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January 1, 1999Psychosomatic Medicine

Cognitive Adaptation as a Predictor of New Coronary Events After Percutaneous Transluminal Coronary Angioplasty

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Key result

A higher cognitive adaptation index predicted a lower risk of new cardiac events within 6 months after a first PTCA, independent of demographic and medical variables (p = 0.02).

Why the study?

Does a higher cognitive adaptation index predict a lower risk of new cardiac events in patients after a first PTCA?

Population

298 patients treated successfully with a first percutaneous transluminal coronary angioplasty (PTCA)

Comparison

Higher cognitive adaptation index vs Lower cognitive adaptation index

Design

Cohort

Follow-up

6 months

Authors

VHVicki S. HelgesonUniversity of PittsburghHFHeidi L. FritzSalisbury University

Discussion

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Implication

May support risk stratification after PTCA; hypothesis-generating for cognitive interventions before prospective trials.

Study Design

Type

Cohort (n=298)

Structured PICO

Does a higher cognitive adaptation index predict a lower risk of new cardiac events in patients after a first PTCA?

P
Population
298 patients treated successfully with a first PTCA, followed for 6 months.
E
Exposure
Higher cognitive adaptation index (optimism, self-esteem, and mastery)
C
Comparator
Lower cognitive adaptation index
O
Outcome
New cardiac events (coronary artery bypass grafting, PTCA, myocardial infarction, or disease progression) within 6 monthscomposite

Main Result

p-value: p=0.02

Higher cognitive adaptation (optimism, self-esteem, mastery) predicts a lower risk of new cardiac events within 6 months after a first PTCA.

Cite This Study

Helgeson et al. (1999) conducted a cohort in First percutaneous transluminal coronary angioplasty (PTCA) (n=298). Cognitive adaptation index (optimism, self-esteem, and mastery) was evaluated on New cardiac events (coronary artery bypass grafting, PTCA, myocardial infarction, or disease progression) within 6 months (p=0.02). A higher cognitive adaptation index predicted a lower risk of new cardiac events within 6 months after a first PTCA, independent of demographic and medical variables (p = 0.02).

synapsesocial.com/papers/6a221d0e20559d46645812ebhttps://doi.org/10.1097/00006842-199907000-00013
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Psychosocial characteristics and recurrent events after percutaneous transluminal coronary angioplasty1996 · 90 citations
  2. 2Long-term follow-up of coronary angioplasty: the 1977-1981 national heart, lung, and blood institute registry1989 · 24 citations
  3. 3Re-Stenosis after Successful Coronary Angioplasty1988 · 405 citations
  4. 4Stress Management and Exercise Training in Cardiac Patients With Myocardial Ischemia1997 · 273 citations
  5. 5A Comparison of Balloon-Expandable-Stent Implantation with Balloon Angioplasty in Patients with Coronary Artery Disease1994 · 4,562 citations