3.8 Article

Potential role of positive psychology on risk stratification in patients with myocardial infarction

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FEDERACION ARGENTINA CARDIOLOGIA

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Positive Psychology; Heart Disease Risk Factors; Optimism; Myocardial Infarction

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The aim of this study is to assess the association between biological risk factors after MI and positive psychology factors, such as optimism, well-being, and positive affect. This study suggests that high biological risk patients with MI have lower levels of positive psychology factors, which may have implications for cardiac rehabilitation.
Aim: The aim of this study is to assess whether biological risk factors after MI are associated with different positive psychology factors (i.e.: optimism, well-being, positive affect), which could help refine risk stratification with regard to different therapeutic strategies to promote lifestyle changes.Methods: Ninety-three patients admitted with MI were divided according to early electrocar-diogram (STEMI vs. NSTEMI) and cardiac function (LVEF =50% vs. <50%). Patients were assessed in coping styles, quality of life, levels of anxiety, depression, stress, optimism, positive and negative affect and psychological well-being.Results: STEMI participants exhibited significantly lower levels of optimism (p = 0.03) compared to NSTEMI patients. LVEF <50% participants showed significantly lower levels of positive affect (p = 0.02) than LVEF> 50% ones.Conclusions: High biological risk patients with MI (i.e., STEMI and poor LVEF) seem to have lower levels of positive psychology factors compared to biological lower risk patients (NSTEMI and LVEF =50%). This may have future implications for the cardiac rehabilitation of patients with MI.

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