Association of coronary ischemia estimated by fractional flow reserve and psychological characteristics of patients
Introduction : Psychological characteristics of patients, depression, stress and anxiety are recognized as important confounding risk factors for ischemic heart disease. However, the impact of psychological characteristics on coronary ischemia and vice versa remain poorly understood. Aim: To de...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Termedia Publishing House
2017-05-01
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| Series: | Advances in Interventional Cardiology |
| Subjects: | |
| Online Access: | https://www.termedia.pl/Association-of-coronary-ischemia-estimated-by-fractional-flow-reserve-and-psychological-characteristics-of-patients,35,30032,1,1.html |
| _version_ | 1811255212363481088 |
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| author | Miodrag Jovan Sreckovic Nikola Jagic Vladimir Miloradovic Aleksandar Neskovic Ivan Soldatovic Ilija Srdanovic |
| author_facet | Miodrag Jovan Sreckovic Nikola Jagic Vladimir Miloradovic Aleksandar Neskovic Ivan Soldatovic Ilija Srdanovic |
| author_sort | Miodrag Jovan Sreckovic |
| collection | DOAJ |
| description | Introduction : Psychological characteristics of patients, depression, stress and anxiety are recognized as important confounding risk factors for ischemic heart disease. However, the impact of psychological characteristics on coronary ischemia and vice versa remain poorly understood.
Aim: To demonstrate the interplay of psychological characteristics, depression, stress and anxiety with coronary ischemia estimated with fractional flow reserve (FFR).
Material and methods : From 2014 to 2016, 147 patients who were planned for FFR measurement were included in this study. Psychological characteristics of patients were evaluated using the Depression, Anxiety and Stress Scale 21 items (DASS 21) self-report questionnaire.
Results : Comparing the FFR ischemic vs. FFR non-ischemic groups, a significant difference was observed regarding results achieved for the depression, anxiety and stress scales. Multivariate logistic regression analysis was used to model the correlation between FFR and the DAS scale. It was clear, when controlling for previous myocardial infarction, that FFR was significant in all analyses. However, when the Canadian Cardiovascular Society grading of angina pectoris (CCS) class was entered in the model, FFR was not a significant predictor of anxiety, but was significant in other analysis.
Conclusions : Higher degrees of the psychological characteristics depression, stress and anxiety were observed in the group of patients with coronary ischemia, corresponding to lower fractional flow values. |
| first_indexed | 2024-04-12T17:20:25Z |
| format | Article |
| id | doaj.art-2be9715fa1ac4de795cf038d925bd34a |
| institution | Directory Open Access Journal |
| issn | 1734-9338 1897-4295 |
| language | English |
| last_indexed | 2024-04-12T17:20:25Z |
| publishDate | 2017-05-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Advances in Interventional Cardiology |
| spelling | doaj.art-2be9715fa1ac4de795cf038d925bd34a2022-12-22T03:23:30ZengTermedia Publishing HouseAdvances in Interventional Cardiology1734-93381897-42952017-05-0113211712110.5114/pwki.2017.6800930032Association of coronary ischemia estimated by fractional flow reserve and psychological characteristics of patientsMiodrag Jovan SreckovicNikola JagicVladimir MiloradovicAleksandar NeskovicIvan SoldatovicIlija SrdanovicIntroduction : Psychological characteristics of patients, depression, stress and anxiety are recognized as important confounding risk factors for ischemic heart disease. However, the impact of psychological characteristics on coronary ischemia and vice versa remain poorly understood. Aim: To demonstrate the interplay of psychological characteristics, depression, stress and anxiety with coronary ischemia estimated with fractional flow reserve (FFR). Material and methods : From 2014 to 2016, 147 patients who were planned for FFR measurement were included in this study. Psychological characteristics of patients were evaluated using the Depression, Anxiety and Stress Scale 21 items (DASS 21) self-report questionnaire. Results : Comparing the FFR ischemic vs. FFR non-ischemic groups, a significant difference was observed regarding results achieved for the depression, anxiety and stress scales. Multivariate logistic regression analysis was used to model the correlation between FFR and the DAS scale. It was clear, when controlling for previous myocardial infarction, that FFR was significant in all analyses. However, when the Canadian Cardiovascular Society grading of angina pectoris (CCS) class was entered in the model, FFR was not a significant predictor of anxiety, but was significant in other analysis. Conclusions : Higher degrees of the psychological characteristics depression, stress and anxiety were observed in the group of patients with coronary ischemia, corresponding to lower fractional flow values.https://www.termedia.pl/Association-of-coronary-ischemia-estimated-by-fractional-flow-reserve-and-psychological-characteristics-of-patients,35,30032,1,1.htmlfractional flow reserve coronary ischemia depression stress anxiety |
| spellingShingle | Miodrag Jovan Sreckovic Nikola Jagic Vladimir Miloradovic Aleksandar Neskovic Ivan Soldatovic Ilija Srdanovic Association of coronary ischemia estimated by fractional flow reserve and psychological characteristics of patients Advances in Interventional Cardiology fractional flow reserve coronary ischemia depression stress anxiety |
| title | Association of coronary ischemia estimated by fractional flow reserve and psychological characteristics of patients |
| title_full | Association of coronary ischemia estimated by fractional flow reserve and psychological characteristics of patients |
| title_fullStr | Association of coronary ischemia estimated by fractional flow reserve and psychological characteristics of patients |
| title_full_unstemmed | Association of coronary ischemia estimated by fractional flow reserve and psychological characteristics of patients |
| title_short | Association of coronary ischemia estimated by fractional flow reserve and psychological characteristics of patients |
| title_sort | association of coronary ischemia estimated by fractional flow reserve and psychological characteristics of patients |
| topic | fractional flow reserve coronary ischemia depression stress anxiety |
| url | https://www.termedia.pl/Association-of-coronary-ischemia-estimated-by-fractional-flow-reserve-and-psychological-characteristics-of-patients,35,30032,1,1.html |
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