Prevalence of hostility in young coronary artery disease patients and effects of cardiac rehabilitation and exercise training

Lavie, Carl J. and Milani, Richard V. (2005). Prevalence of hostility in young coronary artery disease patients and effects of cardiac rehabilitation and exercise training. In: 53rd Annual Scientific Session of the American-College-of-Cardiology, New Orleans, LA, United States, (335-342). 7-10 March 2004.

Author Lavie, Carl J.
Milani, Richard V.
Title of paper Prevalence of hostility in young coronary artery disease patients and effects of cardiac rehabilitation and exercise training
Conference name 53rd Annual Scientific Session of the American-College-of-Cardiology
Conference location New Orleans, LA, United States
Conference dates 7-10 March 2004
Journal name Mayo Clinic Proceedings   Check publisher's open access policy
Place of Publication New York, United States
Publisher Elsevier
Publication Year 2005
Sub-type Fully published paper
ISSN 0025-6196
1942-5546
Volume 80
Issue 3
Start page 335
End page 342
Total pages 7
Language eng
Formatted Abstract/Summary
OBJECTIVE: To determine the prevalence of hostility symptoms
in young patients with coronary artery disease (CAD), the associated
risk factor profile in these patients, and the effects of
a formal phase 2 cardiac rehabilitation and exercise training
program.
PATIENTS AND METHODS: Our study included consecutive CAD
patients referred for cardiac rehabilitation from May 1999 through
December 2000. At baseline and after rehabilitation, behavioral
factors and quality of life were assessed by validated questionnaires,
and standard CAD risk factors were measured, including
exercise capacity. We specifically evaluated detailed data for
young patients.
RESULTS: A total of 500 patients were included in the study.
Hostility scores were 2.5 times higher (P<.001) in the 81 young
patients (<50 years; mean ± SD age, 45±5 years) than in the 268
elderly patients (≥65 years; mean ± SD age, 70±4 years), and the
prevalence of hostility symptoms was 3.5 times higher in young
patients (28% vs 8%; P<.001). Young patients with hostility
symptoms also had more adverse CAD risk profiles, including
higher total cholesterol levels, triglyceride levels, total cholesterol/
high-density lipoprotein cholesterol ratios, fasting glucose
levels, and glycosylated hemoglobin levels and lower quality-of-life
scores compared with young patients with low hostility scores.
After cardiac rehabilitation, young patients with hostility symptoms
had marked improvements in CAD risk factors, behavioral
characteristics (including hostility), and quality of life, and a
nearly 50% (P=.005) reduction in the prevalence of hostility symptoms
occurred.
CONCLUSIONS: Young CAD patients have a high prevalence of
hostility symptoms and adverse CAD risk profiles. Reducing hostility
symptoms and other parameters of psychological distress in
young CAD patients should be emphasized, and the potential
benefits of cardiac rehabilitation programs in the secondary prevention
of CAD should be highlighted.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Presented in abstract form at the American College of Cardiology meeting, New Orleans, La, March 9, 2004.

Document type: Conference Paper
Collection: School of Medicine Publications
 
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Created: Mon, 14 Mar 2011, 09:28:41 EST