[Personality structure and prognosis after myocardial infarction].
In 228 patients with postinfarction cardiosclerosis and less than 50% left ventricular (LP) ejection fraction (EF), comparative evaluation of the influence of a range of psychopathological neurotic conditions (anxiety, astenia, and depression), and some traditional risk factors on the prognosis of psychotypological personality structure was performed. The end points (EP), non-fatal myocardial infarction (MI) and cardiac death, were registered two years after the beginning of the study. The study established that the prevalence of neurotic psychic disturbances in postinfarction patients is not associated with the severity of the cardial pathology, evaluated by LVEF measurement, but is significantly higher in representatives of personality psychotypes with cycloidal and, especially, hysteroid structure. Hysteroid psychological personality type, together with a decreased global LV contractility, is an independent predictor of a repeated non-fatal MI and cardiac death during the first two years after MI. The presence of psychopathological symptom complexes does not increase the prognostic significance of the given risk factors. A mixed structure of the personal psychotype is associated with a protective influence on the risk of the development of both EP, while a schizoid structure is associated with a protective effect against only cardiac death in patients with a low LVEF after MI.
Boeva
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D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000209:etiology / Q000523:psychology*; D001247:Asthenia / Q000209:etiology / Q000523:psychology*; D003863:Depression / Q000209:etiology / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000503:physiopathology / Q000523:psychology*; D010551:Personality; D010552:Personality Assessment; D011379:Prognosis; D012720:Severity of Illness Index