable number of studies [ 38 , 39 , 40 , 41 ] have focused on the relationship between CVD and CI, and a TABP and CVD [ 42 , 43 , 44 , 45 ], only a few contributions [ 46 ] pertain to the link between a TABP and CI and, to an even lesser extent, the associations among a TABP, CVD, and CI. Moreover, to the best of our knowledge, no study has specifically explored the association between impulsivity, CVD, and CI domains.…”