El Agotamiento Vital se encuentra significativamente asociado con Eventos Coronarios Agudos en una población de Argentina / Vital Exhaustion is significantly linked to Acute Coronary Events in Argentine population
Vertex rev. argent. psiquiatr
; 20(88): 421-426, nov.-dic. 2009. tab
Article
em Es
| LILACS
| ID: lil-540531
Biblioteca responsável:
AR611.1
RESUMEN
Objetivo:
Determinar la fuerza de la asociación entre el Agotamiento Vital y eventos isquémicos coronarios agudos en una muestra de pacientes argentinos internados.Método:
Se midió el Agotamiento mediante el cuestionario de Maastricht en 180 pacientes de ambos sexos, 90 casos con un evento corona río agudo y 90 controles con un evento agudo cardíaco no-isquémico. Se compararon ambos grupos por edad, sexo, estado civil, y educación, Diabetes, Hipertensión Arterial, Tabaquismo, y Dislipemia.Resultados:
El 63,33 por ciento, 57 de los casos estaban agotados, en cambio, el 36,66 por ciento, 33 controles estaban agotados (OR= 3.1 (1.7-5.8) pConclusiones:
nuestros resultados indican que el Agotamiento Vital es un estado psicológico fuertemente asociado con eventos coronarios agudos, y es independiente de otros factores de riesgo clásicamente asociado con la Enfermedad Coronaria.ABSTRACT
Objective:
To determine the strength of the association between the Vital exhaustion syndrome (VES) and acute coronary ischemic events in hospitalized Argentinean sample.Methods:
VES was measured in 180 patients of both sexes, 90 admitted due to an acute coronary ischemic syndrome (AMI or unstable angina) and a control group of 90 admitted due to an acute non-coronary cardiac event VES was evaluated with the Maastricht questionnaire during the first week of hospitalization.Results:
Dividing the sample in two categories exhausted and non-exhausted, 57 (63,33 percent) of the coronary were exhausted, while among the non coronary group, 33 were exhausted (36, 66 percent)(OR=3.1 (1.7-5.8) p<.OO1. The exhaustion score was control mean score 17,1 (sd 8,96); case mean score 21,1 (sd 10,60) p 0.006. Dislipemia was another factor with a significant difference control 27 (30 percent) case 44 (62 percent) OR= 2.2 (1.2-4.1) p=O.01. Logistic regression was performed, including an interaction model between DLP and exhaustion, and it did not show a significant effect.Conclusions:
Our results indicate that in Argentina, among other countries as reported in the literature, VES is a psychological condition that is strongly and independent associated to acute coronary events.Palavras-chave
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Índice:
LILACS
Assunto principal:
Estresse Psicológico
/
Inquéritos e Questionários
/
Síndrome Coronariana Aguda
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
País/Região como assunto:
America do sul
/
Argentina
Idioma:
Es
Revista:
Vertex rev. argent. psiquiatr
Assunto da revista:
PSIQUIATRIA
Ano de publicação:
2009
Tipo de documento:
Article