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December 26, 2022Journal of Cardiopulmonary Rehabilitation and Prevention

Heart-Focused Anxiety Is Prevalent in Adults With Congenital Heart Disease and Associated With Reduced Exercise Capacity

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Key result

Severe heart-focused anxiety in adults with congenital heart disease was associated with lower predicted peak oxygen uptake compared to no anxiety (74.2% vs 85.9%, P < .001).

Why the study?

Heart-focused anxiety and its impact on peak oxygen uptake had not yet been studied in adults with congenital heart disease.

Is heart-focused anxiety prevalent in adults with congenital heart disease and associated with reduced exercise capacity?

Population

984 adults with congenital heart disease

Comparison

Patients with no vs slight vs severe heart-focused anxiety

Design

Cross-sectional study

Authors

LWLaura WillingerTechnical University of MunichJHJulia HockDeutsches Herzzentrum MünchenAHAlfred HagerPediatric Cardiology

Discussion

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Member takes

Implication

May support anxiety screening in adult congenital heart disease; leaves open whether intervention improves exercise capacity.

Study Design

Type

Cross-Sectional (n=984)

Structured PICO

Is heart-focused anxiety prevalent in adults with congenital heart disease and associated with reduced exercise capacity?

P
Population
984 adults with congenital heart disease (mean age 34.2 years, 44% female) assessed for heart-focused anxiety, with 708 undergoing cardiopulmonary exercise testing.
E
Exposure
Assessment of heart-focused anxiety (HFA) using the cardiac anxiety questionnaire
C
Comparator
General population (for HFA prevalence) and internal comparison by HFA severity (no, slight, severe)
O
Outcome
Heart-focused anxiety (HFA) score and its association with peak oxygen uptake (VO2peak % predicted)patient reported

Main Result

Effect estimate: r = -0.280

Absolute Event Rate: 74.2% vs 85.9%

p-value: p=< .001

Heart-focused anxiety is highly prevalent in adults with congenital heart disease and is independently associated with reduced exercise capacity, highlighting the need for psychological screening.

Cite This Study

Willinger et al. (2022) conducted a cross-sectional in Congenital heart disease (n=984). Heart-focused anxiety vs. No heart-focused anxiety was evaluated on Peak oxygen uptake (V˙o2peak % predicted) (r = -0.280, p=< .001). Severe heart-focused anxiety in adults with congenital heart disease was associated with lower predicted peak oxygen uptake compared to no anxiety (74.2% vs 85.9%, P < .001).

synapsesocial.com/papers/6a542e49626008a95bd64910https://doi.org/10.1097/hcr.0000000000000763

Topics

Congenital heart disease adults
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Also Consider

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

  1. 1Perceptions of Disease-Related Stress2016 · 27 citations
  2. 2Cardiac Rehabilitation for Adults and Adolescents With Congenital Heart Disease2019 · 17 citations
  3. 3Prevalence and predictors of psychological distress in congenital heart disease patients2020 · 15 citations
  4. 4Quality of life in young people with congenital heart disease is better than expected2018 · 84 citations
  5. 5A new method for detecting anaerobic threshold by gas exchange1986 · 4,120 citations