The Prognostic Value of Type D Personality in a Romanian Sample of Patients with Coronary Heart Disease - 09/06/15
Résumé |
Introduction |
Lately the contribution of psychological factors to coronary heart disease (CHD), especially those related to personality dimension, has benefited from an increasing recognition by the cardiologists.
Objectives |
This study aimed to evaluate the effect of type D personality on clinical, angiographic and echocardiographic parameters on CHD patients.
Material and Methods |
The current research represents a nonconsecutive 2 year cross-sectional study involving the 161 CHD subjects admitted in Timisoara Institute of Cardiology and 84 controls. DS -14 scale for type D personality was applied to studied subjects. Several clinical, angiographic and echocardiographic data related to cardiac status of CHD patients were recorded.
Results |
The CHD patients with type D personality had a significantly higher Volume of Left Atrium (t = 3.041; p = 0.003), a lower Strain Global Longitudinal (t = 3.264; p = 0.001), a higher Early Diastolic Transmitral Velocity/Early Mitral Annular Diastolic Velocity ratio (t = 5.266; p < 0.001), and a lower Peak Systolic Mitral Annular Velocity (t = 4.390; p < 0.001). Also, these patients had a higher frequency of myocardial infarction (?2 = 11.508; p = 0.001) and a higher necessity for bypass surgical intervention (?2 = 5.272; p = 0.022) by comparison with those without type D personality. The Syntax angiographic score of severity had higher mean value in CHD patients with type D personality (t= 5.143; p < 0.001).
Conclusions |
The presence of type D personality in CHD patients proved to be a reliable factor that indicated poor prognosis of disease.
Le texte complet de cet article est disponible en PDF.Vol 30 - N° S1
P. 603 - mars 2015 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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