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Psychosocial Risk Factors for Acute Myocardial Infarction: Results of a Case-Control Study in a Teaching Hospital at Karachi, Pakistan
- Source :
- Acta Psychopathologica.
- Publication Year :
- 2015
- Publisher :
- OMICS Publishing Group, 2015.
-
Abstract
- Objective: To determine psychosocial risk factors for acute myocardial infarction at a teaching hospital in Karachi. Methods: One hundred and fifty three cases were recruited from cardiology clinics and 153 controls from internal medicine and family medicine clinics of Aga Khan University Hospital, Karachi, through non-probability sampling using a structured questionnaire. Cases were those who were diagnosed with acute myocardial infarction for the first time in past month. Controls were selected from family medicine and internal medicine clinics of the same hospital and included patients above the age of 40 years without acute myocardial infarction. Associations between psychosocial risk factors and acute myocardial infarction were investigated using multiple logistic regressions. Results: The psychosocial risk factors associated with acute myocardial infarction were irritability at home (OR: 4.86, 95% CI: 3.24-7.53), self-illness (OR: 3.33, 95% CI: 2.86-5.23), illness in family (OR: 8.44, 95% CI: 6.21-10.1), loss of job (OR: 3.71, 95% CI: 1.16-8.86) and death in family (OR: 7.42, 95% CI: 3.98-10.12) in fully adjusted models. Conclusions: Psychosocial risk factors are associated with acute myocardial infarction. Therefore, regular screening for these risk factors should be undertaken by physicians to identify high risk patients.
- Subjects :
- medicine.medical_specialty
Pediatrics
business.industry
education
Case-control study
General Medicine
Logistic regression
medicine.disease
University hospital
Irritability
Teaching hospital
Internal medicine
medicine
Myocardial infarction
medicine.symptom
business
Psychosocial
Depression (differential diagnoses)
Subjects
Details
- ISSN :
- 24696676
- Database :
- OpenAIRE
- Journal :
- Acta Psychopathologica
- Accession number :
- edsair.doi...........b9e8b49e47def4c91fa85faa2ade113c