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Cardiol J. 2018;25(1):24-31. doi: 10.5603/CJ.a2017.0139. Epub 2017 Dec 14.

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

Author information

1
Hospital Universitario de Getafe, Carretera de Toledo s/n, 28905 Madrid, Spain. javierlopezpais@gmail.com.

Abstract

BACKGROUND:

There is an emerging field underlying the myocardial infarction (MI) with non-obstruc-tive 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 relation-ship 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 fac-tor. This relationship is maintained after excluding takotsubo from the analysis. (Cardiol J 2018; 25, 1: 24-31).

KEYWORDS:

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

PMID:
29240964
DOI:
10.5603/CJ.a2017.0139
[Indexed for MEDLINE]
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