Key result
Type D personality was associated with a higher rate of cardiovascular complications at 1 year after coronary bypass surgery compared to no Type D personality (31.8% vs 14.6%, P=0.049).
Why the study?
The effect of type D personality on one year prognosis after coronary artery bypass grafting was assessed due to its potential impact on cardiovascular complications.
Does Type D personality increase the risk of cardiovascular complications in patients after coronary artery bypass grafting?
Cohort (n=683)
Does Type D personality increase the risk of cardiovascular complications in patients after coronary artery bypass grafting?
Effect estimate: 3.21 fold increase in risk
Absolute Event Rate: 31.8% vs 14.6%
p-value: p=0.049
Type D personality is an independent predictor of adverse cardiovascular outcomes at one year following coronary artery bypass grafting.
AIM: to assess effect of type D personality (TDP) on one year prognosis after coronary artery bypass grafting (CABG). MATERIAL AND METHODS: Personality type was evaluated using the DS-14 scale in 683 patients before and in 1 year after CABG; 152 patients had TDP, 531 had not. After 1 year of follow-up we assessed functional class of angina and chronic heart failure, and registered cardiovascular complications (CVC): deaths, myocardial infarctions, strokes, amputations, thromboses of arteries of lower extremities, hospitalizations, requirements in repetitive angiographies of coronary grafts. Rate of development of combined end point comprising all these events was also evaluated. RESULTS: During follow-up CVC developed more often in patients with TDP compared with those without TDP (31.8 and 14.6%, respectively, =0.049). According to multifactorial regression analysis TDP was independently associated with 3.21 fold increase in risk of CVC. CONCLUSION: Detection of TDP after CABG is advisable for conducting subsequent interventions directed at improvement of long term results of treatment.
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Sumin et al. (2015) conducted a cohort in Coronary artery bypass grafting (CABG) (n=683). Type D personality (TDP) vs. No Type D personality was evaluated on Combined end point of cardiovascular complications (deaths, myocardial infarctions, strokes, amputations, thromboses of arteries of lower extremities, hospitalizations, repetitive angiographies) (3.21 fold increase in risk, p=0.049). Type D personality was associated with a higher rate of cardiovascular complications at 1 year after coronary bypass surgery compared to no Type D personality (31.8% vs 14.6%, P=0.049).
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