Pain in my heart: chronic angina is linked to poor mental health among patients with spontaneous coronary artery dissection
Notice bibliographique
Résumé
Abstract Background Spontaneous coronary artery dissection (SCAD) is an increasingly recognized form of acute coronary syndrome that often causes myocardial infarction, particularly among women. Even after their dissection has healed, a significant portion of these patients experience ongoing chest pain. Research with patients with obstructive forms of coronary artery disease shows that chronic angina is linked to mental health symptoms such as depression and anxiety and, in turn, mortality. To our knowledge, few studies have reported on angina burden among patients with SCAD, and no studies have examined the angina-mental health connection among this unique population. Given their young age, uncertainty about prognosis and treatment, and the prevalence of emotional stressors pre-SCAD, these patients may be at higher risk for chest pain and psychological distress post-SCAD. Objective The purpose of the study was to examine the association between angina burden, depression and anxiety among patients with SCAD. Methods Patients with a diagnosed SCAD were recruited from a cardiac care hospital. Patients completed a sociodemographic questionnaire and validated measures of angina burden (Seattle Angina Questionnaire; SAQ), depression (Patient Health Questionnaire-9; PHQ-9), generalized anxiety (Generalized Anxiety Disorder-7; GAD-7), cardiac-related anxiety (Cardiac Anxiety Questionnaire; CAQ) and posttraumatic stress (PTSD Checklist; PCL-5). Descriptive analyses and bivariate correlations were conducted. Results Participants (N=97; 80% female; M age=52 years; 75% White). Overall, patients’ angina-related health status fell in the poor to good category; lower scores were noted for angina stability (i.e., angina when doing strenuous activity). On average, patients reported experiencing angina on a monthly basis. Satisfaction of angina treatment was rated fair to good (M=70.8). About 20% of participants reported clinically elevated symptoms of depression and generalized anxiety, while 14% had scores indicating a probable diagnosis of posttraumatic stress. Cardiac-related anxiety was most prevalent; 40% of participants fell in the clinical range. All SAQ subscales (physical limitation, angina stability, angina frequency, angina treatment satisfaction, and QoL) were negatively associated with depression (r=.29-.41; ps<.004), generalized anxiety (r=.29-.39; ps<.007), cardiac-related anxiety (r=.34-.61; ps<.001) and posttraumatic stress (r=.29-.46; ps<.005). Conclusions These preliminary data suggest that chronic angina is strongly linked to mental health symptoms among patients who have experienced SCAD. As depression and anxiety have been previously associated with poor clinical outcomes, interventions to assist patients to cope with chronic angina may be required to enhance mental health and, possibly, improve cardiac outcomes.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».