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Impact of type D personality on adverse cardiovascular prognosis in patients in one year after coronary artery bypass grafting

Session Poster Session III - Friday 08:30 - 12:30

Speaker Olga Raykh

Event : ESC Preventive Cardiology (Formerly EuroPrevent) 2015

  • Topic : preventive cardiology
  • Sub-topic : Stress, Psycho-Social and Cultural Aspects of Heart Disease
  • Session type : Poster Session

Authors : OI Raykh (Kemerovo,RU), AN Sumin (Kemerovo,RU), EV Korok (Kemerovo,RU), AV Osokina (Kemerovo,RU), MG Moskin (Kemerovo,RU)

Authors:
OI Raykh1 , AN Sumin1 , EV Korok1 , AV Osokina1 , MG Moskin1 , 1Research Institute of Complex Problems of cardiovascular disease - Kemerovo - Russian Federation ,

Citation:

Psychosocial stress is acknowledged as one of risk of development of cardiovascular pathology. The interrelation between existence  personality type D and prevalence of atherosclerosis is recently established.  However, predictive value of type D personality in different cultures and the countries are not fully understood.

Purpose: Study aim was to investigate the association of  type D personality with the development of cardiovascular complication in patients in one year after coronary artery bypass grafting (CABG) in russian patients.

 Materials and Methods: Evaluation of psychological status and combined risk of nonfatal (strokes, nonfatal myocardial infarctions, repeat procedures of revascularization and hospitalization due to relapse or progression of angina pectoris) and fatal (general and cardiovascular mortality) cases before and in one year after CABG. Patients with chronic ischemic heart disease (n=683, 127 (18.5%) females and 556 (81.5%) males, mean age=57,7±7,3 years.) who had had CABG were included in the study. Who were formed in two groups: patients with the presence of type D (n= 152) and patients without type D (n=531). The study of the psychological status was carried out using questionnaire DS-14, validated in Russian.

 Results: During the one year frequency of fatal cases in both groups amounted 0.40% and 0.38% (p=0,145),  in turn  nonfatal end-points in group with type D amounted 31.8%, and 14.6% in group without type D (p=0,049). Statistically significant correlation between their probability and type D (p=0.002), type 2 diabetes mellitus  (p=0,01), multifocal atherosclerosis (?=0,003). Presence of type D personality at initial examination increased 3.21 times combined risk of nonfatal and fatal cases (odds ratio[OR] 3.21, 95% confidence interval [CI] 2,02-6,14, p=0.002).

Conclusion: Accumulated proofs indicate that in detection of patients at risk of development of stress induced cardiac complications after CABG  it is reasonable to use approach which involves consideration of personality type.

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