Key result
A door-to-balloon time of ≥92.6 minutes was independently associated with a significantly increased risk of post-traumatic stress disorder during the acute stage after emergency percutaneous coronary intervention (OR 34.83).
Why the study?
The status and risk factors of PTSD in patients with AMI after emergency PCI during acute and convalescence phases remained to be investigated.
Cohort (n=121)
No
Odds Ratio: 34.83 (95% CI 8.61–141)
p-value: p=<0.001
A significant proportion of AMI patients develop PTSD after emergency PCI, with prolonged door-to-balloon time and reduced LVEF serving as independent risk factors.
This study aimed to investigate the status and risk factors of post-traumatic stress disorder (PTSD) in patients with acute myocardial infarction (AMI) after emergency percutaneous coronary intervention (PCI) in acute and convalescence phases. A longitudinal study design was used. Two questionnaire surveys were conducted in the acute stage of hospitalization, and 3 months after onset in patients. Logistic regression was used to analyze the risk factors for PTSD in AMI patients. The incidence of PTSD was 33.1 and 20.4% in acute and convalescent patients, respectively. The risk factors related to PTSD were door-to-balloon time (DTB) (≥92.6 min), left ventricular ejection fraction (LVEF) (<50%), smoking, anxiety, and depression. AMI patients after PCI had PTSD in the acute and convalescent stage. The findings indicate that tailored measures should be developed and carried out to prevent PTSD and improve the mental health of patients with AMI after undergoing PCI.
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Cao et al. (2021) conducted a cohort in Acute myocardial infarction (n=121). Door-to-balloon time ≥92.6 min vs. Door-to-balloon time <92.6 min was evaluated on Post-traumatic stress disorder (PTSD) during the acute stage (OR 34.83, 95% CI 8.61-141.00, p=<0.001). A door-to-balloon time of ≥92.6 minutes was independently associated with a significantly increased risk of post-traumatic stress disorder during the acute stage after emergency percutaneous coronary intervention (OR 34.83).
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