Patient-Reported Stress Levels and Outcomes of Acute Myocardial Infarction

In a prospective cohort study, both survival and health status markers were worse in patients with greater perceived stress than in those with less stress.

Previous research has demonstrated adverse effects of various kinds of psychosocial stress on incident cardiovascular disease (JW Cardiol Sep 19 2012). To find out whether chronic stress is an independent marker of poor prognosis after a coronary event, investigators studied outcomes in 4204 patients discharged alive after acute myocardial infarction (AMI). Baseline stress levels were measured by the perceived stress scale during the index admission, and health status was measured by several validated patient-response instruments at 1 year.

At baseline, patients with high levels of stress were less likely than those with lower levels to have ST-segment elevation and had lower GRACE (Global Registry of Acute Coronary Events) risk scores. Howe…

Reviewing Author

Harlan M. Krumholz, MD, SM

Disclosures

Consultant/Advisory BoardUnited Healthcare; Element Science; Eyedentifeye, F-Prime

EquityHugo Health; Refactor Health; Element Science

Grant/Research SupportPfizer; Agency for Healthcare Research and Quality; Janssen Research and Development, National Institute of Biomedical Imaging and Engineering; National Heart, Lung, and Blood Institute; Centers for Disease Control and Prevention; National Cancer Institute; American Heart Association

Harlan M. Krumholz, MD, SM

Disclosures

Consultant/Advisory BoardUnited Healthcare; Element Science; Eyedentifeye, F-Prime

EquityHugo Health; Refactor Health; Element Science

Patient-Reported Stress Levels and Outcomes of Acute Myocardial Infarction

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Reviewing Author