Prevalence and prognosis of anxiety, insomnia, and type D personality in patients with myocardial infarction: A Spanish cohort

It has been suggested that patients with myocardial infarction and non-obstructive coronary arteries (MINOCA) have more psycho-emotional disorders than patients with obstructive coronary artery disease (MICAD). The aim of this study is to compare the prevalence of anxiety, insomnia, and type D perso...

Full description

Saved in:
Bibliographic Details
Published in:Cardiology journal 2024-04, Vol.31 (2), p.261-270
Main Authors: Izquierdo Coronel, Barbara, López Pais, Javier, Nieto Ibáñez, Daniel, Olsen Rodríguez, Renée, Galán Gil, David, Perela Álvarez, Cristina, Abad Romero, Rocío, Álvarez Bello, María, Martín Muñoz, María, Espinosa Pascual, María Jesús, Mata Caballero, Rebeca, Fraile Sanz, Alfonso, Awamleh García, Paula, Fernández-Avilés, Francisco, Alonso Martín, Joaquín J
Format: Article
Language:English
Subjects:
Aged
Anxiety
Anxiety - diagnosis
Anxiety - epidemiology
Anxiety - psychology
Cardiovascular disease
Clinical Cardiology
Coronary Angiography
Female
Follow-Up Studies
Heart attacks
Humans
Insomnia
Male
Middle Aged
Mortality
Myocardial Infarction - diagnosis
Myocardial Infarction - epidemiology
Myocardial Infarction - psychology
Personality
Prevalence
Prognosis
Prospective Studies
Risk Factors
Sleep Initiation and Maintenance Disorders - epidemiology
Sleep Initiation and Maintenance Disorders - psychology
Spain - epidemiology
Surveys and Questionnaires
Type D Personality
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:It has been suggested that patients with myocardial infarction and non-obstructive coronary arteries (MINOCA) have more psycho-emotional disorders than patients with obstructive coronary artery disease (MICAD). The aim of this study is to compare the prevalence of anxiety, insomnia, and type D personality between MINOCA and MICAD and their impact on prognosis. Patients with myocardial infarction undergoing coronary angiography were prospectively enrolled. Psychological questionnaires were completed by each patient during admission. Among a total of 533 patients, 56 had MINOCA and 477 had MICAD. There were no differences in the prevalence of anxiety and insomnia between both groups: trait anxiety median value (M) MINOCA = 18 (11-34) vs. MICAD M = 19 (12-27), p = 0.8; state anxiety MINOCA M = 19 (11-29) vs. MICAD M = 19 (12.2-26), p = 0.6; and insomnia MINOCA M = 7 (3-11) vs. MICAD M = 7 (3-12), p = 0.95. More MINOCA patients had type D personality (45.0% vs. 28.5%, p = 0.03). At 3-year follow-up, there were no differences in mortality between MINOCA and MICAD (hazard ratio [HR] 0.78, 95% confidence interval [CI] 0.28-2.17) in major adverse cerebral or cardiovascular events (MACCE) (HR 0.71, 95% CI 0.38-1.31). Scores of trait anxiety and negative affectivity were significantly associated with MACCE (HR 1.65, 95% CI [1.05-2.57]; HR 1.75, 95% CI [1.11-2.77], respectively). High insomnia levels were associated with greater mortality (HR 2.72, 95% CI [1.12-6.61]). Anxiety and insomnia levels were similar between patients with MINOCA and those with MICAD, whilst the prevalence of type D personality was higher in the MINOCA than in the MICAD group. Higher scores in trait anxiety, insomnia, and negative affectivity were related to a worse prognosis at 3-year follow-up.
ISSN:1897-5593
1898-018X
DOI:10.5603/CJ.a2023.0025