PSYCHOLOGICAL PREDICTORS AND LONG-TERM CONSEQUENCES OF DELAYED HOSPITALIZATION IN MYOCARDIAL INFARCTION
| Autor: | I. A. Melentyev, A. A. Vershinin, A. S. Melentyev, V. P. Zaytsev |
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| Jazyk: | ruština |
| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | Российский кардиологический журнал, Vol 0, Iss 1, Pp 72-77 (2015) |
| Druh dokumentu: | article |
| ISSN: | 1560-4071 2618-7620 |
| DOI: | 10.15829/1560-4071-2015-1-72-77 |
| Popis: | Aim. To reveal the personal-behavioral predictors of later than 6 hours after onset MI hospitalization and to compare these with parameters and predictors of mortality during 5 year follow-up.Material and methods. In 203 men (mean age 58,34±10,44 y.), had being treated for MI, the timing of hospitalization compared depending on psychological testing parameters at the moment of somatic stabilization achievement, as the lethal cases, during 5-year period. Results. On time hospitalization (OH) — in 6 hours from the onset of heart attack — took place in 28,08% of patients, and delayed (DH) — later than 6 hours — in 71,92% (p=0,001). During 5 years of follow-up 28,57% of patients died, of those in OH group 15,79% and in DH group — 33,56% (p=0,037). Psychological predictors of DH cases as long-term mortality were the prevalence of behavioral type A, aggressiveness increase as alexithymia with a decrease of subjective control in misfalls and harmony of disease relationship.Conclusion. The problem of on time MI treatment is still non-solvable without psychology of coronary patient, their personality-behavioral properties, which might become a psychological supplement for OH and be against this. Psychotherapeutical reliance on the former and correction of the latter should be used in psychoprophylaxy of DH in high risk ACS patients. |
| Databáze: | Directory of Open Access Journals |
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