Severe marital stress was associated with worse recovery after myocardial infarction in a large US cohort of married/partnered patients aged 55 years or younger. AHA2022 MedTwitter
Compared with patients who reported no or mild marital stress a month after their MI, patients who reported severe marital stress had worse physical and mental health, worse generic and cardiovascular quality of life, more frequentThese findings held true after adjusting for gender, age, race/ethnicity, and baseline health status and after further adjusting for education and income levels and employment and insurance status .
This study in younger patients with MI"shows that high levels of marital stress impair heart attack recovery, and women have greater impairment in their heart attack recovery compared to men," AHA spokesperson Nieca Goldberg, MD, who was not involved with this research, toldThe study shows that"clinicians have to incorporate mental health as part of their assessment of all patients," said Goldberg, a clinical associate professor of medicine at NYU Grossman School of Medicine...
The current study comprised 1593 adults, including 1020 female participants , who were treated for MI at 103 hospitals in 30 US states.of women, Zhu explained. At 1 year after their MI, patients replied to questionnaires that assessed their health, quality of life, and depressive and angina symptoms. Hospital readmissions were determined on the basis of self-reports and medical records.
Study limitations include the fact that the findings are based on self-reported questionnaire replies; they may not be generalizable to patients in other countries; and they do not extend beyond a period of 1 year.
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