Psycho-emotional disorders as incoming risk factors for myocardial infarction with non-obstructive coronary arteries

• Published in: Cardiology journal 2018-01, Vol.25 (1), p.24-31
• Main Authors: Pais, Javier López, Izquierdo Coronel, Bárbara, Galán Gil, David, Espinosa Pascual, María Jesús, Martinez Peredo, Carlos Gustavo, Awamleh García, Paula, Górriz Magaña, Juan, Mata Caballero, Rebeca, Fraile Sanz, Alfonso, Muñiz, Javier, Martín, Joaquín J Alonso
• Format: Article
• Language: English
• Subjects: Acute coronary syndromes; Aged; Coronary Angiography; Coronary Artery Disease - complications; Coronary Artery Disease - diagnosis; Coronary vessels; Coronary Vessels - diagnostic imaging; Emotional disorders; Female; Heart attacks; Humans; Incidence; Male; Middle Aged; Mood Disorders - complications; Mood Disorders - epidemiology; Mood Disorders - psychology; Myocardial Infarction - diagnosis; Myocardial Infarction - epidemiology; Myocardial Infarction - etiology; Registries; Risk Assessment - methods; Risk Factors; Spain - epidemiology; Stents
• ISSN: 1897-5593; 1897-5593; 1898-018X
• DOI: 10.5603/CJ.a2017.0139

There is an emerging field underlying the myocardial infarction (MI) with non-obstruc-tive coronary arteries (MINOCA). The aim of this study was to evaluate the impact of psycho-emotional disorders and social habits in MINOCA patients. The study included 95 consecutive patients diagnosed of MINOCA and 178 patients with MI and obstructive lesions. MINOCA patients were included when they fulfilled the three main criteria: accomplishment of the Third Universal Definition of Myocardial Infarction, absence of obstructive coronary arteries and no clinically overt specific cause for the acute presentation. MINOCA patients had a higher frequency of previous psychiatric illnesses than the obstructive coronary arteries group (29.7% vs. 12.9%, p = 0.001). MINOCA patients recognized emotional stress in 75.7% of the cases, while only 32.1% of the obstructive related group did (p < 0.001). The relation-ship remained after excluding takotsubo syndrome from the analysis (26 cases, 27.4%): psychiatric diseases (27.9% vs. 12.9%, p < 0.01) and recognition of emotional stress (70.8% vs. 32.1%, p < 0.001). Social habits which could act as stress modulating showed no significant relation with MINOCA. Psycho-emotional disorders are related to MINOCA and they could act as risk fac-tor. This relationship is maintained after excluding takotsubo from the analysis. (Cardiol J 2018; 25, 1: 24-31).