Psychology of earthquake-induced stress cardiomyopathy, myocardial infarction and non-cardiac chest pain

Internal Medicine Journal
J A ZarifehP G Bridgman

Abstract

To compare psychological factors in patients presenting to hospital with earthquake-induced stress cardiomyopathy, myocardial infarction (MI) and non-cardiac chest pain. We hypothesised that patients with stress cardiomyopathy and non-cardiac chest pain would be more psychologically vulnerable than those with MI. Cardiology admitting staff in the week following the September 2010 Christchurch earthquake prospectively identified patients with earthquake-precipitated chest pain. Males were excluded. All consenting women met diagnostic criteria for one of the three conditions. Patients underwent a semistructured interview with a senior clinical psychologist who was blind to the cardiac diagnosis. Premorbid psychological factors, experience of the earthquake and psychological response were assessed using a range of validated tools. Seventeen women were included in the study, six with stress cardiomyopathy, five with MI and six with non-cardiac chest pain. Earthquake experiences were notably similar across the groups. Patients with non-cardiac chest pain scored high on the hospital anxiety and depression scale, the health anxiety questionnaire, the Eysenck neuroticism scale and the Impact of Event scale. Women with stress cardiomyop...Continue Reading

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Citations

Dec 4, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Teddy Y WuJohn N Fink
Dec 10, 2014·Journal of the American Heart Association·Joel N SwerdelUNKNOWN Myocardial Infarction Data Acquisition System (MIDAS 24) Study Group
Mar 16, 2017·BioResearch Open Access·Maria Grazia ModenaValentina Martinotti

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