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Post-Myocardial Infarction Psychological Distress: A Scientific Statement From the American Heart Association.
Circulation
|September 22, 2025
Summary
Psychological distress is common after myocardial infarction and linked to worse cardiac outcomes. Interventions can improve well-being, emphasizing holistic patient care for cardiovascular disease patients.
Area of Science:
- Cardiology
- Psychology
Background:
- Psychological distress is a significant factor in cardiovascular disease (CVD) development and progression.
- Patients with acute myocardial infarction (MI) face elevated risks of depression, anxiety, and stress.
Purpose of the Study:
- To explore the impact of postmyocardial psychological distress on cardiac prognosis.
- To review mechanisms linking psychological distress to adverse cardiac events.
- To assess the evidence for treating post-MI psychological distress.
Main Methods:
- Literature review of studies on psychological distress in post-MI patients.
- Analysis of proposed biological and behavioral mechanisms.
- Evaluation of existing treatment outcome data.
Main Results:
- Up to 50% of post-MI patients experience psychological distress, increasing future cardiac event risk.
- Mechanisms include reduced physical activity, smoking, poor diet, and non-adherence to treatment.
- Data on improved cardiac prognosis with distress treatment are mixed and variable.
Conclusions:
- Post-MI psychological distress is prevalent and associated with poorer cardiac outcomes.
- Further research is needed, especially for anxiety, stress, and PTSD.
- Treating distress improves psychological health and quality of life, supporting holistic care.
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