Format

Send to

Choose Destination
See comment in PubMed Commons below
Int J Prev Med. 2014 Jul;5(7):895-9.

Occurrence of myocardial ischemia in patients undergoing pharmacologic stress echocardiography: the impact of type-d personality.

Author information

1
Departament of Echocardiography, Hospital de Clínicas, UFPR - Universidade Federal do Paraná, Curitiba, Paraná, Brazil.
2
PUC-PR - Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil.

Abstract

BACKGROUND:

Type-D personality has been identified as a risk factor for general and cardiac mortality in patients with coronary artery disease (CAD). Dobutamine-atropine stress echocardiography (DASE) is an established method for non-invasive evaluation of myocardial ischemia in patients with CAD. The objective of this study was to evaluate the prevalence of type-D personality and its association with the occurrence of myocardial ischemia as assessed by DASE.

METHODS:

This case-control study enrolled 306 patients (61 ± 9.6 years, 57.8% female) who were referred by physicians to assessment of myocardial ischemia. Before undergoing DASE, the patients answered the type-D scale, which identifies type-D personality.

RESULTS:

Type-D personality was identified in 106 patients (34.6%). DASE was positive for myocardial ischemia in 32.4% (99) of 306 participants there was no significant association between type-D personality and ischemic changes on DASE (P = 0.941; odds ratio: 0.98; confidence interval 95%: 0.57-1.69). Chest pain was the only clinical variable with statistically significant prevalence in type-D personality patients (77.4% vs. 57.0%; P < 0.001).

CONCLUSIONS:

Type-D personality was not a significant risk factor for the presence of ischemic changes on DASE. Patients with type-D personality tended to complain more frequently of chest pain than non-type-D patients.

KEYWORDS:

Coronary artery disease; myocardial ischemia; psychological risk factor; stress echocardiography; type-D personality

PMID:
25105002
PMCID:
PMC4124568
PubMed Commons home

PubMed Commons

0 comments

    Supplemental Content

    Full text links

    Icon for Medknow Publications and Media Pvt Ltd Icon for PubMed Central
    Loading ...
    Support Center