Congestive Heart Failure and Chronic Obstructive Pulmonary Disease Effect of Cardiomyopathy on the Risk of Acute Stress Disorder in Taiwan, 2000-2015 (Preprint)

BACKGROUND It is now known that determining the comorbidity of COPD and HF leads to a poor prognosis. Our hypothesis that psychological problems predict mortality and that adults with cardiomyopathy will exhibit more psychological problems has predictive that has value in clinical management strategies. At present, research on physical and mental diseases of cardiomyopathy complicated with cardiopulmonary problems is limited. OBJECTIVE To investigate whether Congestive Heart Failure (CHF) and Chronic Obstructive Pulmonary Disease (COPD) affect cardiomyopathy and increase Acute Stress Disorder (ASD) risk. METHODS Gender, age, and comorbidities were analyzed with 1:4 matching using the National Health Insurance Research Database (NHIRD) of Taiwan in the study. 9,709 patients with cardiomyopathy, 9,623 with ASD, were selected; 38,836 patients without cardiomyopathy, 38,482 with ASD, were also selected. The study using SPSS 22 statistical software to perform Cox regression analysis. RESULTS ASD risk with cardiomyopathy is 1.635 times higher than non-cardiomyopathy. Females are 1.890 times more likely to commit ASD than males. Age 20-49 is 1.819 times more likely to develop ASD than age ≥65. People with CHF have a 1.290 times higher risk of developing ASD than people without CHF. People with COPD had a 1.314 times higher risk of developing ASD than people without COPD. CONCLUSIONS Cardiomyopathy increases the risk of ASD, and patients with cardiomyopathy with CHF and COPD have a greater risk of ASD than those without CHF and COPD. Clinicians should be aware of the possibility that CHF and COPD in patients with cardiomyopathy may affect ASD risk.