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April 1, 2016MedicineOpen Access

The Personality and Psychological Stress Predict Major Adverse Cardiovascular Events in Patients With Coronary Heart Disease After Percutaneous Coronary Intervention for Five Years

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Key result

Type D personality was associated with a significantly higher incidence of major adverse cardiovascular events (31.6% vs 18.0%, p<0.05) compared to non-Type D personality in patients with coronary artery disease 5 years after percutaneous coronary intervention.

Why the study?

Do personality type and psychological stress predict major adverse cardiovascular events in patients with coronary artery disease after percutaneous coronary intervention?

Population

220 patients with stable angina or non-ST segment elevation acute coronary syndrome treated with…

Comparison

Type A and Type D personality, and psychological… vs Non-type D personality / control group

Design

Cohort

Follow-up

5 years

Authors

JDJinling DuShandong UniversityDZDanyang ZhangDalian University of TechnologyYYYue YinBeijing Tongren Hospital

Discussion

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Implication

May aid post-PCI risk stratification; hypothesis-generating observational data leave clinical utility unproven.

Study Design

Type

Cohort (n=250)

Multicenter

No

Structured PICO

Do personality type and psychological stress predict major adverse cardiovascular events in patients with coronary artery disease after percutaneous coronary intervention?

P
Population
220 patients with stable angina or non-ST segment elevation acute coronary syndrome treated with percutaneous coronary intervention and 30 healthy controls, followed for 5 years.
E
Exposure
Type A and Type D personality, and psychological stress (anxiety, depression, coping styles)
C
Comparator
Non-type D personality / control group
O
Outcome
Major adverse cardiovascular events (MACEs) at 5 yearscomposite

Main Result

Absolute Event Rate: 31.6% vs 18%

p-value: p=<0.05

Type D personality and psychological stress are associated with an increased risk of major adverse cardiovascular events at 5 years in patients with coronary artery disease after PCI.

Limitations

  • Preliminary single-center study
  • Patient sample is not large enough

Cite This Study

Du et al. (2016) conducted a cohort in Coronary artery disease after percutaneous coronary intervention (n=250). Type D personality vs. Non-Type D personality was evaluated on Major adverse cardiovascular events (MACE) at 5 years (p=<0.05). Type D personality was associated with a significantly higher incidence of major adverse cardiovascular events (31.6% vs 18.0%, p<0.05) compared to non-Type D personality in patients with coronary artery disease 5 years after percutaneous coronary intervention.

synapsesocial.com/papers/6a7315190c0db29dfc2c1271https://doi.org/10.1097/md.0000000000003364

Topics

Percutaneous coronary interventionWomen and heart disease
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Also Consider

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

  1. 1Type A Behavior Pattern, Sex, and Social Support2000 · 2 citations
  2. 2Adverse clinical events in patients treated with sirolimus-eluting stents: the impact of Type D personality2007 · 49 citations
  3. 3Clustering of psychosocial risk factors enhances the risk of depressive symptoms 12-months post percutaneous coronary intervention2008 · 29 citations
  4. 4Predictive Value of Social Inhibition and Negative Affectivity for Cardiovascular Events and Mortality in Patients With Coronary Artery Disease2013 · 91 citations
  5. 5Depression and Anxiety as Predictors of Recurrent Cardiac Events 12 Months After Percutaneous Coronary Interventions2014 · 41 citations