Persistent emotional distress after a first-time myocardial infarction and its association to late cardiovascular and non-cardiovascular mortality
Abstract
Background Patients with symptoms of depression and/or anxiety - emotional distress - after a myocardial infarction (MI) have been shown to have worse prognosis and increased healthcare costs. However, whether specific subgroups of patients with emotional distress are more vulnerable is less well established. The purpose of this study was to identify the association between different patterns of emotional distress over time with late cardiovascular and non-cardiovascular mortality among first-MI patients aged Methods We utilized data on 57,602 consecutive patients with a first-time MI from the national SWEDEHEART registers. Emotional distress was assessed using the anxiety/depression dimension of the European Quality of Life Five Dimensions questionnaire two and 12 months after the MI, combined into persistent (emotional distress at both time-points), remittent (emotional distress at the first follow-up only), new (emotional distress at the second-follow up only) or no distress. Data on cardiovascular and non-cardiovascular mortality were obtained until the study end-time. We used multiple imputation to create complete datasets and adjusted Cox proportional hazards models to estimate hazard ratios. Results Patients with persistent emotional distress were more likely to die from cardiovascular (hazard ratio: 1.46, 95% confidence interval: 1.16, 1.84) and non-cardiovascular causes (hazard ratio: 1.54, 95% confidence interval: 1.30, 1.82) than those with no distress. Those with…
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Emotional distress post MI is a risk-factor for recurrent cardiac events and mortality.
“Emotional distress post MI is in turn a risk-factor for recurrent cardiac events and mortality (Lissåker et al., 2019; Meijer et al., 2011).”
From Management of emotional distress following a myocardial infarction: a qualitative content analysis (2023) · cites this paper as Lissåker et al., 2019
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“Dear Editor, We read with interest the article by Lissåker et al.1 on persistent emotional distress after myocardial infarction (MI) and its effects on mortality.”
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- Authors
- Lissåker, C. T., Norlund, F., Wallert, J., Held, C., & Olsson, E. M.
- Affiliations
- Uppsala University (SE)
- Department of Women’s and Children’s Health, Uppsala University, Sweden
- Venue
- European Journal of Preventive Cardiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2019-06-03
- Volume
- 26
- Issue
- 14
- Pages
- 1510-1518
- ISSN
- 2047-4873 (ISSN-L)
- 2047-4881
- OpenAlex
- W2948567413
- Cited by
- 37
- References
- 0
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 4 · 2023: 6 · 2022: 7 · 2021: 6 · 2020: 3 · 2019: 3
- FWCI
- 3.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Preventive Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Acute Myocardial Infarction Research
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- emotional distress, depression, anxiety, first myocardial infarction, cardiovascular mortality, non-cardiovascular mortality, older adults, prognosis, SWEDEHEART registry
- MeSH terms
- Psychological Distress, Aged, Cause of Death, Female, Humans, Male, Middle Aged, Myocardial Infarction, Prognosis, Registries, Risk Factors, Stress, Psychological, Sweden, Time Factors, Risk Assessment
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