Acute stress disorder and C-reactive protein in patients with acute myocardial infarction

Acute stress disorder and C-reactive protein in patients with acute myocardial infarction

Background Myocardial infarction-triggered acute stress disorder (ASD) and subclinical inflammation associate with the development of posttraumatic stress disorder, and worsen the prognosis of myocardial infarction patients. We examined the relationship between ASD severity and C-reactive protein le...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:European journal of preventive cardiology 2018-02, Vol.25 (3), p.298-305
Hauptverfasser: Bielas, Hannes, Meister-Langraf, Rebecca E, Schmid, Jean-Paul, Barth, Jürgen, Znoj, Hansjörg, Schnyder, Ulrich, Princip, Mary, von Känel, Roland
Format: Artikel
Sprache:eng
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 305
container_issue 3
container_start_page 298
container_title European journal of preventive cardiology
container_volume 25
creator Bielas, Hannes
Meister-Langraf, Rebecca E
Schmid, Jean-Paul
Barth, Jürgen
Znoj, Hansjörg
Schnyder, Ulrich
Princip, Mary
von Känel, Roland
description Background Myocardial infarction-triggered acute stress disorder (ASD) and subclinical inflammation associate with the development of posttraumatic stress disorder, and worsen the prognosis of myocardial infarction patients. We examined the relationship between ASD severity and C-reactive protein levels in patients with acute myocardial infarction. Methods We assessed 190 patients (median age 59 years; 83% men) with a verified myocardial infarction within 48 h of an acute coronary intervention. Circulating levels of C-reactive protein were categorized according to their prognostic risk for cardiovascular disease: 0 to
doi_str_mv 10.1177/2047487317748506
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1977783805</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_2047487317748506</sage_id><sourcerecordid>1977783805</sourcerecordid><originalsourceid>FETCH-LOGICAL-c379t-b2c50276bd092f545e3994f18a151f31a26049acb4ab4b8d8470e839aa1bd1d53</originalsourceid><addsrcrecordid>eNp1kEtLAzEUhYMottTuXcks3YzmNZNkWYovENzowtVwJ8loyjxqklH6701t7UIwBHII3zncexA6J_iKECGuKeaCS8GS5rLA5RGabr9yLiU5PmjBJmgewgqnU2JKpTxFE6ooZwUhU_S60GO0WYjehpAZFwZvrM-gN9ky9xZ0dJ82W_shWtdn6a4hOtvHkH25-J7Bj7vbDBq8cdAmogGfTEN_hk4aaIOd798Zerm9eV7e549Pdw_LxWOumVAxr6kuMBVlbbCiTcELy5TiDZFACtIwArTEXIGuOdS8lkZyga1kCoDUhpiCzdDlLjcN-THaEKvOBW3bFno7jKEiSgghmcRbFO9Q7YcQvG2qtXcd-E1FcLXttPrbabJc7NPHurPmYPhtMAH5DgjwZqvVMPo-bft_4Dd9kH4x</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1977783805</pqid></control><display><type>article</type><title>Acute stress disorder and C-reactive protein in patients with acute myocardial infarction</title><source>SAGE Complete</source><source>Alma/SFX Local Collection</source><source>Oxford Academic</source><creator>Bielas, Hannes ; Meister-Langraf, Rebecca E ; Schmid, Jean-Paul ; Barth, Jürgen ; Znoj, Hansjörg ; Schnyder, Ulrich ; Princip, Mary ; von Känel, Roland</creator><creatorcontrib>Bielas, Hannes ; Meister-Langraf, Rebecca E ; Schmid, Jean-Paul ; Barth, Jürgen ; Znoj, Hansjörg ; Schnyder, Ulrich ; Princip, Mary ; von Känel, Roland</creatorcontrib><description><![CDATA[Background Myocardial infarction-triggered acute stress disorder (ASD) and subclinical inflammation associate with the development of posttraumatic stress disorder, and worsen the prognosis of myocardial infarction patients. We examined the relationship between ASD severity and C-reactive protein levels in patients with acute myocardial infarction. Methods We assessed 190 patients (median age 59 years; 83% men) with a verified myocardial infarction within 48 h of an acute coronary intervention. Circulating levels of C-reactive protein were categorized according to their prognostic risk for cardiovascular disease: 0 to <5, 5 to <10, 10 to <20, and ≥ 20 mg/l. Patients completed the ASD-Scale (ASDS) for myocardial infarction-triggered symptoms and questionnaires for demographic factors, health behaviours, cardiac-related variables and psychosocial characteristics. Results The ASDS sum score was positively associated with C-reactive protein categories in the bivariate analysis (r = 0.20, p < 0.01). Significant relationships with C-reactive protein also emerged for dissociation (r = 0.25, p < 0.001) and avoidance (r = 0.19, p < 0.01), but not for arousal and re-experiencing. Similarly, C-reactive protein levels ≥ 20 mg/l versus < 20 mg/l were predicted by the ASDS sum score, and the dissociation, avoidance and arousal subscores (all p-values < 0.05) in the fully adjusted binary regression analyses. C-reactive protein levels ≥ 20 mg/l were also independently predicted by male gender, body mass index, lower education, and lower left ventricular ejection fraction and higher white blood cell count. Conclusions Higher levels of myocardial infarction-triggered ASD symptoms associate with a greater inflammatory response in patients with acute myocardial infarction independently of important covariates. The findings suggest a link between myocardial infarction-triggered ASD symptoms and a heightened acute phase response with a potential impact on cardiovascular disease prognosis.]]></description><identifier>ISSN: 2047-4873</identifier><identifier>EISSN: 2047-4881</identifier><identifier>DOI: 10.1177/2047487317748506</identifier><identifier>PMID: 29243511</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><ispartof>European journal of preventive cardiology, 2018-02, Vol.25 (3), p.298-305</ispartof><rights>The European Society of Cardiology 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c379t-b2c50276bd092f545e3994f18a151f31a26049acb4ab4b8d8470e839aa1bd1d53</citedby><cites>FETCH-LOGICAL-c379t-b2c50276bd092f545e3994f18a151f31a26049acb4ab4b8d8470e839aa1bd1d53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/2047487317748506$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/2047487317748506$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29243511$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bielas, Hannes</creatorcontrib><creatorcontrib>Meister-Langraf, Rebecca E</creatorcontrib><creatorcontrib>Schmid, Jean-Paul</creatorcontrib><creatorcontrib>Barth, Jürgen</creatorcontrib><creatorcontrib>Znoj, Hansjörg</creatorcontrib><creatorcontrib>Schnyder, Ulrich</creatorcontrib><creatorcontrib>Princip, Mary</creatorcontrib><creatorcontrib>von Känel, Roland</creatorcontrib><title>Acute stress disorder and C-reactive protein in patients with acute myocardial infarction</title><title>European journal of preventive cardiology</title><addtitle>Eur J Cardiovasc Prev Rehabil</addtitle><description><![CDATA[Background Myocardial infarction-triggered acute stress disorder (ASD) and subclinical inflammation associate with the development of posttraumatic stress disorder, and worsen the prognosis of myocardial infarction patients. We examined the relationship between ASD severity and C-reactive protein levels in patients with acute myocardial infarction. Methods We assessed 190 patients (median age 59 years; 83% men) with a verified myocardial infarction within 48 h of an acute coronary intervention. Circulating levels of C-reactive protein were categorized according to their prognostic risk for cardiovascular disease: 0 to <5, 5 to <10, 10 to <20, and ≥ 20 mg/l. Patients completed the ASD-Scale (ASDS) for myocardial infarction-triggered symptoms and questionnaires for demographic factors, health behaviours, cardiac-related variables and psychosocial characteristics. Results The ASDS sum score was positively associated with C-reactive protein categories in the bivariate analysis (r = 0.20, p < 0.01). Significant relationships with C-reactive protein also emerged for dissociation (r = 0.25, p < 0.001) and avoidance (r = 0.19, p < 0.01), but not for arousal and re-experiencing. Similarly, C-reactive protein levels ≥ 20 mg/l versus < 20 mg/l were predicted by the ASDS sum score, and the dissociation, avoidance and arousal subscores (all p-values < 0.05) in the fully adjusted binary regression analyses. C-reactive protein levels ≥ 20 mg/l were also independently predicted by male gender, body mass index, lower education, and lower left ventricular ejection fraction and higher white blood cell count. Conclusions Higher levels of myocardial infarction-triggered ASD symptoms associate with a greater inflammatory response in patients with acute myocardial infarction independently of important covariates. The findings suggest a link between myocardial infarction-triggered ASD symptoms and a heightened acute phase response with a potential impact on cardiovascular disease prognosis.]]></description><issn>2047-4873</issn><issn>2047-4881</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kEtLAzEUhYMottTuXcks3YzmNZNkWYovENzowtVwJ8loyjxqklH6701t7UIwBHII3zncexA6J_iKECGuKeaCS8GS5rLA5RGabr9yLiU5PmjBJmgewgqnU2JKpTxFE6ooZwUhU_S60GO0WYjehpAZFwZvrM-gN9ky9xZ0dJ82W_shWtdn6a4hOtvHkH25-J7Bj7vbDBq8cdAmogGfTEN_hk4aaIOd798Zerm9eV7e549Pdw_LxWOumVAxr6kuMBVlbbCiTcELy5TiDZFACtIwArTEXIGuOdS8lkZyga1kCoDUhpiCzdDlLjcN-THaEKvOBW3bFno7jKEiSgghmcRbFO9Q7YcQvG2qtXcd-E1FcLXttPrbabJc7NPHurPmYPhtMAH5DgjwZqvVMPo-bft_4Dd9kH4x</recordid><startdate>201802</startdate><enddate>201802</enddate><creator>Bielas, Hannes</creator><creator>Meister-Langraf, Rebecca E</creator><creator>Schmid, Jean-Paul</creator><creator>Barth, Jürgen</creator><creator>Znoj, Hansjörg</creator><creator>Schnyder, Ulrich</creator><creator>Princip, Mary</creator><creator>von Känel, Roland</creator><general>SAGE Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201802</creationdate><title>Acute stress disorder and C-reactive protein in patients with acute myocardial infarction</title><author>Bielas, Hannes ; Meister-Langraf, Rebecca E ; Schmid, Jean-Paul ; Barth, Jürgen ; Znoj, Hansjörg ; Schnyder, Ulrich ; Princip, Mary ; von Känel, Roland</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c379t-b2c50276bd092f545e3994f18a151f31a26049acb4ab4b8d8470e839aa1bd1d53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bielas, Hannes</creatorcontrib><creatorcontrib>Meister-Langraf, Rebecca E</creatorcontrib><creatorcontrib>Schmid, Jean-Paul</creatorcontrib><creatorcontrib>Barth, Jürgen</creatorcontrib><creatorcontrib>Znoj, Hansjörg</creatorcontrib><creatorcontrib>Schnyder, Ulrich</creatorcontrib><creatorcontrib>Princip, Mary</creatorcontrib><creatorcontrib>von Känel, Roland</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of preventive cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bielas, Hannes</au><au>Meister-Langraf, Rebecca E</au><au>Schmid, Jean-Paul</au><au>Barth, Jürgen</au><au>Znoj, Hansjörg</au><au>Schnyder, Ulrich</au><au>Princip, Mary</au><au>von Känel, Roland</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute stress disorder and C-reactive protein in patients with acute myocardial infarction</atitle><jtitle>European journal of preventive cardiology</jtitle><addtitle>Eur J Cardiovasc Prev Rehabil</addtitle><date>2018-02</date><risdate>2018</risdate><volume>25</volume><issue>3</issue><spage>298</spage><epage>305</epage><pages>298-305</pages><issn>2047-4873</issn><eissn>2047-4881</eissn><abstract><![CDATA[Background Myocardial infarction-triggered acute stress disorder (ASD) and subclinical inflammation associate with the development of posttraumatic stress disorder, and worsen the prognosis of myocardial infarction patients. We examined the relationship between ASD severity and C-reactive protein levels in patients with acute myocardial infarction. Methods We assessed 190 patients (median age 59 years; 83% men) with a verified myocardial infarction within 48 h of an acute coronary intervention. Circulating levels of C-reactive protein were categorized according to their prognostic risk for cardiovascular disease: 0 to <5, 5 to <10, 10 to <20, and ≥ 20 mg/l. Patients completed the ASD-Scale (ASDS) for myocardial infarction-triggered symptoms and questionnaires for demographic factors, health behaviours, cardiac-related variables and psychosocial characteristics. Results The ASDS sum score was positively associated with C-reactive protein categories in the bivariate analysis (r = 0.20, p < 0.01). Significant relationships with C-reactive protein also emerged for dissociation (r = 0.25, p < 0.001) and avoidance (r = 0.19, p < 0.01), but not for arousal and re-experiencing. Similarly, C-reactive protein levels ≥ 20 mg/l versus < 20 mg/l were predicted by the ASDS sum score, and the dissociation, avoidance and arousal subscores (all p-values < 0.05) in the fully adjusted binary regression analyses. C-reactive protein levels ≥ 20 mg/l were also independently predicted by male gender, body mass index, lower education, and lower left ventricular ejection fraction and higher white blood cell count. Conclusions Higher levels of myocardial infarction-triggered ASD symptoms associate with a greater inflammatory response in patients with acute myocardial infarction independently of important covariates. The findings suggest a link between myocardial infarction-triggered ASD symptoms and a heightened acute phase response with a potential impact on cardiovascular disease prognosis.]]></abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>29243511</pmid><doi>10.1177/2047487317748506</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2047-4873
ispartof European journal of preventive cardiology, 2018-02, Vol.25 (3), p.298-305
issn 2047-4873
2047-4881
language eng
recordid cdi_proquest_miscellaneous_1977783805
source SAGE Complete; Alma/SFX Local Collection; Oxford Academic
title Acute stress disorder and C-reactive protein in patients with acute myocardial infarction
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-20T17%3A19%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Acute%20stress%20disorder%20and%20C-reactive%20protein%20in%20patients%20with%20acute%20myocardial%20infarction&rft.jtitle=European%20journal%20of%20preventive%20cardiology&rft.au=Bielas,%20Hannes&rft.date=2018-02&rft.volume=25&rft.issue=3&rft.spage=298&rft.epage=305&rft.pages=298-305&rft.issn=2047-4873&rft.eissn=2047-4881&rft_id=info:doi/10.1177/2047487317748506&rft_dat=%3Cproquest_cross%3E1977783805%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1977783805&rft_id=info:pmid/29243511&rft_sage_id=10.1177_2047487317748506&rfr_iscdi=true