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PTSD and myocardial infarction.

Screening myocardial infarction patients for posttraumatic stress disorder may flag patients likely to be nonadherent to medication and at risk for cardiovascular readmission, said Dr. Eyal Shemesh of Mount Sinai Medical Center, New York.

Seventy-three patients were recruited at an Israeli cardiology clinic 6 months after MI and were followed for 1 year, from June to November 2001. All patients were prescribed aspirin therapy; 16% were found to be noncompliant, and 12% were suspected of resistance to aspirin as measured by platelet thromboxane production (Psychosom. Med. 66[4]: 521-26, 2004).

Of the 65 patients who answered psychiatric questionnaires, 20% reported above-threshold PTSD symptoms. Fifty-five percent who admitted nonadherence and took the questionnaire had above-threshold PTSD. Only 13% of adherent patients who answered the questionnaire had above-threshold PTSD.

The investigators found that PTSD patients were more than twice as likely to be readmitted for a cardiovascular event during the 1-year follow-up than patients not meeting the threshold for PTSD.
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Title Annotation:Clinical Capsules; posttraumatic stress disorder
Author:Foley, Kevin
Publication:Clinical Psychiatry News
Article Type:Brief Article
Geographic Code:1USA
Date:Sep 1, 2004
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