ArticleInternational journal of environmental research and public health2021
The Impact of War-Related Stress on Coronary Artery Disease Severity in War Survivors: A SYNTAX Study.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 17 citations in OpenAlex.
- Comparative Outcomes of primary PCI and one-year MACE in Iranian and Afghan Patients with STEMI: A propensity score-matched retrospective cohort at Tehran Heart Center.Journal of migration and health · 2026Article
- STEMI under fire: evaluating management and challenges in a warzone amidst the 2023 Israeli conflict.BMC health services research · 2025Article
- STEMI in Times of Crisis: Comparative Analysis During Pandemic and War.Journal of clinical medicine · 2025Article
- Article
- Disability trends among elderly Ukrainians in war conditions: a 10-year retrospective study.Aging clinical and experimental research · 2024Article
- The Effect of War on STEMI Incidence: Insights from Intensive Cardiovascular Care Unit Admissions.Journal of clinical medicine · 2024Article
- Predisposed vulnerabilities and survival among the Finnish soldiers of World War II: historical life course approach.Frontiers in sociology · 2024Article
- Stroke Characteristics in a Cohort of Hmong American Patients.Journal of the American Heart Association · 2023Article
- Takotsubo Cardiomyopathy Triggered by Emotional Stress From the Russia-Ukraine War.JACC. Case reports · 2023Article
- The impact of the war on maintenance of long-term therapies in Ukraine.Frontiers in pharmacology · 2022Article
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Authors and funding
8 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundDue to the strong relationship between stress and heart disease, particularly acute myocardial infarction (MI), this study investigated the complexity of coronary artery disease (CAD) among Syrian refugee patients referred to Jordan University Hospital and its relation to war-related stressors.
methodsThis is a retrospective study that utilized the SYNTAX I score in order to evaluate all Syrian refugees that underwent coronary artery catheterization at Jordan University Hospital during the period between May of 2014 and December of 2017.
resultsThere was a significant association between war-related stressors and high SYNTAX score (SX score), thus indicating a higher complexity of CAD in Syrian war survivors with higher stress scores. The strongest war-related correlation was observed with crossing green-lines, in which Syrian refugee patients who had crossed such lines had significantly higher SYNTAX scores. Regression analysis demonstrated that war stressors were positive predictors of increased SYNTAX scores even when adjusted for conventional CAD risk factors. Surprisingly, none of the CAD risk factors were significantly associated with SYNTAX score.
conclusionOur findings suggest that exposure to multiple war-related stressors may increase the complexity and severity of CAD in Syrian war survivors. Thus, special attention, efforts, and resources should be allocated to screen for such vulnerable patients in order to provide them with the appropriate healthcare.
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