title: [Association between acute coronary events and psychosocial risk factors: vital exhaustion, anxiety and anger in an Argentinian population. A correlation study between risks factors].
abstract: OBJECTIVE
  To study the association between vital exhaustion, anxiety and anger with acute coronary event; second, determine whether they are associated with each other, and third, if the joint interaction of two or more factors increases the risk for coronary event.
  
  
  METHODS
  We conducted a case-control study with 165 patients, both sexes, between 35 and 75 years, 90 patients with acute ischemic coronary event and 75 controls hospitalized with an acute event of non-ischemic cardiac causes.
  
  
  RESULTS
  Statistically significant differences between the control group and the ischemic coronary group for vital exhaustion was found (OR = 3.0 (1.6-5.5) p < 0.001 (chi2)). Psychosocial risk factors are associated each with p < 0.001: anxiety and vital exhaustion (Spearman Rho = 0.58), anger and vital exhaustion (Spearman Rho = 0.41) and anxiety and anger (Spearman Rho = 0.38). The simultaneous presence of vital exhaustion and anxiety increases the probability of an acute ischemic coronary event (p < 0.01).
  
  
  CONCLUSIONS
  In this study we found a significative association between vital exhaustion and acute ischemic coronary event, psychosocial risk factors are associated with each other and simultaneous presence of vital exhaustion and anxiety increases the probability of an acute ischemic coronary event.
authors.affiliation: Médico Psiquiatra, Fundación Favaloro, Buenos Aires. bonet@favaloro.edu.ar
authors.forename: José
authors.initials: J
authors.lastname: Bonet
authors.forename: Mariana
authors.initials: M
authors.lastname: Suárez-Bagnasco
authors.forename: Soraya
authors.initials: S
authors.lastname: Kerbage
authors.forename: María Fernanda
authors.initials: MF
authors.lastname: Bonet
authors.forename: Branco
authors.initials: B
authors.lastname: Mautner
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000786:Anger; D001007:Anxiety; D001118:Argentina; D016022:Case-Control Studies; D003327:Coronary Disease / Q000453:epidemiology* / Q000523:psychology*; D005221:Fatigue; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors