Stressing Out About the Heart: A Narrative Review of the Role of Psychological Stress in Acute Cardiovascular Events.
Stressing Out About the Heart: A Narrative Review of the Role of Psychological Stress in Acute Cardiovascular Events.
复制标题
DOI：
10.1111/acem.13882
复制
发表时间：
2020-01
期刊：
影响因子：
--
通讯作者：
Chang BP
中科院分区：
文献类型：
--
作者：
Musey PI Jr;Schultebraucks K;Chang BP
急性心血管疾病事件的幸存者，如急性冠脉综合征和中风，在急性事件期间和之后可能会经历严重的心理痛苦。长期的不良影响可能随之而来，包括发展创伤后应激障碍(PTSD)和增加总的全因死亡率和反复发生的心脏事件。这篇概念论文的目的是描述和总结心血管突发事件后不良心理后果(如创伤后应激障碍)的发生率，回顾这些心理因素与未来事件和长期健康风险增加的关系，并为未来的工作提供理论框架。由2名委员会认证的急诊医生组成的小组，1名拥有实验心理学博士学位，以及1名具有心理神经内分泌学专业知识的博士临床心理学家是这篇论文的共同作者。每个作者都使用了不同的搜索策略(例如PubMed、SqucINFO、Cochrane和Google Scholar)进行初步研究，并回顾了与其部分相关的文章。对相关文献进行了回顾和评估，并根据主要作者的评论纳入了这些文献。对24项研究(N>；2300)进行的荟萃分析发现，急性冠脉综合征引起的创伤后应激障碍(PTSD)的患病率接近12%，而对9项研究(N=1138)的荟萃分析发现，25%的短暂性脑缺血发作(TIA)和中风幸存者报告了PTSD症状。创伤后应激障碍的存在使急性冠脉综合征幸存者的3年心血管风险/死亡风险增加了一倍。在ED过度拥挤、走廊护理和临床医生与患者沟通不良期间接受治疗的心脏病患者，似乎有更大的风险患上随后的PTSD。接受急性心血管事件评估的患者通常存在心理压力。了解这些关联为了解心理变量对近期和长期心血管康复的潜在贡献提供了基础，同时也刺激了未来的研究和发现领域。
Survivors of acute cardiovascular disease events, such as acute coronary syndrome and stroke may experience significant psychological distress during and following the acute event. Long term adverse effects may follow, including the development of posttraumatic stress disorder (PTSD) and increased overall all-cause mortality and recurrent cardiac events. The goal of this concepts paper is to describe and summarize the rates of adverse psychological outcomes, such as PTSD, following cardiovascular emergencies, to review how these psychological factors are associated with increased risk of future events and long-term health, and to provide a theoretical framework for future work. A panel of 2 board certified emergency physicians, 1 with a doctorate in experimental psychology, along with 1 PhD clinical psychologist with expertise in psychoneuroendrinology were co-authors involved in the paper. Each author used various search strategies (e.g. PubMed, Psycinfo, Cochrane, and Google Scholar) for primary research, and review articles related to their section. The references were reviewed and evaluated for relevancy and included based on review by the lead authors A meta-analysis of 24 studies (N >2300) found the prevalence of ACS-induced posttraumatic stress disorder (PTSD) at nearly 12%, while a meta-analysis of 9 studies (N=1138) found 25% of survivors of transient ischemic attack (TIA) and stroke report PTSD symptoms. Presences of PTSD doubles 3-year risk of CVD/mortality risk in ACS survivors. Cardiac patients treated during periods of ED overcrowding, hallways care, and perceived poor clinician-patient communication appear at greater risk for subsequent PTSD. Psychological stress is often present in patients undergoing evaluation for acute CVD events. Understanding such associations provides a foundation to appreciate potential contribution of psychological variables on near and long-term cardiovascular recovery, while also stimulating future areas of research and discovery.
登录
查看更多内容
影响因子：
10.5
作者：
Chen, Mu-Hong;Pan, Tai-Long;Bai, Ya-Mei
通讯作者：
Bai, Ya-Mei
影响因子：
3.7
作者：
Edmondson D;Richardson S;Falzon L;Davidson KW;Mills MA;Neria Y
通讯作者：
Neria Y
影响因子：
4.8
作者：
Edmondson, Donald;Rieckmann, Nina;Kronish, Ian M.
通讯作者：
Kronish, Ian M.
影响因子：
3.1
作者：
Demiryoguran, NS;Karcioglu, O;Demir, OF
通讯作者：
Demir, OF
DOI：
10.1097/00008483-200505000-00008
发表时间：
2005-05-01
期刊：
Journal of cardiopulmonary rehabilitation
影响因子：
--
作者：
Doerfler, Leonard A;Paraskos, John A;Piniarski, Lori
通讯作者：
Piniarski, Lori