Impact of anxiety on prehospital delay of acute myocardial infarction patients. Findings from the multicenter MEDEA Study

X Fang, L. Albarqouni, S Hoschar, J Ronel, K-H Ladwig

Research output: Contribution to journalMeeting AbstractResearchpeer-review

Abstract

Aims: Anxiety has been increasingly identified as a cardiac risk factor. However, less is known about the impact of anxiety on prehospital delay during an acute myocardial infarction (AMI). This study assessed the impact of anxiety on prehospital delay and delay related cognition and behaviour. Methods: Data were from the cross-sectional Munich Examination of Delay in Patients Experiencing Acute Myocardial Infarction (MEDEA) study with a total of 619 ST-elevated myocardial infarction (STEMI) patients. Data on sociodemographic, clinical and psycho-behavioural characteristics were collected at bedside. The outcome was assessed with German version of Generalized Anxiety Disorder scale (GAD-7). A GAD-7 score greater than or equal to 10 indicates general anxiety disorder. Results: A total of 71 (11.47%) MI patients suffered from GAD. During 6 months prior to MI, patients with GAD were more likely to perceive a higher cardiovascular risk (OR: 0.39, 95%CI 0.21-0.73) and to suffer from dyspnoea (p = 0.04) and sweating (p = 0.03). In the acute phase, patients with GAD were more likely to experience fear of death (p = 0.001) but made more self-decisions to go to hospital (OR: 2.68, 95%CI 1.48-4.85). GAD was associated with decreased odds of delaying more than 2 hours (OR: 0.58, 95%CI 0.35-0.96). However, GAD was also highly associated with impaired psychological well-being, perceived stress and fatigue (p < 0.0001). Conclusions: In AMI patients, GAD was associated with less prehospital delay, but led to an impaired psychological state.
Original languageEnglish
Pages (from-to)148
Number of pages1
JournalJournal of Psychosomatic Research
Volume97
DOIs
Publication statusPublished - Jun 2017
Externally publishedYes

Cite this

@article{c37b03c219d4449e81e88f3af1c605af,
title = "Impact of anxiety on prehospital delay of acute myocardial infarction patients. Findings from the multicenter MEDEA Study",
abstract = "Aims: Anxiety has been increasingly identified as a cardiac risk factor. However, less is known about the impact of anxiety on prehospital delay during an acute myocardial infarction (AMI). This study assessed the impact of anxiety on prehospital delay and delay related cognition and behaviour. Methods: Data were from the cross-sectional Munich Examination of Delay in Patients Experiencing Acute Myocardial Infarction (MEDEA) study with a total of 619 ST-elevated myocardial infarction (STEMI) patients. Data on sociodemographic, clinical and psycho-behavioural characteristics were collected at bedside. The outcome was assessed with German version of Generalized Anxiety Disorder scale (GAD-7). A GAD-7 score greater than or equal to 10 indicates general anxiety disorder. Results: A total of 71 (11.47{\%}) MI patients suffered from GAD. During 6 months prior to MI, patients with GAD were more likely to perceive a higher cardiovascular risk (OR: 0.39, 95{\%}CI 0.21-0.73) and to suffer from dyspnoea (p = 0.04) and sweating (p = 0.03). In the acute phase, patients with GAD were more likely to experience fear of death (p = 0.001) but made more self-decisions to go to hospital (OR: 2.68, 95{\%}CI 1.48-4.85). GAD was associated with decreased odds of delaying more than 2 hours (OR: 0.58, 95{\%}CI 0.35-0.96). However, GAD was also highly associated with impaired psychological well-being, perceived stress and fatigue (p < 0.0001). Conclusions: In AMI patients, GAD was associated with less prehospital delay, but led to an impaired psychological state.",
author = "X Fang and L. Albarqouni and S Hoschar and J Ronel and K-H Ladwig",
year = "2017",
month = "6",
doi = "10.1016/j.jpsychores.2017.03.237",
language = "English",
volume = "97",
pages = "148",
journal = "Journal of Psychosomatic Research",
issn = "0022-3999",
publisher = "Elsevier",

}

Impact of anxiety on prehospital delay of acute myocardial infarction patients. Findings from the multicenter MEDEA Study. / Fang, X; Albarqouni, L.; Hoschar, S; Ronel, J; Ladwig, K-H.

In: Journal of Psychosomatic Research, Vol. 97, 06.2017, p. 148.

Research output: Contribution to journalMeeting AbstractResearchpeer-review

TY - JOUR

T1 - Impact of anxiety on prehospital delay of acute myocardial infarction patients. Findings from the multicenter MEDEA Study

AU - Fang, X

AU - Albarqouni, L.

AU - Hoschar, S

AU - Ronel, J

AU - Ladwig, K-H

PY - 2017/6

Y1 - 2017/6

N2 - Aims: Anxiety has been increasingly identified as a cardiac risk factor. However, less is known about the impact of anxiety on prehospital delay during an acute myocardial infarction (AMI). This study assessed the impact of anxiety on prehospital delay and delay related cognition and behaviour. Methods: Data were from the cross-sectional Munich Examination of Delay in Patients Experiencing Acute Myocardial Infarction (MEDEA) study with a total of 619 ST-elevated myocardial infarction (STEMI) patients. Data on sociodemographic, clinical and psycho-behavioural characteristics were collected at bedside. The outcome was assessed with German version of Generalized Anxiety Disorder scale (GAD-7). A GAD-7 score greater than or equal to 10 indicates general anxiety disorder. Results: A total of 71 (11.47%) MI patients suffered from GAD. During 6 months prior to MI, patients with GAD were more likely to perceive a higher cardiovascular risk (OR: 0.39, 95%CI 0.21-0.73) and to suffer from dyspnoea (p = 0.04) and sweating (p = 0.03). In the acute phase, patients with GAD were more likely to experience fear of death (p = 0.001) but made more self-decisions to go to hospital (OR: 2.68, 95%CI 1.48-4.85). GAD was associated with decreased odds of delaying more than 2 hours (OR: 0.58, 95%CI 0.35-0.96). However, GAD was also highly associated with impaired psychological well-being, perceived stress and fatigue (p < 0.0001). Conclusions: In AMI patients, GAD was associated with less prehospital delay, but led to an impaired psychological state.

AB - Aims: Anxiety has been increasingly identified as a cardiac risk factor. However, less is known about the impact of anxiety on prehospital delay during an acute myocardial infarction (AMI). This study assessed the impact of anxiety on prehospital delay and delay related cognition and behaviour. Methods: Data were from the cross-sectional Munich Examination of Delay in Patients Experiencing Acute Myocardial Infarction (MEDEA) study with a total of 619 ST-elevated myocardial infarction (STEMI) patients. Data on sociodemographic, clinical and psycho-behavioural characteristics were collected at bedside. The outcome was assessed with German version of Generalized Anxiety Disorder scale (GAD-7). A GAD-7 score greater than or equal to 10 indicates general anxiety disorder. Results: A total of 71 (11.47%) MI patients suffered from GAD. During 6 months prior to MI, patients with GAD were more likely to perceive a higher cardiovascular risk (OR: 0.39, 95%CI 0.21-0.73) and to suffer from dyspnoea (p = 0.04) and sweating (p = 0.03). In the acute phase, patients with GAD were more likely to experience fear of death (p = 0.001) but made more self-decisions to go to hospital (OR: 2.68, 95%CI 1.48-4.85). GAD was associated with decreased odds of delaying more than 2 hours (OR: 0.58, 95%CI 0.35-0.96). However, GAD was also highly associated with impaired psychological well-being, perceived stress and fatigue (p < 0.0001). Conclusions: In AMI patients, GAD was associated with less prehospital delay, but led to an impaired psychological state.

U2 - 10.1016/j.jpsychores.2017.03.237

DO - 10.1016/j.jpsychores.2017.03.237

M3 - Meeting Abstract

VL - 97

SP - 148

JO - Journal of Psychosomatic Research

JF - Journal of Psychosomatic Research

SN - 0022-3999

ER -