Related Experiment Video

Updated: Aug 15, 2026

A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis
04:30

A Murine Model of Stent Implantation in the Carotid Artery for the Study of Restenosis

Published on: May 14, 2013

Overcommitment predicts restenosis after coronary angioplasty in cardiac patients

L Joksimovic1, J Siegrist, M Meyer-Hammer

  • 1Department of Medical Sociology, Heinrich-Heine University, Düsseldorf, Germany.

International Journal of Behavioral Medicine
|October 28, 2005
PubMed

Insights

Overcommitment, a stress-related psychosocial factor, independently predicts restenosis after coronary angioplasty (PTCA). This finding suggests psychological interventions could aid cardiac patient secondary prevention.

Area of Science:

  • Cardiology
  • Psychosocial Medicine
  • Behavioral Science

Background:

  • Restenosis remains a significant complication after percutaneous transluminal coronary angioplasty (PTCA).
  • Psychosocial factors are increasingly recognized for their impact on cardiovascular disease outcomes.
  • Overcommitment, a personality trait characterized by excessive striving and a need for approval, is a potential stress-enhancing risk factor.

Purpose of the Study:

  • To investigate the predictive value of overcommitment for restenosis in patients who have undergone successful PTCA.
  • To identify independent risk factors for restenosis in this patient population.

Main Methods:

  • A cohort of 106 male patients with coronary artery disease undergoing PTCA were followed for a mean of 12 months.
  • Quantitative angiography was used to define and assess the rate of restenosis.
  • Multivariate analysis was employed to determine independent predictors of restenosis.

Main Results:

  • The overall restenosis rate was 34% among the study participants.
  • High density lipoprotein cholesterol (OR 3.19), age (OR 3.43), and overcommitment (OR 2.86) were identified as independent predictors of restenosis.
  • Overcommitment demonstrated a significant association with an increased risk of restenosis.

Conclusions:

  • Overcommitment is an independent predictor of coronary restenosis following PTCA.
  • The findings highlight the importance of psychosocial factors in cardiovascular health.
  • Cognitive-behavioral interventions targeting overcommitment may offer a novel approach for secondary prevention in cardiac patients.

More Related Videos

Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty10:03

Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty

Published on: January 28, 2020

Related Concept Videos

Imbalances in Cardiac Output01:26

Imbalances in Cardiac Output

The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send blood...
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...