Journals / Türk Kardiyoloji Derneği Arşivi / 2017 / Cilt: 45 - Sayı: 6
Assessment of the association between the personality traits of young patients with acute coronary syndrome and the severity of coronary artery disease
- Pages
- 514–519
- DOI
- —
Abstract
Objective: The role of psychosocial risk factors is becoming increasingly important in the etiology of acute coronary syndrome (ACS). The purpose of this study was to assess an association between the personality types of young patients with ACS and the prevalence and severity of coronary artery disease (CAD).Methods: Patients younger than 45 years of age who presented with ACS and who underwent coronary angiography in the period from 2012 to 2016 were included in the study. The coronary angiography records of the patients were examined and their Gensini score (GS) was calculated; GS >=20 was considered to be severe CAD. The Eysenck Personality Questionnaire-Revised Short Form scales were used to measure psychoticism, extraversion, lying, and neuroticism.Results: A total of 139 patients were included in the study. The median psychoticism score of patients with GS =20 [1.0 (25th and 75th percentile: 0.0-2.0) vs. 1.0 (25th and 75th percentile: 0.0-1.0); p=0.015]. The median psychoticism score was 1.0 (25th and 75th percentile: 1.0-2.0) in the unstable angina pectoris group, 0.5 (25th and 75th percentile: 0.0-1.0) in the ST segment elevation myocardial infarction group, and 1.0 (25thand 75th percentile: 0.0-1.0) in the non-ST segment elevation myocardial infarction group (p=0.004).Conclusion: The presence of psychoticism characteristics in patients who present with ACS is associated with less severe CAD.
Özet
Amaç: Akut koroner sendrom (AKS) etiyolojisinde psikososyal risk faktörlerinin yeri giderek daha fazla önem kazanmaktadır. Bu çalışmada amaç AKS'li genç hastalarda kişilik özellikleri ile koroner arter hastalığı (KAH) yaygınlığı arasındaki ilişkiyi araştırmaktır.Yöntemler: Çalışmaya 2012-2016 yılları arasında AKS tablosuyla başvurup koroner anjiyografi yapılan 45 yaş altı hastalar alındı. Hastaların koroner anjiyografi kayıtları incelenerek Gensini skorları (GS) hesaplandı, GS >=20 olması yaygın KAH olarak değerlendirildi. "Eysenck Personality Questionnaire-Revised Short Form" (EPQ-RSF) uygulanarak psikotizm, dışadönüklük, yalan ve nörositizm puanları hesaplandı.Bulgular: Çalışmaya toplam 139 hasta alındı. Gensini skoru =20 olanlardan anlamlıolarak yüksek bulundu (1.0 [25-75 persentil: 0.0-2.0]ve 1.0 [25-75 persentil: 0.0-1.0], p=0.015). Ortanca psikotizmpuanı kararsız anjina pektorisli grupta 1.0 [25-75 persentil:1.0-2.0], ST segment yükselmeli miyokart enfarktü-sü olanlarda 0.5 [25-75 persentil: 0.0-1.0], ST yükselmesizmiyokart enfarktüsü olanlarda 1.0 [25-75 persentil: 0.0-1.0]bulundu (p=0.004).Sonuç: AKS tablosu ile başvuran hastalarda psikotizm özelliklerininvarlığı daha az yaygın KAH ile ilişkilidir.