Paper Information

Journal:   INTERNATIONAL JOURNAL OF PREVENTIVE MEDICINE   2014 , Volume 5 , Number 7; Page(s) 895 To 899.
 
Paper: 

OCCURRENCE OF MYOCARDIAL ISCHEMIA IN PATIENTS UNDERGOING PHARMACOLOGIC STRESS ECHOCARDIOGRAPHY: THE IMPACT OF TYPE?D PERSONALITY

 
 
Author(s):  BORSOI RAFAEL*, SABATOSKI VIVIANE VIDAL, HIGA OGAWA ANA PAULA, FONTANA ALINE, VILLELA BARONCINI LIZ ANDREA, DE SOUZA ADMAR MORAES, DA CUNHA CLAUDIO PEREIRA
 
* DEPARTMENT OF ECHOCARDIOGRAPHY, HOSPITAL DE CLINICAS, UFPR. 181 GENERAL CARNEIRO ST, ALTO DA GORIA, ZIP CODE: 80060-900, CURITIBA, PARANA, BRAZIL
 
Abstract: 

Background: Type-D personality has been identified as a risk factor for general and cardiac mortality in patients with coronary artery disease (CAD). Dobutamine-atropine stress echocardiography (DASE) is an established method for non-invasive evaluation of myocardial ischemia in patients with CAD. The objective of this study was to evaluate the prevalence of type-D personality and its association with the occurrence of myocardial ischemia as assessed by DASE.
Methods: This case-control study enrolled 306 patients (61 ± 9.6 years, 57.8% female) who were referred by physicians to assessment of myocardial ischemia. Before undergoing DASE, the patients answered the type-D scale, which identifies type-D personality.
Results: Type-D personality was identified in 106 patients (34.6%). DASE was positive for myocardial ischemia in 32.4% (99) of 306 participants there was no significant association between type-D personality and ischemic changes on DASE (P=0.941; odds ratio: 0.98; confidence interval 95%: 0.57-1.69). Chest pain was the only clinical variable with statistically significant prevalence in type-D personality patients (77.4% vs.57.0%; P<0.001).
Conclusions: Type-D personality was not a significant risk factor for the presence of ischemic changes on DASE. Patients with type-D personality tended to complain more frequently of chest pain than non-type-D patients.

 
Keyword(s): CORONARY ARTERY DISEASE, MYOCARDIAL ISCHEMIA, PSYCHOLOGICAL RISK FACTOR, STRESS ECHOCARDIOGRAPHY, TYPE-D PERSONALITY
 
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