Vital exhaustion and cardiovascular prognosis in myocardial infarction and heart failure: predictive power of different trajectories

Abstract

Vital exhaustion and cardiovascular prognosis in myocardial infarction and heart failure Smith, O.R.F.; Kupper, N.; Denollet, Johan; de Jonge, P. General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.-Users may download and print one copy of any publication from the public portal for the purpose of private study or research -You may not further distribute the material or use it for any profit-making activity or commercial gain -You may freely distribute the URL identifying the publication in the public portal Take down policyIf you believe that this document breaches copyright, please contact us providing details, and we will remove access to the work immediately and investigate your claim. Background. We examined the different trajectories of vital exhaustion (VE) over a 12-month period and their impact on prognosis in a sample of myocardial infarction (MI) and chronic heart failure (CHF) patients.Method. Consecutive MI (n=407) and CHF patients (n=297) were assessed at baseline, and at 3-and 12-month follow-up for symptoms of VE. Latent growth mixture modelling was used to examine the course of VE over time.The combined clinical endpoint was defined as cardiac hospital readmission or death.Results. Four distinct trajectories for VE were found : low VE, decreasing VE, increasing VE, and severe VE. Conclusions. VE trajectories varied across cardiac patients, and had a differential effect on cardiovascular outcome. Increasing VE and severe VE classes were predictors of poor cardiovascular prognosis. These results suggest that identification of cardiac patients with an increased risk of adverse health outcomes should be based on multiple assessments of VE.

Distinct psychological distress trajectories in rheumatoid arthritis: Findings from an inception cohort

“…The proportion of individuals classified as low-stable was 68%, which is towards the upper limit of the proportion observed in studies applying similar methods to other clinical populations [22][23][24][25][26][27][28][29][30]. This is not entirely surprising since, despite its impact on health-related quality of life, it seems unlikely that diagnosis of RA is potentially as traumatic an experience as a myocardial infarction or breast cancer surgery.…”

“…In other words, most individuals can be seen as being "resilient" to the potential trauma caused by these conditions [29]. This is further supported by studies examining distinct trajectories of fatigue and vital exhaustion in individuals with heart failure [30,31].…”

Patient healthcare trajectory. An essential monitoring tool: a systematic review

“…Then there is care at admission, medication management [44] and associated costs-here the trajectory concept emerges. There is also an aspect regarding the effectiveness of the measures implemented [46][47][48][49][50][51][52] and the different treatments [53][54][55]. Another investigated aspect concerns lifestyle, with regard to dietary habits, healthy lifestyle [56], comorbidities [43,57] (smoking and/or alcohol), but also environmental factors like atmospheric pollution.…”

Change in Positive Affect During Outpatient Cardiac Rehabilitation Predicts Vital Exhaustion in Patients with Coronary Heart Disease

“…One study 14 examined different trajectories of VE over a period of 1 year and revealed that patients with increasing levels of VE had a higher risk of future adverse CVD events. Two studies examined the influence of a stress management program 15,16 on VE.…”