The association between Type D personality and major cardiovascular adverse events in acute coronary syndrome patients


ARSLAN A., DEMIRCI K., ARSLAN B., AKGONUL M., KAHRAMAN F., Aksoy F.

INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE, vol.9, no.7, pp.14739-14743, 2016 (SCI-Expanded) identifier

Abstract

Background: Type D (distressed) personality is characterized by a combination of negative affectivity and social inhibition. There are divergent results on the association between Type D personality and cardiovascular events. We aimed to assess the association between Type D personality and in-hospital major adverse cardiovascular event (MACE) in Turkish patients presenting with acute coronary syndrome. Methods: One hundred consecutive patients admitted to a coronary care unit with the diagnosis of acute coronary syndrome were included in the study. Type D personality was evaluated with the Turkish version of the 14-item Type D Scale. Results: Seventy eight patients were male, the mean age of subjects were 61.7 +/- 11.9 years old. The prevalence of type D personality was 45%. Presence of MACE was independently associated with type D personality (OR: 10.817, 95% CI: 1.765-66.301, P = 0.01), presence of STEMI (OR: 7.860, 95% CI: 1.588-38.900, P = 0.012) and low LVEF (OR: 7.842, 95% CI: 1.557-39.501, P = 0.013). Conclusion: Type D personality is an independent risk factor for MACE in acute coronary syndrome patients.