Key result
Type D personality is not linked to post-stenting MACE, though social inhibition predicts ~8% fewer events.
Why the study?
Does Type D personality predict nonfatal major adverse cardiovascular events in patients with coronary artery disease treated by intracoronary stenting?
Cohort (n=465)
Does Type D personality predict nonfatal major adverse cardiovascular events in patients with coronary artery disease treated by intracoronary stenting?
Answers are grounded in this paper and cite their sources.
Contrary to previous research, Type D personality is not linked to adverse cardiovascular outcomes in CAD patients undergoing stenting, and social inhibition may actually predict a lower risk of nonfatal MACE.
BACKGROUND: Previous research in cardiac patients suggested that type D personality, defined as a combination of negative affectivity (NA) and social inhibition (SI), was associated with adverse outcome. PURPOSE: The objective of this prospective study was to examine the independent prognostic value of type D in patients with coronary artery disease (CAD). METHODS: A total of 465 patients completed the Type D Scale (DS14) questionnaire before undergoing stent implantation and were followed up for 5 years. RESULTS: In a Cox regression model adjusted for selected confounders, we found a trend towards NA for the prediction of nonfatal major adverse cardiovascular event (MACE, hazard ratio (HR) = 1.07, 95 % confidence intervals (CIs) = 0.99-1.14, p = 0.074), while, in contrast, SI was a significant and independent predictor of better outcome (HR = 0.92, 95 % CI = 0.86-0.99, p = 0.027). CONCLUSIONS: In a cohort of CAD patients, the type D pattern was not linked to adverse outcome, whereas SI was negatively associated with MACE.
No takes yet. Share an insight, caveat, or question.
Meyer et al. (2014) conducted a cohort in Coronary artery disease (n=465). Type D personality (negative affectivity and social inhibition) vs. Non-Type D personality was evaluated on Nonfatal major adverse cardiovascular event (MACE) (HR 1.07, 95% CI 0.99-1.14, p=0.074). Type D personality was not linked to adverse outcomes in CAD patients after stenting, though social inhibition was associated with fewer nonfatal MACE (HR 0.92; 95% CI 0.86-0.99; p=0.027).
Synapse has enriched 10 related papers. Consider them for comparative context: