Heart ischemia and psychosomatics: the role of stressful events and lifestyles

https://doi.org/10.4081/monaldi.2009.332

Authors

  • Maurizio Giuseppe Guarneri Dipartimento di Neuroscienze Cliniche, Università degli Studi di Palermo - Sezione di Psichiatria, Palermo, Italy.
  • Laura Nastri | lnastri@gmail.com Dipartimento di Neuroscienze Cliniche, Università degli Studi di Palermo - Sezione di Psichiatria, Palermo, Italy.
  • Pasquale Assennato Dipartimento di Medicina Interna, Malattie Cardiovascolari e Nefrologiche, Università degli Studi di Palermo, Unità di Terapia Intensiva Cardiologia, Palermo, Italy.
  • Angela Li Puma C.T.A Cristo Pantocratore, Borgetto (PA), Italy.
  • Arianna Landi Dipartimento di Neuroscienze Cliniche, Università degli Studi di Palermo - Sezione di Psichiatria, Palermo, Italy.
  • Barbara Bonanno Dipartimento di Neuroscienze Cliniche, Università degli Studi di Palermo - Sezione di Psichiatria, Palermo, Italy.
  • Giovan Battista Maggì Dipartimento di Neuroscienze Cliniche, Università degli Studi di Palermo - Sezione di Psichiatria, Palermo, Italy.
  • Giuseppe Annino Dipartimento di Medicina Interna, Malattie Cardiovascolari e Nefrologiche, Università degli Studi di Palermo, Unità di Terapia Intensiva Cardiologia, Palermo, Italy.
  • Filippa Bono Dipartimento di contabilità nazionale ed analisi dei processi sociali, Università degli Studi di Palermo, Italy.
  • Daniele La Barbera Dipartimento di Neuroscienze Cliniche, Università degli Studi di Palermo - Sezione di Psichiatria, Palermo, Italy.

Abstract

Objective: the aim of our study was to evaluate the role of stressful events, lifestyles and various socio-environmental factors in the beginning of ischemic cardiac diseases, together with cardiovascular factors. Materials and methods: 64 patients with recent cardiac ischemia and 64 controls matched 1:1, according to their sex and age, have been evaluated. The study required the filling in of clinico-anamnestic reports and the evaluation of stressful events, using the Holmes Rahe scale. Results: in the 44% of the patients who had a heart ischemia, an emotional striking event occurred few days before, with a 28% incidence of work and family problems. The mean score of the Holmes Rahe Social Readjustment Rating Scale was statistically significantly higher among cases (p<0,05). The percentage of the subjects who experienced a stressful event during the last year was significantly higher among those with an ischemic event even though the heart disease factors were similar in the 2 groups of cases and controls. Conclusions: although the known heart risk factors predispose to ischemic event, our results suggest that stressful and emotional factors play a fundamental role in increasing the risk.

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Published
2016-01-20
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Original Articles
Keywords:
heart ischemia, psychosomatics, stressful events, lifestyles
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How to Cite
Guarneri, Maurizio Giuseppe, Laura Nastri, Pasquale Assennato, Angela Li Puma, Arianna Landi, Barbara Bonanno, Giovan Battista Maggì, Giuseppe Annino, Filippa Bono, and Daniele La Barbera. 2016. “Heart Ischemia and Psychosomatics: The Role of Stressful Events and Lifestyles”. Monaldi Archives for Chest Disease 72 (2). https://doi.org/10.4081/monaldi.2009.332.

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