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Cardiac disease-induced trauma and stress-related disorders

Mary Princip1, Katharina Ledermann2,3, Rahel Altwegg2

  • 1Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Haldenbachstrasse 16/18, 8091, Zurich, Switzerland. mary.princip@usz.ch.

Herz
|July 11, 2024
PubMed

Insights

Cardiac events can trigger stress disorders like PTSD, impacting heart health and survival. Trauma-focused approaches may improve outcomes for cardiac disease-induced PTSD and related conditions.

Area of Science:

  • Cardiology
  • Psychiatry
  • Trauma Studies

Background:

  • Cardiovascular diseases, especially life-threatening events, can precipitate stress-related disorders.
  • These include acute stress disorder (ASD), adjustment disorder (AjD), and cardiac disease-induced PTSD (CDI-PTSD).
  • Untreated, these conditions worsen cardiac prognosis and increase mortality.

Purpose of the Study:

  • To provide an updated overview of cardiac disease-induced trauma and stress-related disorders.
  • To describe prevalence, diagnostic criteria, and differences from other trauma disorders.
  • To identify diagnostic and treatment challenges, evaluate screening tools, and summarize risk factors and therapeutic interventions.

Main Methods:

  • Literature review of cardiac disease-induced trauma and stress-related disorders.
  • Analysis of diagnostic criteria, screening tools, risk factors, and therapeutic interventions.
  • Examination of the bidirectional relationship between PTSD and cardiovascular diseases.

Main Results:

  • Cardiac events are significant stressors, potentially leading to ASD, AjD, and CDI-PTSD.
  • Challenges exist in diagnosing and treating these conditions, necessitating effective screening tools.
  • Risk factors and therapeutic strategies, including pharmacological options, are identified, highlighting the PTSD-cardiovascular disease link.

Conclusions:

  • Further research is needed on treatment options for patients and caregivers.
  • Investigating the long-term effects of trauma-focused interventions on physical and mental health is crucial.
Abstract

Keywords:
Acute stress disorderAdjustment disorderCardiac-induced posttraumatic stress disorderCardiovascular diseasePosttraumatic stress disorder

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