Posttraumatic Stress Disorder Is Associated With Worse Endothelial Function Among Veterans

Autor: S. Marlene Grenon, Christopher D. Owens, Hugh Alley, Sandra Perez, Mary A. Whooley, Thomas C. Neylan, Kirstin Aschbacher, Warren J. Gasper, Joan F. Hilton, Beth E. Cohen
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 5, Iss 3 (2016)
Druh dokumentu: article
ISSN: 2047-9980
DOI: 10.1161/JAHA.115.003010
Popis: BackgroundCurrent research in behavioral cardiology reveals a significant association between posttraumatic stress disorder (PTSD) and increased risk for cardiovascular disease and mortality; however, the underlying mechanisms remain poorly understood. We hypothesized that patients with PTSD would exhibit endothelial dysfunction, a potential mechanism involved in the development and progression of cardiovascular disease. Methods and ResultsA total of 214 outpatients treated at the San Francisco Veterans Affairs Medical Center underwent tests of endothelial function and evaluation for PTSD. Flow‐mediated vasodilation of the brachial artery was performed to assess endothelial function, and current PTSD status was defined by the PTSD Checklist, based on the Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition), with a score ≥40. Multivariable linear regression models were used to estimate the association between PTSD status and endothelial function. Patients with PTSD (n=67) were more likely to be male (99% versus 91%, P=0.04) and to have depression (58% versus 8%, P
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