El Agotamiento Vital se encuentra significativamente asociado con Eventos Coronarios Agudos en una población de Argentina / Vital Exhaustion is significantly linked to Acute Coronary Events in Argentine population

RESUMEN

Objetivo: Determinar la fuerza de la asociación entre el Agotamiento Vital y eventos isquémicos coronarios agudos en una muestra de pacientes argentinos internados. Método: Se midió el Agotamiento mediante el cuestionario de Maastricht en 180 pacientes de ambos sexos, 90 casos con un evento corona río agudo y 90 controles con un evento agudo cardíaco no-isquémico. Se compararon ambos grupos por edad, sexo, estado civil, y educación, Diabetes, Hipertensión Arterial, Tabaquismo, y Dislipemia. Resultados: El 63,33 por ciento, 57 de los casos estaban agotados, en cambio, el 36,66 por ciento, 33 controles estaban agotados (OR= 3.1 (1.7-5.8) p

ABSTRACT

Objective: To determine the strength of the association between the Vital exhaustion syndrome (VES) and acute coronary ischemic events in hospitalized Argentinean sample. Methods: VES was measured in 180 patients of both sexes, 90 admitted due to an acute coronary ischemic syndrome (AMI or unstable angina) and a control group of 90 admitted due to an acute non-coronary cardiac event VES was evaluated with the Maastricht questionnaire during the first week of hospitalization. Results: Dividing the sample in two categories: exhausted and non-exhausted, 57 (63,33 percent) of the coronary were exhausted, while among the non coronary group, 33 were exhausted (36, 66 percent)(OR=3.1 (1.7-5.8) p<.OO1. The exhaustion score was: control mean score: 17,1 (sd 8,96); case mean score: 21,1 (sd 10,60) p: 0.006. Dislipemia was another factor with a significant difference: control 27 (30 percent) case 44 (62 percent) OR= 2.2 (1.2-4.1) p=O.01. Logistic regression was performed, including an interaction model between DLP and exhaustion, and it did not show a significant effect. Conclusions: Our results indicate that in Argentina, among other countries as reported in the literature, VES is a psychological condition that is strongly and independent associated to acute coronary events.

ABSTRACT

Objective: To determine the strength of the association between the Vital exhaustion syndrome (VES) and acute coronary ischemic events in hospitalized Argentinean sample. Methods: VES was measured in 180 patients of both sexes, 90 admitted due to an acute coronary ischemic syndrome (AMI or unstable angina) and a control group of 90 admitted due to an acute non-coronary cardiac event VES was evaluated with the Maastricht questionnaire during the first week of hospitalization. Results: Dividing the sample in two categories: exhausted and non-exhausted, 57 (63,33 percent) of the coronary were exhausted, while among the non coronary group, 33 were exhausted (36, 66 percent)(OR=3.1 (1.7-5.8) p<.OO1. The exhaustion score was: control mean score: 17,1 (sd 8,96); case mean score: 21,1 (sd 10,60) p: 0.006. Dislipemia was another factor with a significant difference: control 27 (30 percent) case 44 (62 percent) OR= 2.2 (1.2-4.1) p=O.01. Logistic regression was performed, including an interaction model between DLP and exhaustion, and it did not show a significant effect. Conclusions: Our results indicate that in Argentina, among other countries as reported in the literature, VES is a psychological condition that is strongly and independent associated to acute coronary events.