Article ; Online: Prevalence and prognosis of anxiety, insomnia, and type D personality in patients with myocardial infarction: A Spanish cohort.
2023 Volume 31, Issue 2, Page(s) 261–270
Abstract: ... coronary artery disease (MICAD). The aim of this study is to compare the prevalence of anxiety, insomnia, and type D ... 7 (3-12), p = 0.95. More MINOCA patients had type D personality (45.0% vs. 28.5%, p = 0.03). At 3 ... of type D personality was higher in the MINOCA than in the MICAD group. Higher scores in trait anxiety ...
| Abstract | Background: It has been suggested that patients with myocardial infarction and non-obstructive coronary arteries (MINOCA) have more psycho-emotional disorders than patients with obstructive coronary artery disease (MICAD). The aim of this study is to compare the prevalence of anxiety, insomnia, and type D personality between MINOCA and MICAD and their impact on prognosis. Methods: Patients with myocardial infarction undergoing coronary angiography were prospectively enrolled. Psychological questionnaires were completed by each patient during admission. Results: Among a total of 533 patients, 56 had MINOCA and 477 had MICAD. There were no differences in the prevalence of anxiety and insomnia between both groups: trait anxiety median value (M) MINOCA = 18 (11-34) vs. MICAD M = 19 (12-27), p = 0.8; state anxiety MINOCA M = 19 (11-29) vs. MICAD M = 19 (12.2-26), p = 0.6; and insomnia MINOCA M = 7 (3-11) vs. MICAD M = 7 (3-12), p = 0.95. More MINOCA patients had type D personality (45.0% vs. 28.5%, p = 0.03). At 3-year follow-up, there were no differences in mortality between MINOCA and MICAD (hazard ratio [HR] 0.78, 95% confidence interval [CI] 0.28-2.17) in major adverse cerebral or cardiovascular events (MACCE) (HR 0.71, 95% CI 0.38-1.31). Scores of trait anxiety and negative affectivity were significantly associated with MACCE (HR 1.65, 95% CI [1.05-2.57]; HR 1.75, 95% CI [1.11-2.77], respectively). High insomnia levels were associated with greater mortality (HR 2.72, 95% CI [1.12-6.61]). Conclusions: Anxiety and insomnia levels were similar between patients with MINOCA and those with MICAD, whilst the prevalence of type D personality was higher in the MINOCA than in the MICAD group. Higher scores in trait anxiety, insomnia, and negative affectivity were related to a worse prognosis at 3-year follow-up. |
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| MeSH term(s) | Humans ; Male ; Female ; Prevalence ; Type D Personality ; Myocardial Infarction/psychology ; Myocardial Infarction/epidemiology ; Myocardial Infarction/diagnosis ; Prognosis ; Anxiety/epidemiology ; Anxiety/psychology ; Anxiety/diagnosis ; Middle Aged ; Sleep Initiation and Maintenance Disorders/epidemiology ; Sleep Initiation and Maintenance Disorders/psychology ; Spain/epidemiology ; Aged ; Prospective Studies ; Risk Factors ; Coronary Angiography ; Surveys and Questionnaires ; Follow-Up Studies |
| Language | English |
| Publishing date | 2023-04-17 |
| Publishing country | Poland |
| Document type | Journal Article |
| ZDB-ID | 2488680-4 |
| ISSN | 1898-018X ; 1897-5593 |
| ISSN (online) | 1898-018X |
| ISSN | 1897-5593 |
| DOI | 10.5603/CJ.a2023.0025 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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