Posttraumatic Stress Disorder After Spontaneous Coronary Artery Dissection: A Report of the International Spontaneous Coronary Artery Dissection Registry.

Autor: Sumner JA; Department of Psychology University of California, Los Angeles Los Angeles CA USA., Kim ESH; Division of Cardiovascular Medicine, Department of Medicine Vanderbilt University Medical Center Nashville TN USA., Wood MJ; Division of Cardiology Massachusetts General Hospital and Harvard Medical School Boston MA USA., Chi G; PERFUSE Study Group, Cardiovascular Division, Department of Medicine Beth Israel Deaconess Medical Center, Harvard Medical School Boston MA USA., Nolen J; SCAD Alliance Alexandria VA USA., Grodzinsky A; Saint Luke's Mid America Heart Institute, Muriel I. Kauffman Women's Heart Center University of Missouri-Kansas City Kansas City MO USA., Gornik HL; Harrington Heart & Vascular Institute, University Hospitals, Division of Cardiovascular Medicine Case Western Reserve University Cleveland OH USA., Kadian-Dodov D; Zena and Michael A. Wiener Cardiovascular Institute and Marie-Josée and Henry R. Kravis Center for Cardiovascular Health Icahn School of Medicine at Mount Sinai New York NY USA., Wells BJ; Division of Cardiology, Department of Medicine Emory University School of Medicine Atlanta GA USA., Hess CN; Division of Cardiology, Department of Medicine University of Colorado School of Medicine Aurora CO USA., Lewey J; Division of Cardiovascular Medicine University of Pennsylvania Perelman School of Medicine Philadelphia PA USA., Tam L; Providence Heart Institute Portland OR USA., Henkin S; Heart and Vascular Center Dartmouth-Hitchcock Medical Center Lebanon NH USA., Orford J; Intermountain Heart Institute, Intermountain Medical Center Murray UT USA., Wells G; Division of Cardiovascular Medicine, Department of Medicine University of Kentucky Lexington KY USA., Kumbhani DJ; Division of Cardiology, Department of Internal Medicine UT Southwestern Medical Center Dallas TX USA., Lindley KJ; Division of Cardiovascular Medicine, Department of Medicine Vanderbilt University Medical Center Nashville TN USA., Gibson CM; PERFUSE Study Group, Cardiovascular Division, Department of Medicine Beth Israel Deaconess Medical Center, Harvard Medical School Boston MA USA., Leon KK; SCAD Alliance Alexandria VA USA., Naderi S; Division of Cardiology Kaiser Permanente San Francisco CA USA.
Jazyk: angličtina
Zdroj: Journal of the American Heart Association [J Am Heart Assoc] 2024 Apr 02; Vol. 13 (7), pp. e032819. Date of Electronic Publication: 2024 Mar 27.
DOI: 10.1161/JAHA.123.032819
Abstrakt: Background: Myocardial infarction secondary to spontaneous coronary artery dissection (SCAD) can be traumatic and potentially trigger posttraumatic stress disorder (PTSD). In a large, multicenter, registry-based cohort, we documented prevalence of lifetime and past-month SCAD-induced PTSD, as well as related treatment seeking, and examined a range of health-relevant correlates of SCAD-induced PTSD.
Methods and Results: Patients with SCAD were enrolled in the iSCAD (International SCAD) Registry. At baseline, site investigators completed medical report forms, and patients reported demographics, medical/SCAD history, psychosocial factors (including SCAD-induced PTSD symptoms), health behaviors, and health status via online questionnaires. Of 1156 registry patients, 859 patients (93.9% women; mean age, 52.3 years) completed questionnaires querying SCAD-induced PTSD. Nearly 35% (n=298) of patients met diagnostic criteria for probable SCAD-induced PTSD in their lifetime, and 6.4% (n=55) met criteria for probable past-month PTSD. Of 811 patients ever reporting any SCAD-induced PTSD symptoms, 34.8% indicated seeking treatment for this distress. However, 46.0% of the 298 patients with lifetime probable SCAD-induced PTSD diagnoses reported never receiving trauma-related treatment. Younger age at first SCAD, fewer years since SCAD, being single, unemployed status, more lifetime trauma, and history of anxiety were associated with greater past-month PTSD symptom severity in multivariable regression models. Greater past-month SCAD-induced PTSD symptoms were associated with greater past-week sleep disturbance and worse past-month disease-specific health status when adjusting for various risk factors.
Conclusions: Given the high prevalence of SCAD-induced PTSD symptoms, efforts to support screening for these symptoms and connecting patients experiencing distress with empirically supported treatments are critical next steps.
Registration: URL: https://www.clinicaltrials.gov; Unique identifier: NCT04496687.
Databáze: MEDLINE
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