The Impact of Cardiac-induced Post-traumatic Stress Disorder Symptoms on Cardiovascular Outcomes: Design and Rationale of the Prospective Observational Reactions to Acute Care and Hospitalizations (ReACH) Study | Zendy

Jeffrey L. Birk | Zendy; Ian M. Kronish | Zendy; Bernard Chang | Zendy; Talea Cornelius | Zendy; Marwah Abdalla | Zendy; Joseph E. Schwartz | Zendy; Joan Duer-Hefele | Zendy; Alexandra Sullivan | Zendy; Donald Edmondson | Zendy

Open Access

The Impact of Cardiac-induced Post-traumatic Stress Disorder Symptoms on Cardiovascular Outcomes: Design and Rationale of the Prospective Observational Reactions to Acute Care and Hospitalizations (ReACH) Study

Author(s) -

Jeffrey L. Birk,

Ian M. Kronish,

Bernard Chang,

Talea Cornelius,

Marwah Abdalla,

Joseph E. Schwartz,

Joan Duer-Hefele,

Alexandra Sullivan,

Donald Edmondson

Publication year - 2019

Publication title -

health psychology bulletin

Language(s) - English

Resource type - Journals

ISSN - 2398-5941

DOI - 10.5334/hpb.16

Subject(s) - medicine , acute coronary syndrome , emergency department , observational study , prospective cohort study , cohort study , psychosocial , disease , emergency medicine , psychiatry , myocardial infarction

As many as 1 in 8 acute coronary syndrome (ACS) patients develop posttraumatic stress disorder (PTSD) due to the ACS, and ACS-induced PTSD may increase secondary cardiovascular disease (CVD) risk. However, prior studies have been small and underpowered to test plausible behavioral or biological mechanisms of the hypothesized PTSD-secondary CVD risk association. In this paper, we describe the design and methods of a large prospective observational cohort study to estimate the prognostic significance of ACS-induced PTSD, mechanisms for its association with CVD risk, and emergency department (ED) factors that may increase PTSD risk, in a cohort of patients evaluated for acute coronary syndrome (ACS) in the ED of a large, urban academic medical center.

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