ArticleGeneral hospital psychiatry
Posttraumatic stress disorder in patients who rule out versus rule in for acute coronary syndrome.
Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 33 citations in OpenAlex.
- Posttraumatic stress disorder and associated factors among stroke survivors in Northwest Ethiopia.Discover mental health · 2025Article
- Sedentary Behavior and Cardiac Events and Mortality After Hospitalization for Acute Coronary Syndrome Symptoms: A Prospective Study.Circulation. Cardiovascular quality and outcomes · 2025Article
- Review
- Prospective Bidirectional Relationship Between Sleep Duration and Posttraumatic Stress Disorder Symptoms After Suspected Acute Coronary Syndrome.Psychosomatic medicine · 2024Observational
- Posttraumatic Stress Disorder as a Consequence of Acute Cardiovascular Disease.Current cardiology reports · 2023Review
- Post-traumatic Stress Disorder Among COVID-19 Survivors at 3-Month Follow-up After Hospital Discharge.Journal of general internal medicine · 2021Article
- Intervening on fear after acute cardiac events: Rationale and design of the INFORM randomized clinical trial.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2020Article
- Posttraumatic Stress Disorder and Electronically Measured Medication Adherence After Suspected Acute Coronary Syndromes.Circulation · 2020Article
- Partner presence in the emergency department and adherence to daily cardiovascular medications in patients evaluated for acute coronary syndrome.Journal of behavioral medicine · 2020Article
- Short Sleep Duration After Hospital Evaluation for Acute Coronary Syndrome Is Associated With Increased Risk of 6-Month Readmission.Psychosomatic medicine · 2020Observational
- Stressing Out About the Heart: A Narrative Review of the Role of Psychological Stress in Acute Cardiovascular Events.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2020Review
- A challenge for psychocardiology: Addressing the causes and consequences of patients' perceptions of enduring somatic threat.The American psychologist · 2018Article
- Development and Validation of a Measure to Assess Patients' Threat Perceptions in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2018Observational
- Association of social support during emergency department evaluation for acute coronary syndrome with subsequent posttraumatic stress symptoms.Journal of behavioral medicine · 2016Article
- Impact of prior trauma exposure on the development of PTSD symptoms after suspected acute coronary syndrome.General hospital psychiatryArticle
- Bringing close others to the emergency department for an acute coronary event is associated with increased patient perception of threat.General hospital psychiatryArticle
- Trajectories of posttraumatic stress in patients with confirmed and rule-out acute coronary syndrome.General hospital psychiatryArticle
- Correlates of Skin Conductance Reactivity to Stroke-Related Trauma Reminders During Hospitalization for Stroke.Chronic stress (Thousand Oaks, Calif.)Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveMany patients who present to the emergency department (ED) with acute coronary syndromes (ACS) develop posttraumatic stress disorder (PTSD) due to the experience. Less is known about risk for PTSD in patients who rule out for ACS. Our objective was to compare the risk of developing PTSD among patients who rule out versus rule in for ACS.
methodsWe enrolled a consecutive sample of 1000 patients presenting to an emergency department (ED) with symptoms of a probable ACS. We assessed presenting ACS symptoms in the ED. We determined whether presenting symptoms were due to a confirmed ACS or another etiology by chart review. We assessed PTSD by telephone 1 month after discharge using the PTSD Checklist specific for the suspected ACS event (PCL-S). We used logistic regression to determine the association of ruling out versus ruling in for ACS with a positive PTSD screen (PCL-S ≥ 32), adjusting for demographics, comorbidities, depression, trauma history, and pre-existing PTSD.
resultsApproximately two-thirds of patients (68.2%) ruled out for ACS. Compared to confirmed ACS patients, patients who ruled out had similar presenting symptoms, and similar risk of screening positive for PTSD (18.9% versus 16.8%; p = 0.47; adjusted OR 1.18, 95% CI 0.69-2.00; p = 0.55).
conclusionsED presentation with ACS symptoms was sufficient to trigger a positive PTSD screen whether the etiology was due to a life-threatening ACS or another etiology. Patients who present with ACS symptoms should be considered for interventions to prevent PTSD after hospitalization, regardless of symptom etiology.
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