Psychological distress as a predictor of ventricular arrhythmias in a post-myocardial infarction population

Michael J. Follick, Larry Gorkin, Robert J. Capone, Timothy W. Smith, David K. Ahern, Donald Stablein, Raymond Niaura, John Visco

Research output: Contribution to journalArticle

Abstract

A prospective study examining the relationship between psychological distress and ventricular ectopy was conducted with 125 post-myocardial infarction patients equipped with a transtelephonic ECG monitor. Subjects were subsequently grouped according to the occurrence (n = 59) or nonoccurrence (n = 65) of ventricular arrhythmias over a 1-year period. Results indicated a direct relationship between self-reported distress levels and occurrence of ectopic beats. This relationship was unaltered by adjusting simultaneously for known predictors of arrhythmias, including cardiac risk, age, and the prescription of beta-blocker agents. Thus this study represents an initial demonstration in a post-myocardial infarction population that psychosocial factors have prognostic significance for arrhythmias and, presumably, sudden death.

Original languageEnglish (US)
Pages (from-to)32-36
Number of pages5
JournalAmerican Heart Journal
Volume116
Issue number1 PART 1
DOIs
StatePublished - Jul 1988

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Follick, M. J., Gorkin, L., Capone, R. J., Smith, T. W., Ahern, D. K., Stablein, D., Niaura, R., & Visco, J. (1988). Psychological distress as a predictor of ventricular arrhythmias in a post-myocardial infarction population. American Heart Journal, 116(1 PART 1), 32-36. https://doi.org/10.1016/0002-8703(88)90246-3