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. 2018 Mar-Apr;12(2):50-56.

Persistent anxiety and in-hospital complications after acute coronary syndrome

Mohannad Eid AbuRuz  1
Affiliations

Persistent anxiety and in-hospital complications after acute coronary syndrome

Mohannad Eid AbuRuz. Int J Health Sci (Qassim). 2018 Mar-Apr.

Abstract

Objectives: To investigate the effects of pre-event persistent anxiety on in-hospital complications and length of stay (LOS) in patients who experienced acute coronary syndrome (ACS).

Methods: This was a prospective study with patients seeking treatment for ACS events. Anxiety was measured 2 times before the event in 600 patients with pre-existing coronary heart disease (CHD). Patients were followed for 2 years or until they developed an ACS event. 120 patients developed ACS events (rate 20%). Complications and LOS were abstracted from medical records.

Results: Persistently non-anxious patients have lower anxiety scores at 3 months follow-up than baseline (mean [standard deviation (SD)], 6.1 [0.24] vs. 3.9 [0.95], P <0.01). Patients with persistent anxiety had significantly higher complication rates than non-anxious patients (mean [SD], 0.71 [0.12] vs. 0.15 [0.11], P <0.05). In a multiple logistic regression, persistent anxiety was an independent predictor of complications. Patients who were persistently anxious were at 5 times higher risk for developing complications (odds ratio = 5.0, 95% confidence interval: 1.27-38.8, P < 0.05).

Conclusion: Anxiety measured up to 2 years before an ACS event was predictive of in-hospital complications. Clinicians caring for patients with CHD need to be as equally aware of the importance of assessing and treating persistent anxiety as clinicians caring for patients hospitalized for an ACS.

Keywords: Anxiety; acute coronary syndrome; complications; length of stay.

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References

    1. Moser DK. “The rust of life”:Impact of anxiety on cardiac patients. Am J Crit Care. 2007;16:361–9. - PMC - PubMed
    1. Writing Group Members. Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, et al. Heart Disease and stroke statistics-2016 Update:A report from the american heart association. Circulation. 2016;133:e38–360. - PubMed
    1. Ruz ME, Lennie TA, Moser DK. Effects of ß-blockers and anxiety on complication rates after acute myocardial infarction. Am J Crit Care. 2011;20:67–73. - PubMed
    1. Gehani AA, Al-Hinai AT, Zubaid M, Almahmeed W, Hasani MR, Yusufali AH, et al. Association of risk factors with acute myocardial infarction in middle eastern countries:The interheart middle east study. Eur J Prev Cardiol. 2014;21:400–10. - PubMed
    1. WHO. Country Statistics and Global Health Estimates by WHO and UN Partner. Jordan: WHO Statistical Profile; 2015. [Last accessed on 2017 Jul 07]. Available from: http://www.who.int/countries/jor/en .

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