Asociación entre evento coronario y factores de riesgo psicosociales: agotamiento vital, ansiedad e ira en una población de Argentina. Estudio de correlación entre factores de riesgo / [Association between acute coronary events and psychosocial risk factors: vital exhaustion, anxiety and anger in an Argentinian population. A correlation study between risks factors].

ABSTRACT

OBJECTIVE: To study the association between vital exhaustion, anxiety and anger with acute coronary event; second, determine whether they are associated with each other, and third, if the joint interaction of two or more factors increases the risk for coronary event. METHOD: We conducted a case-control study with 165 patients, both sexes, between 35 and 75 years, 90 patients with acute ischemic coronary event and 75 controls hospitalized with an acute event of non-ischemic cardiac causes. RESULTS: Statistically significant differences between the control group and the ischemic coronary group for vital exhaustion was found (OR = 3.0 (1.6-5.5) p < 0.001 (chi2)). Psychosocial risk factors are associated each with p < 0.001: anxiety and vital exhaustion (Spearman Rho = 0.58), anger and vital exhaustion (Spearman Rho = 0.41) and anxiety and anger (Spearman Rho = 0.38). The simultaneous presence of vital exhaustion and anxiety increases the probability of an acute ischemic coronary event (p < 0.01). CONCLUSIONS: In this study we found a significative association between vital exhaustion and acute ischemic coronary event, psychosocial risk factors are associated with each other and simultaneous presence of vital exhaustion and anxiety increases the probability of an acute ischemic coronary event.