open access

Vol 25, No 1 (2018)
Original articles — Clinical cardiology
Published online: 2017-11-23
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Psycho-emotional disorders as incoming risk factors for myocardial infarction with non-obstructive coronary arteries

Javier López Pais, Bárbara Izquierdo Coronel, David Galán Gil, María Jesús Espinosa Pascual, Carlos Gustavo Martinez Peredo, Paula Awamleh García, Juan Górriz Magaña, Rebeca Mata Caballero, Alfonso Fraile Sanz, Javier Muñiz, Joaquín J.Alonso Martín
DOI: 10.5603/CJ.a2017.0139
·
Pubmed: 29240964
·
Cardiol J 2018;25(1):24-31.

open access

Vol 25, No 1 (2018)
Original articles — Clinical cardiology
Published online: 2017-11-23

Abstract

Background: There is an emerging field underlying the myocardial infarction (MI) with non-obstruc­tive coronary arteries (MINOCA). The aim of this study was to evaluate the impact of psycho-emotional disorders and social habits in MINOCA patients.

Methods: The study included 95 consecutive patients diagnosed of MINOCA and 178 patients with MI and obstructive lesions. MINOCA patients were included when they fulfilled the three main criteria: accomplishment of the Third Universal Definition of Myocardial Infarction, absence of obstructive coronary arteries and no clinically overt specific cause for the acute presentation.

Results: MINOCA patients had a higher frequency of previous psychiatric illnesses than the obstructive coronary arteries group (29.7% vs. 12.9%, p = 0.001). MINOCA patients recognized emotional stress in 75.7% of the cases, while only 32.1% of the obstructive related group did (p < 0.001). The relation­ship remained after excluding takotsubo syndrome from the analysis (26 cases, 27.4%): psychiatric diseases (27.9% vs. 12.9%, p < 0.01) and recognition of emotional stress (70.8% vs. 32.1%, p < 0.001). Social habits which could act as stress modulating showed no significant relation with MINOCA.

Conclusions: Psycho-emotional disorders are related to MINOCA and they could act as risk fac­tor. This relationship is maintained after excluding takotsubo from the analysis. (Cardiol J 2018; 25, 1: 24–31)

Abstract

Background: There is an emerging field underlying the myocardial infarction (MI) with non-obstruc­tive coronary arteries (MINOCA). The aim of this study was to evaluate the impact of psycho-emotional disorders and social habits in MINOCA patients.

Methods: The study included 95 consecutive patients diagnosed of MINOCA and 178 patients with MI and obstructive lesions. MINOCA patients were included when they fulfilled the three main criteria: accomplishment of the Third Universal Definition of Myocardial Infarction, absence of obstructive coronary arteries and no clinically overt specific cause for the acute presentation.

Results: MINOCA patients had a higher frequency of previous psychiatric illnesses than the obstructive coronary arteries group (29.7% vs. 12.9%, p = 0.001). MINOCA patients recognized emotional stress in 75.7% of the cases, while only 32.1% of the obstructive related group did (p < 0.001). The relation­ship remained after excluding takotsubo syndrome from the analysis (26 cases, 27.4%): psychiatric diseases (27.9% vs. 12.9%, p < 0.01) and recognition of emotional stress (70.8% vs. 32.1%, p < 0.001). Social habits which could act as stress modulating showed no significant relation with MINOCA.

Conclusions: Psycho-emotional disorders are related to MINOCA and they could act as risk fac­tor. This relationship is maintained after excluding takotsubo from the analysis. (Cardiol J 2018; 25, 1: 24–31)

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Keywords

psycho-emotional disorders, stressful habits, myocardial infarction with non-obstructive coronary arteries, risk factors, acute coronary syndrome

About this article
Title

Psycho-emotional disorders as incoming risk factors for myocardial infarction with non-obstructive coronary arteries

Journal

Cardiology Journal

Issue

Vol 25, No 1 (2018)

Pages

24-31

Published online

2017-11-23

DOI

10.5603/CJ.a2017.0139

Pubmed

29240964

Bibliographic record

Cardiol J 2018;25(1):24-31.

Keywords

psycho-emotional disorders
stressful habits
myocardial infarction with non-obstructive coronary arteries
risk factors
acute coronary syndrome

Authors

Javier López Pais
Bárbara Izquierdo Coronel
David Galán Gil
María Jesús Espinosa Pascual
Carlos Gustavo Martinez Peredo
Paula Awamleh García
Juan Górriz Magaña
Rebeca Mata Caballero
Alfonso Fraile Sanz
Javier Muñiz
Joaquín J.Alonso Martín

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