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Related Experiment Videos

Anxiety after a heart attack

A W Dellipiani, E L Cay, A E Philip

    British Heart Journal
    |July 1, 1976
    PubMed
    Summary
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    Anxiety levels in cardiac patients initially peak then decrease, returning to normal within months. Early negative reactions correlate with delayed return to work, but treatment setting does not worsen emotional distress.

    Area of Science:

    • Cardiology
    • Psychology
    • Health Services Research

    Background:

    • Anxiety is a common response to acute cardiac events.
    • Understanding anxiety patterns is crucial for patient recovery and management.
    • Previous studies have not objectively measured anxiety at defined intervals post-cardiac symptom onset.

    Purpose of the Study:

    • To objectively measure anxiety levels in patients following acute cardiac symptoms.
    • To investigate the relationship between anxiety, illness severity, and patient outcomes.
    • To compare anxiety patterns between different treatment settings and patient groups.

    Main Methods:

    • Objective anxiety measurements were taken at set intervals in 203 Edinburgh Coronary Care Unit patients and 83 Teesside coronary survey patients.

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  • Teesside patients included home treatment, initial coronary care unit admission, and general medical ward admission.
  • Anxiety levels and reactions to illness were assessed, correlating with physical severity and return to work.

    • Main Results:

    • Edinburgh patients showed high initial anxiety, rapidly decreasing, then rising before discharge, normalizing by 4 months.
    • Anxiety reactions were independent of physical illness severity.
    • Patients with poor initial reactions were less likely to return to work; hospital treatment did not increase distress.
    • Teesside patients' anxiety patterns mirrored Edinburgh's, with initial coronary care unit patients less anxious at 3 months.
    • Teesside patients were consistently more anxious than Edinburgh patients; outcome was unrelated to anxiety levels.

    Conclusions:

    • Anxiety in cardiac patients follows a predictable pattern, decreasing over time.
    • Psychological reaction to cardiac illness is distinct from its physical severity.
    • While hospital treatment does not exacerbate anxiety, social and environmental factors may influence overall anxiety levels in different patient populations.