Anxiety, depression, and stress as risk factors for atrial fibrillation after cardiac surgery.
Abstract
Objective We sought to determine whether preoperative and postoperative anxiety, depression, and stress symptoms were associated with atrial fibrillation (AF) after cardiac surgery.Methods Two hundred and twenty-six cardiac surgery patients completed measures of depression, anxiety, and general stress before surgery, and 222 patients completed these measures after surgery. The outcome variable was new-onset AF, confirmed before the median day of discharge (day 5) after cardiac surgery during the index hospitalization.Results Fifty-six (24.8%) patients manifested incident AF, and they spent more days in hospital (mean [M], 7.3; standard deviation [SD], 4.6) than patients without AF (M, 5.5; SD, 1.4; P < .001). No baseline psychological predictors were associated with AF. When postoperative distress measures were considered, anxiety was associated with increased odds of AF (odds ratio, 1.09; 95% confidence interval, 1.00 to 1.18; P = .05). This analysis also showed that age was significantly associated with AF (odds ratio, 1.07; 95% confidence interval, 1.03 to 1.12; P < .001). Analyses specific to the symptomatic expression of anxiety indicated that somatic (ie, autonomic arousal) and cognitive-affective (ie, subjective experiences of anxious affect) symptoms were associated with incident AF.Conclusion Anxiety symptoms in the postoperative period were associated with AF. Hospital staff in acute cardiac care and cardiac rehabilitation settings should observe anxiety as related to AF after cardiac surgery. It is not clear how anxious cognitions influence the experience of AF symptoms, and whether symptoms of anxiety commonly precede AF.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Psychiatric symptoms and illnesses are associated with worse outcomes regarding the CVD, including poorer prognosis, lower quality of life, increased risk of mortality, and interference with CVD treatment.
“Psychiatric symptoms and illnesses are in turn associated with several worse outcomes regarding the CVD: poorer prognosis of the course of the CVD, lower quality of life (QoL), increased risk of mortality, and interference with the CVD treatment, for example, due to worse adherence (3, 7–11).”
From Metacognitive Short-Term Intervention in Patients With Mental Disorders Following Cardiovascular Events (2022) · cites this paper as [9]
Development of postoperative atrial fibrillation has been shown to be associated with anxiety symptoms in the postoperative period.
“development of postoperative atrial fibrillation, which is frequently reported following cardiac surgery, has been shown to be associated with anxiety symptoms in the postoperative period (Tully et al., 2011).”
From Postponement of elective cardiac surgery: A prospective observational analysis of anxiety, depression, social support and clinical complications. (2023) · cites this paper as Tully et al., 2011
Cites
Lovibond, P. F., & Lovibond, S. H. (1995) · Behaviour Research and Therapy · doi:10.1016/0005-7967(94)00075-u · Cited by 14,523 · see citing works
(1995) · Cited by 6,909 · see citing works
Tripartite model of anxiety and depression: psychometric evidence and taxonomic implications.
Clark, L., & Watson, D. (1991) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.100.3.316 · Cited by 4,616 · see citing works
Tripartite model of anxiety and depression: psychometric evidence and taxonomic implications
Clark, L. A., & Watson, D. (1991) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.100.3.316 · Cited by 4,601 · see citing works
Babyak, M. A. (2004) · Psychosomatic Medicine · doi:10.1097/01.psy.0000127692.23278.a9 · Cited by 2,061 · see citing works
Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples
Brown, T. A., Chorpita, B. F., Korotitsch, W., & Barlow, D. H. (1997) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(96)00068-x · Cited by 1,860 · see citing works
Predictors of Atrial Fibrillation After Coronary Artery Surgery
Aranki, S. F., Shaw, D. P., Adams, D. H., Rizzo, R. J., Couper, G. S., VanderVliet, M., Collins, J. J., Cohn, L. H., & Burstin, H. R. (1996) · Circulation · doi:10.1161/01.cir.94.3.390 · Cited by 1,180 · see citing works
Balady (2007) · doi:10.1161/circulationaha.106.180945 · Cited by 1,118 · see citing works
Mechanisms, Prevention, and Treatment of Atrial Fibrillation After Cardiac Surgery
Echahidi, N., Pîbarot, P., O’Hara, G. E., & Mathieu, P. (2008) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2007.10.043 · Cited by 678 · see citing works
Depression, the autonomic nervous system, and coronary heart disease
Carney, R. M., Freedland, K. E., & Veith, R. C. (2005) · Psychosomatic Medicine · doi:10.1097/01.psy.0000162254.61556.d5 · Cited by 582 · see citing works
Long-term stability of depression, anxiety, and stress syndromes.
Lovibond, P. (1998) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.107.3.520 · Cited by 417 · see citing works
Long-term stability of depression, anxiety, and stress syndromes.
Lovibond, P. F. (1998) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.107.3.520 · Cited by 403 · see citing works
Atrial fibrillation after isolated coronary surgery affects late survival
Mariscalco, G., Klersy, C., Zanobini, M., Banach, M., Ferrarese, S., Borsani, P., Cantore, C., Biglioli, P., & Sala, A. (2008) · Circulation · doi:10.1161/circulationaha.108.777789 · Cited by 319 · see citing works
Epidemiology, Mechanisms, and Risks
Hogue, C. W. J., Creswell, L. L., Gutterman, D. D., & Fleisher, L. A. (2005) · CHEST Journal · doi:10.1378/chest.128.2_suppl.9s · Cited by 249 · see citing works
Treatment of Depression After Coronary Artery Bypass Surgery: A Randomized Controlled Trial
Freedland, K. E., Skala, J. A., Carney, R. M., Rubin, E. H., Lustman, P. J., Dávila-Román, V. G., Steinmeyer, B. C., & Hogue, C. W. (2009) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2009.7 · Cited by 228 · see citing works
Anxiety and depression as risk factors for mortality after coronary artery bypass surgery
Tully, P. J., Baker, R. A., & Knight, J. L. (2008) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2007.09.007 · Cited by 211 · see citing works
Self-citationBradley, D. P., Creswell, L. L., Hogue, C. W. J., Epstein, A. E., Prystowsky, E. N., & Daoud, E. G. (2005) · CHEST Journal · doi:10.1378/chest.128.2_suppl.39s · Cited by 201 · see citing works
Tully, P. J., Zajac, I. T., & Venning, A. J. (2009) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-009-9306-4 · Cited by 177 · see citing works
Self-citationThe role of depression and anxiety symptoms in hospital readmissions after cardiac surgery
Tully, P. J., Baker, R. A., Turnbull, D. A., & Winefield, H. R. (2008) · Journal of Behavioral Medicine · doi:10.1007/s10865-008-9153-8 · Cited by 167 · see citing works
Acute emotional stress and cardiac arrhythmias
Ziegelstein, R. C. (2007) · JAMA · doi:10.1001/jama.298.3.324 · Cited by 146 · see citing works
Depressive symptoms predict recurrence of atrial fibrillation after cardioversion
Lange, H. W., & Herrmann‐Lingen, C. (2007) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2007.07.010 · Cited by 128 · see citing works
Hansson, A., Härdig, B. M., & Olsson, S. B. (2004) · BMC Cardiovascular Disorders · doi:10.1186/1471-2261-4-13 · Cited by 128 · see citing works
Psychosocial factors in heart surgery: Presurgical vulnerability and postsurgical recovery.
Contrada, R. J., Boulifard, D. A., Hekler, E. B., Idler, E. L., Spruill, T. M., Labouvie, E. W., & Krause, T. J. (2008) · Health Psychology · doi:10.1037/0278-6133.27.3.309 · Cited by 117 · see citing works
Depression and Cardiac Morbidity 5 Years After Coronary Artery Bypass Surgery
Borowicz, L. M., Royall, R. M., Grega, M. A., Selnes, O. A., Lyketsos, C. G., & McKhann, G. M. (2002) · Psychosomatics · doi:10.1176/appi.psy.43.6.464 · Cited by 113 · see citing works
Lewin, R., Coulton, S., Frizelle, D., Kaye, G., & Cox, H. (2007) · Heart · doi:10.1136/hrt.2007.129890 · Cited by 110 · see citing works
Mariscalco, G., Lorusso, R., Klersy, C., Ferrarese, S., Tozzi, M., Vanoli, D., Domenico, B. V., & Sala, A. (2007) · The Annals of Thoracic Surgery · doi:10.1016/j.athoracsur.2007.05.021 · Cited by 97 · see citing works
Lie, I., Arnesen, H., Sandvik, L., Hamilton, G., & H. Bunch, E. (2007) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2006.11.010 · Cited by 94 · see citing works
Chandy, J., Nakai, T., Lee, R. J., Bellows, W. H., Dzankic, S., & Leung, J. M. (2004) · Anesthesia & Analgesia · doi:10.1213/01.ane.0000096195.47734.2f · Cited by 94 · see citing works
Girerd, N., Pîbarot, P., Fournier, P., Daleau, P., Voisine, P., O’Hara, G. E., Després, J., & Mathieu, P. (2009) · European Heart Journal · doi:10.1093/eurheartj/ehp091 · Cited by 85 · see citing works
Sørlie, T., Busund, R., Sexton, J. A., Sexton, H., & Sørlie, D. G. (2006) · Patient Education and Counseling · doi:10.1016/j.pec.2006.07.006 · Cited by 82 · see citing works
Psychological Correlates of Quality of Life in Atrial Fibrillation
Ong, L., Cribbie, R. A., Harris, L., Dorian, P., Newman, D., Mangat, I., Nolan, R. P., & Irvine, J. (2006) · Quality of Life Research · doi:10.1007/s11136-006-0029-5 · Cited by 77 · see citing works
Clinical Psychology and Heart Disease
Molinari, E., Parati, G., & Compare, A. (2006) · Springer eBooks · doi:10.1007/978-88-470-0378-1 · Cited by 76 · see citing works
Understanding atrial symptom reports: objective versus subjective predictors
SEARS, S. F., SERBER, E. R., ALVAREZ, L. G., SCHWARTZMAN, D. S., HOYT, R. H., & UJHELYI, M. R. (2005) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2005.00171.x · Cited by 70 · see citing works
Sezai, A., Hata, M., Niino, T., Kasamaki, Y., Nakai, T., Hirayama, A., & Minami, K. (2009) · Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2008.10.003 · Cited by 63 · see citing works
Krantz, D. S., Arabian, J. M., Davia, J. E., & Parker, J. S. (1982) · Psychosomatic Medicine · doi:10.1097/00006842-198207000-00005 · Cited by 59 · see citing works
Orth‐Gomér, K., Albus, C., Bagés, N., DeBacker, G., Deter, H., Herrmann‐Lingen, C., Oldenburg, B. F., Sans, S., Williams, R. B., & Schneiderman, N. (2005) · International Journal of Behavioral Medicine · doi:10.1207/s15327558ijbm1203_2 · Cited by 48 · see citing works
Aytemir, K., Aksöyek, S., Ozer, N., Aşlamacı, S., & Oto, A. (1999) · International Journal of Cardiology · doi:10.1016/s0167-5273(99)00005-4 · Cited by 43 · see citing works
Ku, S.-L., Ku, C., & Ma, F.-C. (2002) · Heart & Lung · doi:10.1067/mhl.2002.122820 · Cited by 43 · see citing works
P-Wave Dispersion in Panic Disorder
Yavuzkır, M., Atmaca, M., Dağlı, N., Balın, M., Karaca, I., Mermi, O., Tezcan, E., & Aslan, I. N. (2007) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3180616900 · Cited by 41 · see citing works
Suzuki, S.-I., & Kasanuki, H. (2004) · International Journal of Behavioral Medicine · doi:10.1207/s15327558ijbm1102_6 · Cited by 37 · see citing works
Hakala, T. (2002) · European Journal of Cardio-Thoracic Surgery · doi:10.1016/s1010-7940(02)00565-1 · Cited by 37 · see citing works
Rosenbloom, J. I., Wellenius, G. A., Mukamal, K. J., & Mittleman, M. A. (2009) · American Heart Journal · doi:10.1016/j.ahj.2009.08.019 · Cited by 33 · see citing works
Dunkel, A., Kendel, F., Lehmkuhl, E., Babitsch, B., Oertelt-Prigione, S., Hetzer, R., & Regitz-Zagrosek, V. (2009) · Clinical Research in Cardiology · doi:10.1007/s00392-009-0050-0 · Cited by 28 · see citing works
Atrial arrhythmias after cardiac surgery in patients with diabetes mellitus
Jung, W., Meyerfeldt, U., & Birkemeyer, R. (2006) · Clinical Research in Cardiology · doi:10.1007/s00392-006-1120-1 · Cited by 15 · see citing works
Psychiatric symptoms, type A behavior, and arrhythmias following coronary bypass
Freeman, A. M., Fleece, L., Folks, D. G., Cohen‐Cole, S. A., & Waldo, A. L. (1984) · Psychosomatics · doi:10.1016/s0033-3182(84)72993-8 · Cited by 12 · see citing works
Moser, D. K., & Jong, M. J. D. (2006) · Springer eBooks · doi:10.1007/978-88-470-0378-1_9 · Cited by 9 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Biological Activities of Essential Oils: From Plant Chemoecology to Traditional Healing Systems
Sharifi-Rad, J., Sureda, A., Tenore, G., Daglia, M., Sharifi-Rad, M., Valussi, M., Tundis, R., Sharifi-Rad, M., Loizzo, M., Ademiluyi, A., et al. (2017) · Molecules · doi:10.3390/molecules22010070 · Cited by 889 · see citing works
“On the second and third days after surgery, the mental stress levels in the aromatherapy and control groups was measured before and 60 min after aromatherapy using the DASS-21 questionnaire [195].”
MethodTully, P. J., & Robert, A. B. (2012) · 老年心脏病学杂志：英文版 · doi:10.3724/sp.j.1263.2011.12221 · Cited by 298 · see citing works
Pinto, A. C. S. N., Faiz, O. D., Davis, R. E., Almoudaris, A. M., & Vincent, C. A. (2016) · BMJ Open · doi:10.1136/bmjopen-2014-007224 · Cited by 235 · see citing works
Anxiety and cardiovascular disease risk: a review
Tully, P. J., Harrison, N. J., Cheung, P., & Cosh, S. (2016) · Current Cardiology Reports · doi:10.1007/s11886-016-0800-3 · Cited by 211 · see citing works
Self-citationBikmoradi, A., Seifi, Z., Poorolajal, J., Araghchian, M., Safiaryan, R., & Oshvandi, K. (2014) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2014.12.001 · Cited by 145 · see citing works
Patel, D., Mc Conkey, N. D., Sohaney, R., Mc Neil, A., Jedrzejczyk, A., & Armaganijan, L. (2013) · Cardiovascular Psychiatry and Neurology · doi:10.1155/2013/159850 · Cited by 124 · see citing works
Kalogianni, A., Almpani, P., Vastardis, L., Baltopoulos, G. I., Charitos, C., & Brokalaki, H. (2015) · European Journal of Cardiovascular Nursing · doi:10.1177/1474515115602678 · Cited by 117 · see citing works
Rosenfeldt, F., Braun, L. A., Spitzer, O., Bradley, S. J., Shepherd, J., Bailey, M., van der Merwe, J., Leong, J. Y., & Esmore, D. (2011) · BMC Complementary and Alternative Medicine · doi:10.1186/1472-6882-11-20 · Cited by 95 · see citing works
“al found that postoperative but not preoperative anxiety was associated with an increased rate of postoperative AF [44].”
BackgroundDepression and Risk of Sudden Cardiac Death and Arrhythmias: A Meta-Analysis
Shi, S., Liu, T., Liang, J., Hu, D., & Yang, B. (2016) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000382 · Cited by 87 · see citing works
“In the AF analysis, 2 studies (26,28) focused on new-onset AF (n = 40,972), and 3 studies (25,27,29) reported AF recurrence (n = 275).”
BackgroundTriggers for Atrial Fibrillation: The Role of Anxiety
Severino, P., Mariani, M. V., Maraone, A., Piro, A., Ceccacci, A., Tarsitani, L., Maestrini, V., Mancone, M., Lavalle, C., Pasquini, M., et al. (2019) · Cardiology Research and Practice · doi:10.1155/2019/1208505 · Cited by 86 · see citing works
“Increased sympathetic tone, lessened vagal tone, and the cardinal symptoms of anxiety could be major provocative factors of postoperative AF acting as trigger and modulating the autonomic nervous system [24, 40].”
BackgroundSeifi, Z., Beikmoradi, A., Oshvandi, K., Poorolajal, J., Araghchian, M., & Safiaryan, R. (2014) · PubMed Central · Cited by 82 · see citing works
Psychopathology and Symptoms of Atrial Fibrillation: Implications for Therapy
Gehi, A. K., Sears, S. F., GOLI, N. M., Walker, J., Chung, E. H., Schwartz, J., Wood, K., Guise, K. D., & Mounsey, J. P. (2012) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2011.02264.x · Cited by 82 · see citing works
Young, Q., Nguyen, M., Roth, S., Broadberry, A., & Mackay, M. (2014) · European Journal of Cardiovascular Nursing · doi:10.1177/1474515114548649 · Cited by 79 · see citing works
Negative Affect and Risk of Atrial Fibrillation: MESA
Garg, P., O'Neal, W. T., Diez-Roux, A., Alonso, Á., Soliman, E., & Heckbert, S. (2018) · Journal of the American Heart Association : Cardiovascular and Cerebrovascular Disease · doi:10.1161/jaha.118.010603 · Cited by 60 · see citing works
“High school or less 400 (30) 614 (31) 538 (37) 451 (43) 410 (48)”
Prevalence of Depression in Coronary Artery Bypass Surgery: A Systematic Review and Meta-Analysis
Correa-Rodríguez, M., Ejheisheh, M. A., Suleiman-Martos, N., Membrive-Jiménez, M. J., Velando-Soriano, A., Schmidt-Riovalle, J., & Gómez-Urquiza, J. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9040909 · Cited by 55 · see citing works
“The majority of authors observed a positive impact on depression prevalence and levels after surgery, as well as in the short and medium term, although others found that these levels increased after surgery [28,32,33,48,49,55,57,89].”
BackgroundIn-hospital stress and patient outcomes: A systematic review and meta-analysis
Ford, D. M., Budworth, L., Lawton, R., Teale, E. A., & O'Connor, D. B. (2023) · PLoS ONE · doi:10.1371/journal.pone.0282789 · Cited by 60 · see citing works
Ramesh, C., Nayak, B. S., Pai, V. B., George, A., George, L. S., & Devi, E. S. (2017) · International Journal of Africa Nursing Sciences · doi:10.1016/j.ijans.2017.06.003 · Cited by 59 · see citing works
Fenger‐Grøn, M., Vestergaard, M., Pedersen, H. S., Frost, L., Parner, E. T., Ribe, A. R., & Davydow, D. S. (2018) · European Journal of Preventive Cardiology · doi:10.1177/2047487318811184 · Cited by 55 · see citing works
Psychological Depression and Cardiac Surgery: A Comprehensive Review
Tully, P. J. (2012) · Journal of ExtraCorporeal Technology · doi:10.1051/ject/201244224 · Cited by 50 · see citing works
Abbaszadeh, Y., Allahbakhshian, A., Seyedrasooli, A., Sarbakhsh, P., Goljaryan, S., & Safaei, N. (2018) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2018.02.018 · Cited by 48 · see citing works
Liu, X., Qu, C., Yang, H., Shi, S., Zhang, C., Zhang, Y., Liang, J., & Yang, B. (2018) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00607.2017 · Cited by 42 · see citing works
Association of Quality of Life, Anxiety, and Depression with Left Atrial Ablation Outcomes
Efremidis, M., Letsas, Κ. P., Lioni, L., Γιαννόπουλος, Γ., Korantzopoulos, P. G., Vlachos, K. G., Dimopoulos, N. P., Karlis, D., Bouras, G., Sideris, A., et al. (2014) · Pacing and Clinical Electrophysiology · doi:10.1111/pace.12420 · Cited by 42 · see citing works
Kadoi, Y., Kawauchi, C., Ide, M., Kuroda, M., Takahashi, K., Saito, S., Fujita, N., & Mizutani, A. (2010) · Journal of Anesthesia · doi:10.1007/s00540-010-1072-5 · Cited by 41 · see citing works
“[18] demonstrated the relationship between preoperative depression and the occurrence of atrial fibrillation after cardiac surgery.”
BackgroundLong-term risk of atrial fibrillation after the death of a partner
Graff, S., Fenger‐Grøn, M., Christensen, B., Pedersen, H., Christensen, J., Li, J., & Vestergaard, M. (2016) · Open Heart · doi:10.1136/openhrt-2015-000367 · Cited by 39 · see citing works
Zhuo, C., Ji, F., Lin, X., Jiang, D., Wang, L., Tian, H., Xu, Y. J., Liu, S., & Chen, C. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.03.118 · Cited by 36 · see citing works
Bowyer, J., Tully, P. J., Ganesan, A. N., Chahadi, F. K., Singleton, C. B., & McGavigan, A. D. (2016) · Heart Lung and Circulation · doi:10.1016/j.hlc.2016.04.024 · Cited by 37 · see citing works
“In addition to increased risk of stroke and death[8,9], atrial fibrillation is characterised by a myriad of symptoms including shortness of breath, fatigue, chest pain, palpitations and dizziness which are associated with impaired quality of life (QOL), anxiety and depression[10–14], which in turn adversely impact on…”
BackgroundAt the heart of the matter: how mental stress and negative emotions affect atrial fibrillation
Leo, D. G., Ozdemir, H., Lane, D. A., Lip, G. Y. H., Keller, S. S., & Proietti, R. (2023) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2023.1171647 · Cited by 31 · see citing works
“Stress reduction is a complex topic that needs to consider societal demands (such as number of working hours (31) or unemployment related stress (32), emotion-driven reactions (35) and the individual level of stress and mental health (17).”
BackgroundRelationship between psychological factors and atrial fibrillation
Fu, Y., He, W., Ma, J., & Wei, B. (2020) · Medicine · doi:10.1097/md.0000000000019615 · Cited by 28 · see citing works
“In addition, depressive symptoms may predict recurrent AF after cardioversion([32]) or postoperative AF.([33]) A prior meta-analysis has indicated that depression is associated with increased risks of sudden cardiac death, ventricular tachycardia/ventricular fibrillation, and AF recurrence, but not incident AF.”
InfluentialLi, T., Sun, Z., & Xie, Q. (2015) · American Journal of Therapeutics · doi:10.1097/mjt.0000000000000255 · Cited by 28 · see citing works
“POAF risk significantly increases with age, increased complexity of cardiac surgical procedure, ischemia, atrial distension, and structural heart disease.(7,8) Apart from these risk factors, inflammation plays a major role in the pathogenesis of POAF.”
BackgroundAnxiolytic medication is an independent risk factor for 30-day morbidity or mortality after surgery
Ward, N., Roth, J. S., Lester, C., Mutiso, L. A., Lommel, K. M., & Davenport, D. L. (2015) · Surgery · doi:10.1016/j.surg.2015.03.050 · Cited by 26 · see citing works
Relationship Between Psychosocial Stressors and Atrial Fibrillation in Women >45 Years of Age
Westcott, S. K., Beach, L. Y., Matsushita, F., Albert, C. M., Chatterjee, N. A., Wong, J. A., Williams, D. R., Moorthy, M. V., Buring, J. E., & Albert, M. A. (2018) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2018.07.044 · Cited by 26 · see citing works
Du, H., Yang, L., Hu, Z., & Zhang, H. (2022) · Clinical Cardiology · doi:10.1002/clc.23753 · Cited by 25 · see citing works
“Previous studies also found that anxiety was independently associated with increased risks of early AF recurrence after cardioversion,(30) as well as AF incidence after cardiac surgery.(31) These findings, together with the findings from our meta‐analysis, may suggest that anxiety is a potential trigger of AF incidenc…”
BackgroundTully, P., Newland, R., & Baker, R. (2015) · Australian Critical Care · doi:10.1016/j.aucc.2014.04.006 · Cited by 24 · see citing works
Bedeutung von psychosozialen Faktoren in der Kardiologie – Update 2024
Kindermann, I., Köllner, V., Albus, C., Boer, J., Dannberg, G., Fritzsche, K., Gunold, H., Herrmann‐Lingen, C., Leithäuser, B., Meesmann, M., et al. (2024) · Die Kardiologie · doi:10.1007/s12181-024-00708-6 · Cited by 26 · see citing works
Nia, H. S., Nazari, R., Hajihosseini, F., Froelicher, E. S., Osborne, J. W., Taebbi, S., & Nowrozi, P. (2025) · BMC Psychology · doi:10.1186/s40359-025-02743-8 · Cited by 20 · see citing works
Embracement and anxiety symptoms in patients before cardiac surgery
de Assis, C. C., Lopes, J. D. L., Nogueira-Martins, L. A., & de Barros, A. L. B. L. (2014) · Revista Brasileira de Enfermagem · doi:10.5935/0034-7167.20140053 · Cited by 17 · see citing works
“Frente a isso, a ansiedade merece a devida atenção da equipe de saúde, pois pode influenciar na resposta do paciente ao tratamento e causar efeitos negativos em sua recuperação pós-operatória(5-6).”
BackgroundXu, F., Yin, J., Xiong, E., He, H., Zhang, Q., Fan, S., Qin, X., & Wang, S. (2019) · Disease Markers · doi:10.1155/2019/1761693 · Cited by 15 · see citing works
“In addition, a high level of preoperative anxiety has been reported as one of the risk factors for prognosis [9, 10] resulting in postoperative nausea and vomiting (PONV) and patient dissatisfaction [11, 12].”
BackgroundYang, H.-Y., Huang, J.-H., Lin, Y., Hsu, C., Chen, S., & Chen, Y. (2014) · Europe PMC (PubMed Central) · Cited by 14 · see citing works
Umer, H., Negash, A., Birkie, M., & Belete, A. (2019) · International Journal of Mental Health Systems · doi:10.1186/s13033-019-0269-8 · Cited by 14 · see citing works
Leivaditis, V., Sepetis, A., Mulita, F., Mitsos, S., Baikoussis, N., Koletsis, E., Assimakopoulos, S., Maniatopoulos, A., Liolis, E., Nikolakopoulos, K., et al. (2025) · Healthcare · doi:10.3390/healthcare13222957 · Cited by 16 · see citing works
“Postoperative symptoms such as depression and anxiety increase the risk of postoperative complications (e.g., atrial fibrillation) following cardiac surgery [66].”
Autonomic Neural Circuit and Intervention for Comorbidity Anxiety and Cardiovascular Disease
Chen, X., Xu, L., & Li, Z. (2022) · Frontiers in Physiology · doi:10.3389/fphys.2022.852891 · Cited by 11 · see citing works
“Furthermore, it was found that after cardiac surgery, anxiety symptoms can increase the occurrence of AF, whereas the correlation between AF and anxiety could be reduced through beta-blockers (Tully et al., 2011; Tarsitani et al., 2012).”
BackgroundEffects of midazolam co-induction to general anesthesia: A randomized clinical trial
Mihalj, M., Karlović, Z., Vladić-Spaić, D., Matić, B., Mikulić, I., Mikulić, V., & Golubović, V. (2022) · Medicine · doi:10.1097/md.0000000000031400 · Cited by 7 · see citing works
“[32] High levels of postoperative anxiety are shown to be correlated with the occurrence of atrial fibrillation after heart surgery[33] as well as the intensity of postoperative pain.”
BackgroundManagement of anxiety and depression in post coronary artery bypass graft surgery
Jannati, M., & Aslani, A. (2023) · Journal of Mind and Medical Sciences · doi:10.22543/2392-7674.1360 · Cited by 10 · see citing works
“35 high rates of depression in those patients (ranging from 27% to 61%) that is substantially higher than other patients [13-15].”
Anxiolytic Use in the Postoperative Care Unit
Jellish, W. S., & O’Rourke, M. J. (2012) · Anesthesiology Clinics · doi:10.1016/j.anclin.2012.07.006 · Cited by 10 · see citing works
Kim, H., Jeong, W., Kim, S. H., Seo, J. H., Ryu, J. S., Kim, Y.-S., Seok, J., Jang, S., & Park, E. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-03689-6 · Cited by 9 · see citing works
“Several studies have revealed that anxiety after cardiac intervention or surgery is associated with an elevated risk of arrhythmia [24, 25].”
BackgroundThe Role of Major Biomarkers of Stress in Atrial Fibrillation: A Literature Review
Rafaqat, S., Rafaqat, S., & Rafaqat, S. (2023) · Journal of Innovations in Cardiac Rhythm Management · doi:10.19102/icrm.2023.14025 · Cited by 7 · see citing works
The Patterns of Graded Psychological Nursing Care for Patients after Cardiothoracic Surgeries.
Sun, H., Liu, H., Li, J., & Wang, X. (2017) · PubMed Central · Cited by 7 · see citing works
van Breugel, H. N. A. M., Parise, O., Nieman, F. H. M., Accord, R. E., Lucà, F., Lozekoot, P. W. J., Kumar, N., van Mastrigt, G. A. P. G., Nijs, J., Vrakking, R., et al. (2016) · Journal of Cardiothoracic Surgery · doi:10.1186/s13019-016-0459-2 · Cited by 7 · see citing works
“Furthermore, symptoms of depression and anxiety have been shown to be strong predictor of worsened quality of life [15, 16] and worsened outcomes [17–20] in patients with AF.”
Anxiety and Depression as Predictors of Cardiovascular Outcomes After Cardiac Surgery
Tully, P. J., & Székely, A. D. (2013) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2013.01.001 · Cited by 7 · see citing works
Ran, Q., Zhang, C., Wan, W., Ye, T., Zou, Y., Liu, Z., Yu, Y., Zhang, J., Shen, B., & Yang, B. (2022) · Frontiers in Pharmacology · doi:10.3389/fphar.2022.1004888 · Cited by 6 · see citing works
“Pervious researches have demonstrated that AD increased the incidence of postoperative AF and affected the symptom severity and treatment success rate of AF (Tully et al., 2011; Thompson et al., 2013).”
BackgroundDoulatyari, P. K., Gholami, M., Toulabi, T., Birjandi, M., & Abdi, A. (2019) · Sexuality and Disability · doi:10.1007/s11195-019-09578-3 · Cited by 6 · see citing works
Yıldırım, M., Akbal, S., & Turkoglu, M. (2023) · Applied Nursing Research · doi:10.1016/j.apnr.2023.151687 · Cited by 10 · see citing works
Salivary Amylase as a Stress Biomarker
Robert, T., Dehoux, M., Longrois, D., & Guglielminotti, J. R. (2014) · Springer eBooks · doi:10.1007/978-94-007-7740-8_31-1 · Cited by 6 · see citing works
Untreated preoperative depression is not associated with postoperative arrhythmias in CABG patients
Katznelson, R., Beattie, W. S., Djaiani, G. N., Machina, M. A., Lavi, R., Rao, V., & Lavi, S. (2013) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/s12630-013-0051-3 · Cited by 5 · see citing works
Anxiety and psychological management of heart disease and heart surgery
Riordan, P., & Davis, M. (2021) · Handbook of clinical neurology · doi:10.1016/b978-0-12-819814-8.00026-3 · Cited by 5 · see citing works
Rush, K. L., Hatt, L., Shay, M., Gorman, N., Laberge, C. G., Reid, R. C., & Wilson, R. E. (2015) · Journal of Applied Gerontology · doi:10.1177/0733464815608495 · Cited by 5 · see citing works
“Numerous studies have described psychological distress in patients with AF reporting increased anxiety, depression, and somatic symptoms (Gehi et al., 2012; McCabe, 2010; Tully et al., 2011).”
BackgroundSpindler, H., Thorup, C. B., Nøhr, D., & Andreasen, J. J. (2023) · Journal of Clinical Nursing · doi:10.1111/jocn.16818 · Cited by 4 · see citing works
Li, Y., Lin, Y., & Yan, L. (2025) · PLoS ONE · doi:10.1371/journal.pone.0319639 · Cited by 4 · see citing works
Well-being, ill-being and symptoms of atrial fibrillation
Gostoli, S., Rafanelli, C., Offidani, E., Marchetti, G., Roncuzzi, R., & Urbinati, S. (2013) · Journal of Cardiovascular Medicine · doi:10.2459/jcm.0b013e3283629c6b · Cited by 4 · see citing works
Occupational Therapy in the Intensive Care Unit
Brummel, N., Álvarez, E., Esbrook, C. L., Mart, M., Garrido, M. A., & Tobar, E. (2020) · Occupational Therapy for Older People · doi:10.33015/dominican.edu/2017.ot.02 · Cited by 2 · see citing works
Gebhardt, P., Caldarone, F., Westhoff-Bleck, M., Olsson, K. M., Hoeper, M. M., Park, D.-H., Stapel, B., Breitner, M. H., Werth, O., Heitland, I., et al. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.812807 · Cited by 3 · see citing works
Anxiety and atrial fibrillation: an interesting bidirectional association.
Alqaqa, A. (2017) · doi:10.35841/cardiology.1.1.15-18 · Cited by 3 · see citing works
“In sum, increased sympathetic tone, lessened vagal tone, and the cardinal symptoms of anxiety, could be major provocative factors of postoperative AF [15].”
BackgroundSamaritaki, E., Tsiligianni, I., Basta, M., Alegakis, A. K., Vlassiadis, K., & Lazopoulos, G. (2022) · European Journal of Cardiovascular Nursing · doi:10.1093/eurjcn/zvac024 · Cited by 3 · see citing works
Piazza, J., Heering, L. K., Peters, S. L., White, M., Baker, M. K., Baello, C., Schwenzer, C., & Deeb, G. M. (2022) · The Journal of Child Life Psychosocial Theory and Practice · doi:10.55591/001c.38502 · Cited by 3 · see citing works
Salivary Amylase as a Preoperative Marker of Anxiety in Perioperative Medicine
Robert, T., Dehoux, M., Longrois, D., & Guglielminotti, J. R. (2015) · Biomarkers in disease · doi:10.1007/978-94-007-7696-8_31 · Cited by 3 · see citing works
Case 9-2019: A 62-Year-Old Man with Atrial Fibrillation, Depression, and Worsening Anxiety
Chen, J. A., Ptaszek, L. M., Celano, C. M., & Beach, S. R. (2019) · New England Journal of Medicine · doi:10.1056/nejmcpc1900140 · Cited by 3 · see citing works
Perception of atrial fibrillation in dependence of neuroticism
Kranert, M., Benz, A., Shchetynska‐Marinova, T., Hetjens, S., Liebe, V., Rosenkaimer, S., Doesch, C., Akın, İ., Borggrefe, M. M., & Hohneck, A. L. (2020) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2020.110225 · Cited by 3 · see citing works
Al-Hawamdeh, К. М., Vitomskyi, V. ., Vitomska, M. V., & Gavreliuk, S. V. (2021) · Art of Medicine · doi:10.21802/artm.2020.4.16.13 · Cited by 3 · see citing works
Miao, H., Liu, Q., Wang, N., Liu, Y., Chen, C., Wang, H., Huang, H., Wu, W.-F., Lin, J.-T., Qiu, Y., et al. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2022.783931 · Cited by 3 · see citing works
“Postoperative anxiety was also associated with the incidence of postoperative atrial fibrillation in patients undergoing coronary artery bypass grafting (44).”
BackgroundLearning What I Need to Know: Experiences of Rural Cardiac Surgery Patients
Scheckel, M. M., Hedrick-Erickson, J., & Stieve, D. E. (2020) · Online Journal of Rural Nursing and Health Care · doi:10.14574/ojrnhc.v20i1.605 · Cited by 3 · see citing works
“Numerous studies support variations of the psychosocial impact of cardiac surgery, such as depression (Hwang et al., 2015), anxiety (Tully et al., 2011), and quality of life (Perrotti et al., 2019).”
BackgroundLeigh, E. S. (2014) · UCL Discovery (University College London) · Cited by 3 · see citing works
Psychiatric Aspects of Cardiothoracic Surgery
Piddoubny, W., & Caro, M. (2018) · Perioperative Psychiatry · doi:10.1007/978-3-319-99774-2_8 · Cited by 1 · see citing works
Koerich, C., Lanzoni, G. M. D. M., Higashi, G. D. C., Erdmann, A. L., Meirelles, B. H. S., & Baggio, M. A. (2017) · Revista Eletrônica de Enfermagem · doi:10.5216/ree.v19.42870 · Cited by 2 · see citing works
Kalogianni, A., Georgiadis, G., Katselou, O., Καδδά, Ό., Sotiropoulou, A., & Argiriou, M. (2019) · Health & Research Journal · doi:10.12681/healthresj.19643 · Cited by 2 · see citing works
Quality of life in patients with atrial fibrillation
Taheri, L., Poorgholami, F., Zare, A., & Jahromi, M. K. (2020) · Nursing Critical Care · doi:10.1097/01.ccn.0000694088.53640.53 · Cited by 1 · see citing works
Allgemeine Aspekte in präoperativen – intraoperativen – postoperativen Abschnitten
Kapfhammer, H. (2023) · Springer eBooks · doi:10.1007/978-3-662-68309-5_2 · Cited by 1 · see citing works
Kolba, N. K., Lee, B. H., Tannous, H., Bilfinger, T. V., & Shroyer, A. L. (2022) · Journal of Clinical and Translational Science · doi:10.1017/cts.2022.493 · Cited by 1 · see citing works
“In Australia, Tully et al [8] studied 226 CABG patients.”
BackgroundLeft atrial function index and left atrial electromechanical functions in anxiety disorders
Öztürk, H. M., Erdoğan, M., Turan, Y., Çelik, İ. E., & Öztürk, S. (2024) · Acta cardiologica. Supplementum · doi:10.1080/00015385.2024.2336345 · Cited by 1 · see citing works
Depression and Risk of Sudden Cardiac Death and Arrhythmias: A Systematic Review and Meta-Analysis
You, Y., Shi, Y., Yu, Q., Rao, X., Tong, X., Tang, T., Hu, S., Zhang, S., Zhang, X., Wang, H., et al. (2025) · Reviews in Cardiovascular Medicine · doi:10.31083/rcm36520 · Cited by 1 · see citing works
Boogar, I. R., Besharat, & Darabian, M. (2012) · Journal of Advances in Medical and Biomedical Research · Cited by 1 · see citing works
Non-Verbal Approach to Screening Diagnostics of Depression and Anxiety
Guekht, A. B., Polunina, A. G., Sidnyaeva, E., Гудкова, А. А., & Golukhova, E. Z. (2013) · Research in Neurology An International Journal · doi:10.5171/2013.791259 · Cited by 1 · see citing works
Das Fünf-Komponenten-Modell zur Steigerung der Patientensicherheit in Hochrisiko-Umgebungen
Schilling, T., & Jayaram, S. (2022) · Springer eBooks · doi:10.1007/978-3-658-37143-2_20 · Cited by 1 · see citing works
Santana, P. R. C. (2019) · doi:10.6035/14103.2019.430142 · Cited by 1 · see citing works
Drug Treatment of Psychiatric Symptoms Occurring in the Context of Other Disorders
(2021) · Wiley eBooks · doi:10.1002/9781119870203.mpg010 · Cited by 1 · see citing works
Anxiety and the Effects on Cardiovascular Disease
Tully, P. J., & Baune, B. T. (2016) · Springer eBooks · doi:10.1007/978-3-319-32480-7_5
Katznelson, R., Beattie, S., Djaiani, N., Machina, M. A., & Lavi, S. (2014)
Gholamzadeh, S., Rambod, M., & Pasyar, N. (2020) · Qom Univ Med Sci J · doi:10.29252/qums.14.8.50
Клинические факторы формирования отношения к болезни у пациентов с фибрилляцией предсердий
Алёхин, А., Чумакова, И. О., Трифонова, Е. А., Лебедев, Д., & Михайлов, Е. (2011) · Психологические исследования · doi:10.54359/ps.v4i19.818
Liu, H., Yan, H., Chen, M., Chen, M., Fox, C. J., & Kaye, A. D. (2014) · Springer eBooks · doi:10.1007/978-1-4614-8948-1_38
Kapfhammer, H. (2023) · Springer eBooks · doi:10.1007/978-3-662-68309-5_4
Samushiya, M. A., Al-Shukri, A. S., Baranov, I. I., Ekusheva, E. V., Livzan, M. A., Nenasheva, N. M., Tabeeva, G. R., Тамразова, О. Б., Tarasov, A. V., & Чернова, А. А. (2025) · S S Korsakov Journal of Neurology and Psychiatry · doi:10.17116/jnevro202512501162
Prevalence of Anxiety and Its Impact on Hemodynamic Parameters in Patients Undergoing Kidney BiopsyPreprint
Chienwichai, K., Jiwakanon, S., Chaiviriyawong, K., Wattanakul, J., Sungworawongpana, T., Sangkaew, S., Chang, A., Mongkolrattanakul, P., & Pakdeejit, S. (2025) · Research Square · doi:10.21203/rs.3.rs-5963719/v1
Chienwichai, K., Jiwakanon, S., Chaiviriyawong, K., Wattanakul, J., Sungworawongpana, T., Sangkaew, S., Chang, A., Mongkolrattanakul, P., & Pakdeejit, S. (2026) · Journal of Clinical Medicine · doi:10.3390/jcm15020544
“In the context of a kidney biopsy, anxiety may affect not only psychological well-being but also physiological responses, such as elevated blood pressure and heart rate [6–8], which are known to increase the risk of post-biopsy complications [9].”
Fattahi, A., Arefi, M., & Kakabraee, K. (2026) · Middle East Journal of Rehabilitation and Health Studies · doi:10.5812/mejrh-168153
- Authors
- Tully, P. J., Bennetts, J. S., Baker, R. A., McGavigan, A. D., Turnbull, D. A., & Winefield, H. R.
- Affiliations
- Flinders University (AU)
- Flinders Medical Centre (AU)
- The University of Adelaide (AU)
- Corresponding author
- Baker, Robert A.
- ORCID
- Venue
- Heart & Lung
- Publisher
- Elsevier BV
- Published
- 2011-01
- Volume
- 40
- Issue
- 1
- Pages
- 4-11
- ISSN
- 0147-9563 (ISSN-L)
- OpenAlex
- W2037230633
- Cited by
- 96
- References
- 44
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 2 · 2023: 8 · 2022: 11 · 2021: 3 · 2020: 7 · 2019: 7 · 2018: 6 · 2017: 6 · 2016: 7 · 2015: 5 · 2014: 12 · 2013: 5 · 2012: 5
- FWCI
- 2.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Heart & Lung (publishedVersion)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Figshare (submittedVersion)
- RUNE (Research UNE) (submittedVersion)
- Funders
- Australian Postgraduate Award
- Sir Robert Menzies Memorial Research Scholarship
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- atrial fibrillation, cardiac surgery, postoperative anxiety, depression, stress, psychological risk factors, somatic anxiety, age as risk factor, length of hospital stay, cardiac rehabilitation
- MeSH terms
- Adaptation, Psychological, Aged, Anxiety, Coronary Artery Bypass, Atrial Fibrillation, Depression, Female, Health Status Indicators, Humans, Male, Middle Aged, Prospective Studies, Psychometrics, Risk Factors, South Australia, Stress, Psychological, Multivariate Analysis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
