PulseExploreJournal ClubDebatesTrendingResearchersJournals
Instagram
HomeExploreJournal ClubTrending
Synapse
⌘+K
Synapse
June 3, 2019European Journal of Preventive Cardiology1 citationsOpen Access

The course of emotional distress and late mortality following myocardial infarction: Implications for depression screening and treatment

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Does persistent emotional distress following an acute MI increase the risk of mortality?

Population

Patients under the age of 75 years with a first MI from the national SWEDEHEART registry

Comparison

Persistent emotional distress vs No emotional distress at 2 and 12 months post-MI

Design

Editorial

Key result

Persistent emotional distress reported at both 2 and 12 months following a first myocardial infarction was associated with a higher risk of cardiovascular and non-cardiovascular mortality.

Authors

RCRobert M. Carney

Discussion

Loading...

Member takes

Overview

Supports post-MI mental health screening; extends AHA/ESC statements with pooled mortality data.

Structured PICO

Does persistent emotional distress following an acute MI increase the risk of mortality?

P
Population
Patients under the age of 75 years with a first myocardial infarction from the national SWEDEHEART registry.
E
Exposure
Persistent emotional distress (reporting feeling depressed or anxious 'to some extent' or 'extremely' at both 2 and 12 months post-MI on the EQ-5D questionnaire)
C
Comparator
No emotional distress at 2 and 12 months post-MI
O
Outcome
Cardiovascular and non-cardiovascular mortalityhard clinical

Persistent emotional distress assessed at multiple time points post-MI is a strong predictor of late mortality, suggesting that single-occasion screening for depression may be inadequate.

Limitations

  • The distress measure does not allow determining the relative contributions of depression and anxiety.
  • Individual differences in temporal patterns of exposure to distress during the 12 months following the acute event were not well captured due to infrequent assessments.
  • Distress measure (single EQ-5D item) does not allow determining relative contributions of depression and anxiety
  • Infrequent assessments (only at 2 and 12 months) may not capture individual differences in temporal patterns of exposure to distress

Cite This Study

Robert M. Carney (2019) conducted an editorial in Myocardial infarction. Emotional distress vs. No emotional distress was evaluated on Mortality. Persistent emotional distress reported at both 2 and 12 months following a first myocardial infarction was associated with a higher risk of cardiovascular and non-cardiovascular mortality.

synapsesocial.com/papers/6a9565d4229856c3dd1698fbhttps://doi.org/10.1177/2047487319845122
View Full Paper
Ask AI
Bookmark
Share