Document Detail

Influence of anxiety on the course of heart disease after acute myocardial infarction - risk factor or protective function?
MedLine Citation:
PMID:  16361875     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: There is a lack of clarity concerning the effect of anxiety on the course of cardiac events following myocardial infarction. Some studies have identified anxiety as a risk factor for further cardiac events. However, it is also considered to be a protective factor, as a higher level of anxiety may improve patient compliance and regular medical checkups. METHODS: A group of 76 patients with myocardial infarction underwent physical examination and had their anxiety levels assessed within the first week, and 31 months after myocardial infarction. Cardiac events were documented during the follow-up period. We investigated the predictive value for the occurrence of cardiac events of sociodemographic, psychological and physical parameters when evaluated within the first week after myocardial infarction. Compliancy and regularity of medical checkups were registered. RESULTS: Cardiac events occurred in 24 patients during a mean follow-up period of 31 months. The group of anxious patients not only suffered more often from cardiac events, these events also occurred earlier than in nonanxious patients. Age, gender, partner status, level of anxiety and comorbid diabetes at the time of first assessment proved to be discriminatory variables between patients suffering further cardiac incidents and those free of further events. Anxious patients were more likely to continue smoking, whereas less anxious patients were more likely to give up smoking.
D Benninghoven; A Kaduk; U Wiegand; T Specht; S Kunzendorf; G Jantschek
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Psychotherapy and psychosomatics     Volume:  75     ISSN:  0033-3190     ISO Abbreviation:  Psychother Psychosom     Publication Date:  2006  
Date Detail:
Created Date:  2005-12-19     Completed Date:  2006-01-19     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0024046     Medline TA:  Psychother Psychosom     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  56-61     Citation Subset:  IM    
Copyright Information:
Copyright 2006 S. Karger AG, Basel.
Section for Psychosomatic Medicine, Medical Clinic II, University of Schleswig-Holstein, Germany.
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MeSH Terms
Age Factors
Follow-Up Studies
Health Behavior
Heart Diseases
Middle Aged
Myocardial Infarction / psychology*
Patient Compliance*
Risk Factors
Sex Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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