Satyjeet Fnu, Naz Sidra, Kumar Vinesh, Aung Norah H, Bansari Kanwal, Irfan Sana, Rizwan Amber
Internal Medicine, Chandka Medical College, Larkana, PAK.
Internal Medicine, University of Health Sciences, Lahore, PAK.
Cureus. 2020 Oct 1;12(10):e10757. doi: 10.7759/cureus.10757.
Introduction Stress is a phenomenon elicited in response to certain triggers that may be external or internal. Stress has been identified as a risk factor for various diseases, including cardiovascular disease. In this study, we aim to find an association between psychological stress and cardiovascular disease in the local setting Methods This case-control study was conducted in a tertiary care hospital in Pakistan from June 2019 to December 2019. One hundred and seventeen (117) patients with myocardial infarction and unstable angina were enrolled in the case group. One hundred and ten (110) patient's attendants were enrolled in the study as controlled. Results The risk of a cardiovascular event was higher in patients with a history of social isolation (OR, 2.47), marital stress (OR, 2.28), work stress (OR, 3.2), childhood abuse (OR, 2.78), or trauma (OR, 2.67). Conclusion Psychological stress is an important risk for cardiovascular disease, which is often overlooked. Efforts should be made to include questions related to psychological stress in the history-taking of patients at risk of a cardiovascular event and the management plan should include psychological counseling.
引言 压力是一种因应对某些可能是外部或内部的触发因素而引发的现象。压力已被确定为包括心血管疾病在内的各种疾病的风险因素。在本研究中，我们旨在找出当地环境中心理压力与心血管疾病之间的关联。方法 本病例对照研究于2019年6月至2019年12月在巴基斯坦的一家三级护理医院进行。病例组纳入了117例心肌梗死和不稳定型心绞痛患者。110名患者的陪护人员作为对照组纳入研究。结果 有社会隔离史（比值比，2.47）、婚姻压力史（比值比，2.28）、工作压力史（比值比，3.2）、童年虐待史（比值比，2.78）或创伤史（比值比，2.67）的患者发生心血管事件的风险更高。结论 心理压力是心血管疾病的一个重要风险因素，常被忽视。应努力在有心血管事件风险的患者病史采集中纳入与心理压力相关的问题，且管理计划应包括心理咨询。
