Abstract Background There is a considerable evidence in the literature highlighting the impact of psychological factors on the development of coronary heart disease. In India, there's a rising incidence of traumatic life events alongside coronary heart disease, yet the connection between them remains relatively understudied. Therefore, this study aims to investigate the occurrence of stressful life events among patients experiencing their first episode of acute coronary syndrome (ACS) and to compare this with controls.Results The mean number of stressful life events (SLEs) observed was 5.07 ± 2.04 in cases and 4.35 ± 1.88 in controls, with a p-value of < 0.05. The median number of SLEs in cases was nine, compared to eight in controls. Additionally, cases experienced a higher number of SLEs compared to controls with adjusted Z scores of 2.01 for 9 events, 2.74 for 8 events and 3.46 for five events with p-value < 0.01 for all. Significant differences for various types of SLEs were observed between cases and controls.Conclusion The number for SLEs was significantly higher in cases than in controls. There is a need for further research to ascertain and quantify the role of stressful events and risk of a cardiac event.
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Kousar et al. (2024) studied this question.
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