心碎弦断——腱索断裂所致急性二尖瓣反流后的创伤后应激障碍与心理负担
Broken Heartstrings-Post-Traumatic Stress Disorder and Psychological Burden after Acute Mitral Regurgitation Due to Chordae Tendineae Rupture.
作者信息
Cranz Anna, Greinacher Anja, Nagy Ede, Friederich Hans-Christoph, Katus Hugo A, Geis Nicolas, Pleger Sven T, Nikendei Christoph
机构信息
Center for Psychosocial Medicine, Department of General Internal Medicine and Psychosomatics, University Hospital of Heidelberg, University of Heidelberg, 69115 Heidelberg, Germany.
Department of Internal Medicine III, Cardiology, Angiology and Pneumology, University Hospital Heidelberg, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany.
出版信息
J Clin Med. 2020 Dec 15;9(12):4048. doi: 10.3390/jcm9124048.
Chordae tendineae rupture (CTR) is a potentially life-threatening cardiac event often resulting in Acute mitral regurgitation (AMR). We assessed Post-traumatic stress disorder (PTSD), depression, and anxiety symptoms in n=21 CTR patients with AMR (age 82.3 ± 4.2 years; 66.7% men) and compared them to n=23 CTR patients with Chronic mitral regurgitation (CMR) and n=35 Myocardial infraction (MI) patients. Regression analyses revealed that PTSD scores were significantly higher in CTR patients with AMR than in CTR patients with CMR or MI patients. CTR patients with CMR had the lowest levels of PTSD-symptoms. Depression and anxiety scores were elevated across all three groups. Our results suggest that psychosocial factors need to be considered in CTR patients' care.
腱索断裂（CTR）是一种潜在的危及生命的心脏事件，常导致急性二尖瓣反流（AMR）。我们评估了21例患有AMR的CTR患者（年龄82.3±4.2岁；66.7%为男性）的创伤后应激障碍（PTSD）、抑郁和焦虑症状，并将其与23例患有慢性二尖瓣反流（CMR）的CTR患者和35例心肌梗死（MI）患者进行比较。回归分析显示，患有AMR的CTR患者的PTSD评分显著高于患有CMR的CTR患者或MI患者。患有CMR的CTR患者的PTSD症状水平最低。所有三组的抑郁和焦虑评分均升高。我们的结果表明，在CTR患者的护理中需要考虑社会心理因素。
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