Department of Cardiology, Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, Delhi, India.
Department of Cardiology, ESIC Medical College and Hospital, Faridabad, Haryana, India.
Indian Heart J. 2023 Jul-Aug;75(4):298-303. doi: 10.1016/j.ihj.2023.06.006. Epub 2023 Jun 14.
Psychosocial factors such as stress have been previously implicated as a risk factor for cardiovascular diseases (CVDs). There is little evidence regarding the prevalence of stress among patients with acute myocardial infarction (AMI).
A total of 903 patients with AMI enrolled in the North Indian ST-Segment Elevation Myocardial Infarction (NORIN-STEMI) registry were included in this study. Perceived stress in these subjects was evaluated using the Perceived Stress Scale-10 questionnaire while the World health Organization (WHO-5) Well-being Index was used to evaluate psychological well-being. All these patients were followed up for one month and major adverse cardiac events (MACE) were determined.
A majority of patients with AMI had either severe (478 [52.9%]) or moderate stress (347 [38.4%]) while low stress levels were observed in 78 [8.6%] patients. Additionally, most of the patients with AMI (478 [53%]) had WHO-5 well-being index <50%. Subjects with severe stress were younger (50.86 ± 13.31; P < 0.0001), more likely to be males (403 [84.30%]; P = 0.027), were less likely to have optimal level of physical activity (P < 0.0001) and had lower WHO-5 well-being score (45.54 ± 1.94%; P < 0.0001) as compared to those with low and moderate stress levels. On 30-days follow-up, subjects with moderate/severe stress had higher MACE however, the difference was non-significant (2.1% vs 1.04%; P = 0.42).
A high prevalence of perceived stress and low well-being index was observed in patients presenting with AMI in India.
心理社会因素，如压力，以前被认为是心血管疾病（CVDs）的一个风险因素。关于急性心肌梗死（AMI）患者的压力患病率，证据很少。
本研究共纳入了 903 名参加北印度 ST 段抬高型心肌梗死（NORIN-STEMI）登记研究的 AMI 患者。使用感知压力量表-10 问卷评估这些受试者的感知压力，使用世界卫生组织（WHO-5）幸福感指数评估心理幸福感。所有这些患者都进行了一个月的随访，并确定主要不良心脏事件（MACE）。
大多数 AMI 患者要么压力严重（478 [52.9%]），要么压力中度（347 [38.4%]），而压力水平较低的患者为 78 [8.6%]。此外，大多数 AMI 患者（478 [53%]）的 WHO-5 幸福感指数<50%。压力严重的患者年龄较小（50.86±13.31；P<0.0001），更可能为男性（403 [84.30%]；P=0.027），不太可能进行最佳水平的体力活动（P<0.0001），且 WHO-5 幸福感评分较低（45.54±1.94%；P<0.0001）。在 30 天随访时，中度/重度压力的患者 MACE 较高，但差异无统计学意义（2.1% vs 1.04%；P=0.42）。
在印度，AMI 患者中存在较高的感知压力和较低的幸福感指数。
