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Experiences in the assessment of psychosocial risk factors in a cardiovascular rehabilitation clinicsuccessful implementation of cardiovascular prevention guidelines may increase awareness of psychosocial stressors

M. German-sallo,Z. Preg,E. Nemes-Nagy,D. Bálint-Szentendrey,T. Pál,K. Csomay

Published 2020 in Unknown venue

ABSTRACT

Contact address: Zoltán Preg, MD Department of Cardiovascular Rehabilitation, Emergency Clinical County Hospital, Targu Mures, Romania. E-mail: preg_zoltan@hotmail.com 1 „George Emil Palade” University of Medicine, Pharmacy, Science and Technology, Targu Mures, Romania 2 Department of Cardiovascular Rehabilitation, Emergency Clinical County Hospital, Targu Mures, Romania 3 Department of Fundamental Pharmaceutical Sciences, „George Emil Palade” University of Medicine, Pharmacy, Science and Technology, Targu Mures, Romania 4 Emergency Institute for Cardiovascular Diseases and Transplantation, Targu Mures, Romania Abstract: Objectives – To investigate the prevalence of psychosocial risk factors (PRFs) among patients admitted to a cardiovascular rehabilitation clinic. Methods – 431 consecutive inpatients were included. Baseline characteristics and clinical data were extracted from clinical charts. We applied the European Society of Cardiology (ESC) standardized psychosocial questionnaire. Patients were asked about socio-economic status, including education level, work and family stress, social isolation, depression, anxiety, hostility, type D personality, post-traumatic stress disorder, other mental disorders. Results – The mean age was 68±10 years, with female predominance (51.7%). The most common cardiovascular risk factor was hypertension (94.7%), mean blood pressure was 136/81 mmHg (±20/11 mmHg). The most frequently observed PRFs were social isolation (72.2%), low socio-economic status (63.8%), work stress (65.2%) and hostility (65.9%). Social isolation (p=0.0034), depression (p<0.0001), anxiety (p<0.0001), hostility (p=0.0438), type D personality (p<0.0001), post-traumatic stress disorders (p=0.0004) and other mental disorders (p=0.0350) were more frequent in women. Men suffered signifi cantly more frequent from work stress (p= 0.0409). Conclusions – PRFs are common among patients with CVD with signifi cant gender differences. Screening for PRFs can easily be performed. Identifi cation of affective disorders and other chronic stressors may have an impact on future cardiovascular events and on treatment adherence.

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