PSYCHOLOGICAL PREDICTORS AND LONG-TERM CONSEQUENCES OF DELAYED HOSPITALIZATION IN MYOCARDIAL INFARCTION
Aim. To reveal the personal-behavioral predictors of later than 6 hours after onset MI hospitalization and to compare these with parameters and predictors of mortality during 5 year follow-up.Material and methods. In 203 men (mean age 58,34±10,44 y.), had being treated for MI, the timing of hospital...
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«FIRMA «SILICEA» LLC
2015-01-01
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| Series: | Российский кардиологический журнал |
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| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/207 |
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| author | I. A. Melentyev A. A. Vershinin A. S. Melentyev V. P. Zaytsev |
| author_facet | I. A. Melentyev A. A. Vershinin A. S. Melentyev V. P. Zaytsev |
| author_sort | I. A. Melentyev |
| collection | DOAJ |
| description | Aim. To reveal the personal-behavioral predictors of later than 6 hours after onset MI hospitalization and to compare these with parameters and predictors of mortality during 5 year follow-up.Material and methods. In 203 men (mean age 58,34±10,44 y.), had being treated for MI, the timing of hospitalization compared depending on psychological testing parameters at the moment of somatic stabilization achievement, as the lethal cases, during 5-year period. Results. On time hospitalization (OH) — in 6 hours from the onset of heart attack — took place in 28,08% of patients, and delayed (DH) — later than 6 hours — in 71,92% (p=0,001). During 5 years of follow-up 28,57% of patients died, of those in OH group 15,79% and in DH group — 33,56% (p=0,037). Psychological predictors of DH cases as long-term mortality were the prevalence of behavioral type A, aggressiveness increase as alexithymia with a decrease of subjective control in misfalls and harmony of disease relationship.Conclusion. The problem of on time MI treatment is still non-solvable without psychology of coronary patient, their personality-behavioral properties, which might become a psychological supplement for OH and be against this. Psychotherapeutical reliance on the former and correction of the latter should be used in psychoprophylaxy of DH in high risk ACS patients. |
| format | Article |
| id | doaj-art-7f53e2576e3642328cdbe4a49b3b3f2f |
| institution | DOAJ |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| publishDate | 2015-01-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj-art-7f53e2576e3642328cdbe4a49b3b3f2f2025-08-20T03:21:54Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202015-01-0101727710.15829/1560-4071-2015-1-72-77207PSYCHOLOGICAL PREDICTORS AND LONG-TERM CONSEQUENCES OF DELAYED HOSPITALIZATION IN MYOCARDIAL INFARCTIONI. A. Melentyev0A. A. Vershinin1A. S. Melentyev2V. P. Zaytsev3SBEI HPE RNRMU n. a. N. I. Pirogov, MoscowSBEI HPE RNRMU n. a. N. I. Pirogov, MoscowSBEI HPE RNRMU n. a. N. I. Pirogov, MoscowFSI Russian Scientific Centre for Medical Rehabilitation and Resort Studies of the Ministry of Healthcare, Moscow; RussiaAim. To reveal the personal-behavioral predictors of later than 6 hours after onset MI hospitalization and to compare these with parameters and predictors of mortality during 5 year follow-up.Material and methods. In 203 men (mean age 58,34±10,44 y.), had being treated for MI, the timing of hospitalization compared depending on psychological testing parameters at the moment of somatic stabilization achievement, as the lethal cases, during 5-year period. Results. On time hospitalization (OH) — in 6 hours from the onset of heart attack — took place in 28,08% of patients, and delayed (DH) — later than 6 hours — in 71,92% (p=0,001). During 5 years of follow-up 28,57% of patients died, of those in OH group 15,79% and in DH group — 33,56% (p=0,037). Psychological predictors of DH cases as long-term mortality were the prevalence of behavioral type A, aggressiveness increase as alexithymia with a decrease of subjective control in misfalls and harmony of disease relationship.Conclusion. The problem of on time MI treatment is still non-solvable without psychology of coronary patient, their personality-behavioral properties, which might become a psychological supplement for OH and be against this. Psychotherapeutical reliance on the former and correction of the latter should be used in psychoprophylaxy of DH in high risk ACS patients.https://russjcardiol.elpub.ru/jour/article/view/207myocardial infarctiondelayed and on time hospitalizationhostilitybehavioral type aalexithymiathe level of subjective control |
| spellingShingle | I. A. Melentyev A. A. Vershinin A. S. Melentyev V. P. Zaytsev PSYCHOLOGICAL PREDICTORS AND LONG-TERM CONSEQUENCES OF DELAYED HOSPITALIZATION IN MYOCARDIAL INFARCTION Российский кардиологический журнал myocardial infarction delayed and on time hospitalization hostility behavioral type a alexithymia the level of subjective control |
| title | PSYCHOLOGICAL PREDICTORS AND LONG-TERM CONSEQUENCES OF DELAYED HOSPITALIZATION IN MYOCARDIAL INFARCTION |
| title_full | PSYCHOLOGICAL PREDICTORS AND LONG-TERM CONSEQUENCES OF DELAYED HOSPITALIZATION IN MYOCARDIAL INFARCTION |
| title_fullStr | PSYCHOLOGICAL PREDICTORS AND LONG-TERM CONSEQUENCES OF DELAYED HOSPITALIZATION IN MYOCARDIAL INFARCTION |
| title_full_unstemmed | PSYCHOLOGICAL PREDICTORS AND LONG-TERM CONSEQUENCES OF DELAYED HOSPITALIZATION IN MYOCARDIAL INFARCTION |
| title_short | PSYCHOLOGICAL PREDICTORS AND LONG-TERM CONSEQUENCES OF DELAYED HOSPITALIZATION IN MYOCARDIAL INFARCTION |
| title_sort | psychological predictors and long term consequences of delayed hospitalization in myocardial infarction |
| topic | myocardial infarction delayed and on time hospitalization hostility behavioral type a alexithymia the level of subjective control |
| url | https://russjcardiol.elpub.ru/jour/article/view/207 |
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