Abstract
This study aimed to investigate the status and risk factors of post-traumatic stress disorder (PTSD) in patients with acute myocardial infarction (AMI) after emergency percutaneous coronary intervention (PCI) in acute and convalescence phases. A longitudinal study design was used. Two questionnaire surveys were conducted in the acute stage of hospitalization, and 3 months after onset in patients. Logistic regression was used to analyze the risk factors for PTSD in AMI patients. The incidence of PTSD was 33.1 and 20.4% in acute and convalescent patients, respectively. The risk factors related to PTSD were door-to-balloon time (DTB) (≥92.6 min), left ventricular ejection fraction (LVEF) (<50%), smoking, anxiety, and depression. AMI patients after PCI had PTSD in the acute and convalescent stage. The findings indicate that tailored measures should be developed and carried out to prevent PTSD and improve the mental health of patients with AMI after undergoing PCI.
Highlights
Acute myocardial infarction (AMI) is a common and serious heart disease with rapid onset, extremely high morbidity, and mortality (Reed et al, 2017)
The acute myocardial infarction (AMI) patients that had emergency percutaneous coronary intervention (PCI) during the acute and convalescent stages had a higher incidence of post-traumatic stress disorder (PTSD), which was probably affected by the COVID-19 pandemic during the assessment period
A higher incidence of PTSD was reported in AMI patients during the acute and convalescent stages after emergency PCI
Summary
Acute myocardial infarction (AMI) is a common and serious heart disease with rapid onset, extremely high morbidity, and mortality (Reed et al, 2017). 50% of AMI patients have multivessel coronary artery disease (Saito and Kobayashi, 2019). The key to successful AMI treatment is to open the infarct-related artery as soon as possible, and emergency percutaneous coronary intervention (PCI) is the mainstay of treatment for AMI patients (Levine et al, 2016). Previous studies have shown that approximately 12% of AMI patients developed PTSD (Edmondson et al, 2012), and 66.7% of patients had PTSD symptoms 2 years after AMI (Castilla and Vázquez, 2011). The abruptness of the event, the risk of death, and the patient’s intense sense of loss of control and helplessness during the event as well as the intrusive experience of the treatments, such as PCI, could lead to the development of PTSD (Ledermann et al, 2020)
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