Follow up study on psychological problems of myocardial infarction patients

B. Hajtman, I. Pal, A. Hoffmann, J. Duba

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

By means of a questionnaire the following problems were studied: what is the psychological effect of MI and the post-infarction period and how are these effects influenced by an after-care of the patients. The initial psychological investigation was carried out by the Budapest questionnaire constructed by a team of the Hungarian Institute of Cardiology, Budapest, which was filled in by the patients in the 4th week of their illness. We reported full details of this questionnaire in our previous paper. For the follow-up, we developed a second questionnaire which had a similar construction to the initial one, and consists of 35 questions. The scores of questions relating to similar problems add up to common factors. These factors are measured on a standard four-point scale. Comparison of the two questionnaires is possible by subtracting scores of the factors and/or the individual answers. The patients filled in the follow-up questionnaire 3, 6, 12, 24 and 36 months after their heart attack. We found the results of the 1-year follow-up to be the most informative; they are reported now. We have studied 264 myocardial infarction patients. They were divided into 2 subgroups at random: one group took part in our MI care program, the other in coronary morphology. One-vessel disease 94 W/min; two-vessel disease 67 W/min; three-vessel disease 49 W/min. Conclusions: A positive exercise test cannot predict the extent of coronary pathology. A negative exercise makes three-vessel disease unlikely. Significance of exercise test is highly increased by regarding ST depression and concomitant symptoms. The onset of ST depression (work load) provides informations about coronary morphology. Summarized ST depression of 0.6 mV announces multiple vessel disease. Work load capacity more than 100 W/min excludes three-vessel disease.

Original languageEnglish
JournalCardiology (Switzerland)
Volume62
Issue number2
Publication statusPublished - 1977

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Myocardial Infarction
Psychology
Workload
Exercise Test
Cardiology
Infarction
Surveys and Questionnaires
Patient Care
Exercise
Pathology

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Follow up study on psychological problems of myocardial infarction patients. / Hajtman, B.; Pal, I.; Hoffmann, A.; Duba, J.

In: Cardiology (Switzerland), Vol. 62, No. 2, 1977.

Research output: Contribution to journalArticle

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