Impact of type D personality on clinical outcomes in Asian patients with stable coronary artery disease

Journal of the Formosan Medical Association = Taiwan Yi Zhi
Hsin-Bang LeuJaw-Wen Chen

Abstract

Some personality types are associated with cardiovascular (CV) diseases and may be related to clinical outcomes in coronary artery disease (CAD). This study investigates the association between type D personality and clinical outcomes in stable CAD patients in an Asian cohort. Stable CAD patients were enrolled and prospectively followed up for at least 1 year in Taiwan. The inclusion criteria were at least one successful percutaneous coronary intervention (PCI) and stable medical treatment for at least 1 month before enrollment. Vulnerability to psychological distress was measured by the Type D Personality Scale (DS14) after enrollment. The end point was the occurrence of total CV events. Cox regression models of CV events were used to investigate the role of type D personality in clinical outcomes. The study included 777 patients, among which 122 (15.77%) had type D personality. Forty-two CV events were identified: 3 cardiac deaths, 5 nonfatal myocardial infarctions, 1 stroke, 4 congestive heart failures (CHF), 6 peripheral arterial occlusive disorder cases, and 23 readmissions for angina/revascularization treatment. Patients with type D personality had significantly higher incidence of future CV events (9.84% vs. 4.58%, p = 0...Continue Reading

Citations

Mar 7, 2020·International Journal of Environmental Research and Public Health·Chul-Hoon KimMyoung Soo Kim
Jan 29, 2021·Journal of General Internal Medicine·Donald A RedelmeierEdward E Etchells
May 7, 2021·International Journal of Behavioral Medicine·Olga Igorevna RaykhEkaterina Victorovna Korok
Apr 20, 2021·Journal of the Chinese Medical Association : JCMA·Ya-Ling YangJaw-Wen Chen
Aug 11, 2021·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Hao-Yun LiuChong-Jen Yu
Apr 4, 2021·The Journal of Cardiovascular Nursing·Sung Reul KimGye-Gyoung Kim

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