An Epidemiological Study of Cardiovascular Risk Factors in Patients with Myocardial Infarction: A Prospective Study
Archives of Critical Care Medicine,
Vol. 1 No. 4 (2016),
28 October 2023
Abstract
Background: Stress is one of the most important factors that may be accompanied with increased possible prevalence of cardio[1]vascular diseases including myocardial infarction.
Objectives: The purpose of this study was to investigate the correlation between perceived stress intensity and some cardiovascular risk factors in myocardial infarctions’ patients.
Methods: The design of the study was cross sectional. Overall, 2400 patients with myocardial infarction were chosen through mul[1]tistage random sampling. A three-part questionnaire including demographic characteristics, perceived stress, and a checklist to record laboratorial test and electrocardiography changes were used for data collection.
Results: The results of the present study showed that 45% of the patients had moderate and 55% had severe stress. Moreover, find[1]ings of the research indicated that there were significant differences between the mean stress level in various categories of the vari[1]able including gender, education, history of hypertension, blood pressure, diabetes, cigarette smoking, exercising, job, and family history of myocardial diseases.
Conclusions: Regarding the high level of perceived stress in patients with myocardial infarction, it is necessary to devise a program and determine stressor factors to modify and decrease them.
- Myocardial Infarction
- Perceived Stress
- Cardiovascular Diseases Risk Factors
How to Cite
References
Ghods R, Gharooni M, Amin G, Nazem E, Nikbakht Nasrabadi A. Hypertension from the perspective of Iranian traditionalmedicine. Iran Red
Crescent Med J. 2014;16(3):16449. doi: 10.5812/ircmj.16449. [PubMed:
.
Avazeh A, Hajiesmaeili MR, Vahedian-Azimi A, Naderi A, Madani J. Effect of progressive muscle relaxation on patients lifestyle with myocardial infarction: A double-blinded randomized controlled clinical
trial. Knowledge Health. 2015;10(3):1–8.
Avazeh A, Jahanpour F, Mehrpoor G, Hajiesmaeili MR, Vahedian-azimi
A, Naderi A. Effect of progressive muscle relaxation technique on the
self-esteem of myocardial infarction patients: A randomized controlled clinical trial study. Nurs J Vulnerable. 2015;2(3):69–78.
Vahedian Azimi A, Alhani F, Ahmadi F, Kazemnejad A. Effect of familycentered empowerment model on the life style of myocardial infarction patients. J Critical Care Nurs. 2010;2(4):1–2.
Vahedian Azimi A, Sadeghi M, Movafegh A, Sorouri Zanjani R, Hasani
D, Salehmoghaddam AR, et al. The relationship between perceived
stress and the top five heart disease characteristics in patients with
myocardial infarction. ZUMS. 2012;78(3):99–111.
Vahedian Azimi A, Payami Bousari M, Kashshafi MB. The effect of progressive muscle relaxation on perceived stress of patients with myocardial infarction. ZUMS. 2012;20(81):18–27.
De Luca L, Olivari Z, Farina A, Gonzini L, Lucci D, Di Chiara A, et al.
Temporal trends in the epidemiology, management, and outcome
of patients with cardiogenic shock complicating acute coronary
syndromes. Eur J Heart Fail. 2015;17(11):1124–32. doi: 10.1002/ejhf.339.
[PubMed: 26339723].
Cosker K, Samson S, Fagot-Campagna A, Woimant F, Tuppin P.
First hospitalization for transient ischemic attack in France: Characteristics, treatments and 3-year outcomes. Rev Neurol (Paris).
;172(2):152–9. doi: 10.1016/j.neurol.2015.06.008. [PubMed:
.
Augustin AC, de Quadros AS, Sarmento-Leite RE. Early sheath removal
and ambulation in patients submitted to percutaneous coronary intervention: a randomised clinical trial. Int J Nurs Stud. 2010;47(8):939–
doi: 10.1016/j.ijnurstu.2010.01.004. [PubMed: 20176355].
Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M,
et al. Heart disease and stroke statistics–2015 update: a report from
the American Heart Association. Circulation. 2015;131(4):29–322. doi:
1161/CIR.0000000000000152. [PubMed: 25520374].
Theroux P. Perspectives on acute coronary syndromes. Can J Cardiol.
;21(12):1053–60. [PubMed: 16234889].
Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M,
et al. Executive Summary: Heart Disease and Stroke Statistics–2016
Update: A Report From the American Heart Association. Circulation.
;133(4):447–54. doi: 10.1161/CIR.0000000000000366. [PubMed:
.
Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M,
et al. Heart Disease and Stroke Statistics-2016 Update: A Report From
the American Heart Association. Circulation. 2016;133(4):38–360. doi:
1161/CIR.0000000000000350. [PubMed: 26673558].
Vahedian-Azimi A, Miller AC, Hajiesmaieli M, Kangasniemi M, Alhani
F, Jelvehmoghaddam H, et al. Cardiac rehabilitation using the FamilyCentered Empowerment Model versus home-based cardiac rehabilitation in patients with myocardial infarction: a randomised controlled trial. Open Heart. 2016;3(1):000349. doi: 10.1136/openhrt-2015-
[PubMed: 27110376].
Duan SY, Xing CY, Zhang B, Chen Y. Detection and evaluation of renal biomarkers in a swine model of acute myocardial infarction
and reperfusion. Int J Clin Exp Pathol. 2015;8(7):8336–47. [PubMed:
.
Brindle P, Emberson J, Lampe F, Walker M, Whincup P, Fahey T, et
al. Predictive accuracy of the Framingham coronary risk score in
British men: prospective cohort study. BMJ. 2003;327(7426):1267. doi:
1136/bmj.327.7426.1267. [PubMed: 14644971].
Vahedian-Azimi A, HajiesmaeiliM, Amirsavadkouhi A, Jamaati H, Izadi
M, Madani SJ, et al. Effect of the Cardio First Angel device on CPR indices: a randomized controlled clinical trial. Crit Care. 2016;20(1):147.
doi: 10.1186/s13054-016-1296-3. [PubMed: 27184664].
Nanchahal K, Duncan JR, Durrington PN, Jackson RT. Analysis of predicted coronary heart disease risk in England based on Framingham study risk appraisal models published in 1991 and 2000. BMJ.
;325(7357):194–5. [PubMed: 12142307].
Mamudu HM, Paul T, Veeranki SP, Wang L, Panchal HB, Budoff
M. Subclinical Atherosclerosis and Relationship With Risk Factors
of Coronary Artery Disease in a Rural Population. Am J Med Sci.
;350(4):257–62. doi: 10.1097/MAJ.0000000000000548. [PubMed:
.
de la Camara AG, Guerravales JM, Tapia PM, Esteban EA, del Pozo SV,
Sandubete EC, et al. Role of biological and non biological factors in
congestive heart failure mortality: PREDICE-SCORE: a clinical prediction rule. Cardiol J. 2012;19(6):578–85. [PubMed: 23224919].
Gaby AR. Nutritional treatments for acute myocardial infarction. Altern Med Rev. 2010;15(2):113–23. [PubMed: 20806996].
Marano G, Harnic D, Lotrionte M, Biondi-Zoccai G, Abbate A, Romagnoli E, et al. Depression and the cardiovascular system: increasing evidence of a link and therapeutic implications. Expert Rev Cardiovasc
Ther. 2009;7(9):1123–47. doi: 10.1586/erc.09.78. [PubMed: 19764865].
Blumenthal JA. Depression and coronary heart disease: association
and implications for treatment. Cleve Clin J Med. 2008;75 Suppl 2:S48–
[PubMed: 18540147].
Rugulies R. Depression as a predictor for coronary heart disease. a
review and meta-analysis. Am J Prev Med. 2002;23(1):51–61. [PubMed:
.
Woods SL, Froelicher ESS, Motzer SA, Bridges EJ. Cardiac nursing. Lippincott Williams and Wilkins; 2005.
Urden LD. It’s time to be strategic. J Nurs Adm. 2006;36(6):285–7.
[PubMed: 16766905].
Lu Q, Zeltzer LK, Tsao JC, Kim SC, Turk N, Naliboff BD. Heart rate mediation of sex differences in pain tolerance in children. Pain. 2005;118(1-
:185–93. doi: 10.1016/j.pain.2005.08.008. [PubMed: 16213093].
Drummond PD. The effect of pain on changes in heart rate during the Valsalva manoeuvre. Clin Auton Res. 2003;13(5):316–20. doi:
1007/s10286-003-0127-1. [PubMed: 14564653].
Girio-Fragkoulakis C, Gardner C, Cross S, Mason S, Walters S.
Assessing the impact older people from care homes place on
the emergency services. Eur J Emerg Med. 2011;18(2):81–5. doi:
1097/MEJ.0b013e32833e07f8. [PubMed: 20729739].
Sacco M, Meschi M, Regolisti G, Detrenis S, Bianchi L, Bertorelli M,
et al. The relationship between blood pressure and pain. J Clin Hypertens (Greenwich). 2013;15(8):600–5. doi: 10.1111/jch.12145. [PubMed:
.
Bruehl S, Chung OY,Ward P, Johnson B, McCubbin JA. The relationship
between resting blood pressure and acute pain sensitivity in healthy
normotensives and chronic back pain sufferers: the effects of opioid
blockade. Pain. 2002;100(1-2):191–201. [PubMed: 12435472].
al’Absi M, Petersen KL. Blood pressure but not cortisol mediates stress
effects on subsequent pain perception in healthy men and women.
Pain. 2003;106(3):285–95. [PubMed: 14659511].
Manias E, Gibson SJ, Finch S. Testing an educational nursing intervention for pain assessment and management in older people. Pain
Med. 2011;12(8):1199–215. doi: 10.1111/j.1526-4637.2011.01181.x. [PubMed:
.
Gonzalez-Ramirez MT, Rodriguez-Ayan MN, Hernandez RL. The perceived stress scale (PSS): normative data and factor structure for
a large-scale sample in Mexico. Span J Psychol. 2013;16:47. doi:
1017/sjp.2013.35. [PubMed: 23866243].
Ingram P, Clarke E, Lichtenberg JW. Confirmatory Factor Analysis of
the Perceived Stress Scale-4 in a Community Sample. Stress Health.
;32(2):173–6. doi: 10.1002/smi.2592. [PubMed: 24995556].
Bian Y, Xu F, Lv RJ, Wang JL, Cao LJ, Xue L, et al. An early warning
scoring system for the prevention of acute heart failure. Int J Cardiol.
;183:111–6. doi: 10.1016/j.ijcard.2015.01.076. [PubMed: 25662073].
Bastuji-Garin S, Deverly A, Moyse D, Castaigne A, Mancia G, de Leeuw
PW, et al. The Framingham prediction rule is not valid in a European population of treated hypertensive patients. J Hypertens.
;20(10):1973–80. [PubMed: 12359975].
Jukic AM, Weinberg CR, Wilcox AJ, McConnaughey DR, Hornsby
P, Baird DD. Accuracy of reporting of menstrual cycle length. Am
J Epidemiol. 2008;167(1):25–33. doi: 10.1093/aje/kwm265. [PubMed:
.
Collins P, Rosano G, Casey C, Daly C, Gambacciani M, Hadji P, et al.
Management of cardiovascular risk in the peri-menopausal woman:
a consensus statement of European cardiologists and gynaecologists. EurHeartJ. 2007;28(16):2028–40. doi: 10.1093/eurheartj/ehm296.
[PubMed: 17644507].
Paoletti R, Wenger NK. Review of the International Position Paper on
Women’s Health and Menopause: a comprehensive approach. Circulation. 2003;107(9):1336–9. [PubMed: 12628957].
Hulley S, Furberg C, Barrett-Connor E, Cauley J, Grady D, Haskell W, et
al. Noncardiovascular disease outcomes during 6.8 years of hormone
therapy: Heart and Estrogen/progestin Replacement Study follow-up
(HERS II). JAMA. 2002;288(1):58–66. [PubMed: 12090863].
Grady D, Herrington D, Bittner V, Blumenthal R, Davidson M, Hlatky
M, et al. Cardiovascular disease outcomes during 6.8 years of hormone therapy: Heart and Estrogen/progestin Replacement Study
follow-up (HERS II). JAMA. 2002;288(1):49–57. [PubMed: 12090862].
Zarrindast MR, Nasehi M, Hoseinpourfard M. A Mini Review of Serotonin and Its Receptors. Int J Med Rev. 2014;1(1):39–45.
Bakalis N. Clinical decision-making in cardiac nursing: a
review of the literature. Nurs Stand. 2006;21(12):39–46. doi:
7748/ns2006.11.21.12.39.c6386. [PubMed: 17195383].
Coomber B, Barriball KL. Impact of job satisfaction components on
intent to leave and turnover for hospital-based nurses: a review
of the research literature. Int J Nurs Stud. 2007;44(2):297–314. doi:
1016/j.ijnurstu.2006.02.004. [PubMed: 16631760].
- Abstract Viewed: 29 times
- PDF Downloaded: 0 times