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July 19, 2011Journal of Genetic Counseling

Predictors of Heart‐Focused Anxiety in Patients Undergoing Genetic Investigation and Counseling of Long QT Syndrome or Hypertrophic Cardiomyopathy: A One Year Follow‐up

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Key result

Clinical diagnosis of inherited cardiac disorders was associated with higher anxiety scores for avoidance (p<0.002), attention (p<0.005), and fear (p<0.007) compared to genetic risk alone.

Why the study?

Does clinical diagnosis compared to genetic risk predict higher heart-focused anxiety in patients undergoing genetic counseling for Long QT syndrome or Hypertrophic cardiomyopathy?

Population

126 Norwegian patients attending genetic counseling for Long QT syndrome or Hypertrophic cardiomyopathy

Comparison

Genetic investigation and counseling vs Patients with clinical diagnosis compared to…

Design

Cohort

Follow-up

1 year

Authors

AHAnniken HamangSt Olav's University HospitalGEGeir Egil EideWestern Norway University of Applied SciencesBRBerit RokneUniversity of Bergen

Discussion

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Implication

Patients with LQTS/HCM may have persistent heart-focused anxiety after counseling; leaves open whether interventions reduce avoidance.

Study Design

Type

Cohort (n=126)

Multicenter

Yes

Structured PICO

Does clinical diagnosis compared to genetic risk predict higher heart-focused anxiety in patients undergoing genetic counseling for Long QT syndrome or Hypertrophic cardiomyopathy?

P
Population
126 Norwegian patients attending genetic counseling for Long QT syndrome or Hypertrophic cardiomyopathy, followed for 1 year.
E
Exposure
Genetic investigation and counseling
C
Comparator
Patients with clinical diagnosis compared to patients at genetic risk
O
Outcome
Heart-focused anxiety measured by the Cardiac Anxiety Questionnaire (avoidance, attention, and fear) at 1-year follow-uppatient reported

Main Result

p-value: p=<0.002 (avoidance), <0.005 (attention), <0.007 (fear)

Patients with a clinical diagnosis of inherited cardiac disorders experience significantly higher heart-focused anxiety than those only at genetic risk, highlighting the need for targeted psychological support during genetic counseling.

Cite This Study

Hamang et al. (2011) conducted a cohort in Long QT syndrome or Hypertrophic cardiomyopathy (n=126). Clinical diagnosis vs. Genetic risk was evaluated on Heart-focused anxiety (avoidance, attention, and fear) measured by the Cardiac Anxiety Questionnaire (p=<0.002 (avoidance), <0.005 (attention), <0.007 (fear)). Clinical diagnosis of inherited cardiac disorders was associated with higher anxiety scores for avoidance (p<0.002), attention (p<0.005), and fear (p<0.007) compared to genetic risk alone.

synapsesocial.com/papers/6a6ef35fe5469ee92be01e7ahttps://doi.org/10.1007/s10897-011-9393-6

Topics

Hypertrophic cardiomyopathy
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Living with Long QT Syndrome: A Qualitative Study of Coping with Increased Risk of Sudden Cardiac Death2008 · 53 citations
  2. 2Emotional Stress Triggers Symptoms in Hypertrophic Cardiomyopathy: A Survey of the Hypertrophic Cardiomyopathy Association2010 · 13 citations
  3. 3Heart Rhythm UK position statement on clinical indications for implantable cardioverter defibrillators in adult patients with familial sudden cardiac death syndromes2010 · 43 citations
  4. 4Patient-reported outcomes as predictors of 10-year survival in women after acute myocardial infarction2010 · 65 citations