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Acute Coronary Syndrome and Stress: Is There a Relationship?

2023-01Journal article Open access
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dc.contributor.authorSantos, H
dc.contributor.authorSantos, M
dc.contributor.authorPaula, S
dc.contributor.authorFigueiredo, M
dc.contributor.authorAlmeida, I
dc.contributor.authorMiranda, H
dc.contributor.authorChin, J
dc.contributor.authorSá, C
dc.contributor.authorNeto, M
dc.contributor.authorAlmeida, S
dc.contributor.authorSousa, C
dc.contributor.authorAlmeida, L
dc.date.accessioned2023-03-08T15:12:08Z
dc.date.available2023-03-08T15:12:08Z
dc.date.issued2023-01
dc.description.abstractIntroduction: Acute coronary syndrome (ACS) is the result of a complex pathophysiological process with various dynamic factors. The 10-item Perceived Stress Scale (PSS-10) is a validated instrument for estimating stress levels in clinical practice and may be useful in the assessment of ACS. Methods: We carried out a single-center prospective study engaging patients hospitalized with ACS between March 20, 2019 and March 3, 2020. The PSS-10 was completed during the hospitalization period. The ACS group was compared to a control group (the general Portuguese population), and a subanalysis in the stress group were then performed. Results: A total of 171 patients with ACS were included, of whom 36.5% presented ST-elevation myocardial infarction (STEMI), 38.1% were female and the mean PSS score was 19.5±7.1. Females in the control group scored 16.6±6.3 on the PSS-10 and control males scored 13.4±6.5. The female population with ACS scored 22.8±9.8 on the PSS-10 (p<0.001). Similarly, ACS males scored a mean of 17.4±6.4 (p<0.001). Pathological stress levels were not a predictor of major adverse cardiovascular events or severity at admission. Conclusions: ACS patients had higher perceived stress levels compared to the control group. Perceived stress level was not associated with worse prognosis in ACS patients.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRev Port Cardiol . 2023 Jan;42(1):9-17.pt_PT
dc.identifier.doi10.1016/j.repc.2021.09.016pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4440
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevier Españapt_PT
dc.subjectHSM CARpt_PT
dc.subjectHumanspt_PT
dc.subjectFemalept_PT
dc.subjectMalept_PT
dc.subjectAcute Coronary Syndrome* / complicationspt_PT
dc.subjectHeartpt_PT
dc.subjectPrognosispt_PT
dc.subjectProspective Studiespt_PT
dc.subjectRisk Factorspt_PT
dc.subjectST Elevation Myocardial Infarction* / complicationspt_PT
dc.titleAcute Coronary Syndrome and Stress: Is There a Relationship?pt_PT
dc.title.alternativeSíndrome Coronária Aguda e o Stress: Há de Facto uma Associação?pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage17pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage9pt_PT
oaire.citation.titleRevista Portuguesa de Cardiologiapt_PT
oaire.citation.volume42pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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