CLINICAL CHARACTERISTICS OF ISCHEMIC HEART DISEASE PATIENTS WITH TYPE D PERSONALITY, UNDERWENT PERCUTANEOUS CORONARY INTERVENTIONS

Abstract

Aim. To evaluate the type D personality relation with clinical and instrumental parameters in patients with ischemic heart disease (CHD), underwent percutaneous coronary interventions (PCI). Material and methods. Into prospective study we included all patients after urgent or planned PCI for hemodynamically significant stenosis of coronary arteries in Tyumen cardiological center by the period from 15.10.2012 to 15.11.2013 y. Totally we studied 1018 patients (764 men and 254 women). For type D personality definition we used the questionnaire DS14. Results. Type D personality was found in 32% patients. These did not differ from the others in terms of age, gender, main cardiovascular risk factors (CVD). Patients of D-type had more often the carbohydrate metabolism changes — 28,2% vs 22,1% (p=0,047), also they had tendency to the increase of diabetes diagnosed — 25,3% vs 19,9% (p=0,06). There was no difference in lipid profile of the blood, as by clinical severity of the disease and duration of CHD; same prevalence was for post infarction cardiosclerosis. At the same time D-type patients had more prevalent >2 myocardial infarction in anamnesis — 17% vs 9,6% (p=0,02) among those with post infarction cardiosclerosis. D-type patients did not differ from non-D-type by significance and severity of coronary arteries lesions, short-term outcomes of PCI and echocardiography parameters. Conclusion. Among CHD patients underwent PCI, D-type personality was found in 32%. These had more often carbohydrate metabolism changes and 2 and more MI in anamnesis. There is no link for D-type personality, severity of CHD clinically and for short- term outcomes of PCI.

Keywords

• тип личности д
• чрескожные коронарные вме­шательства
• ишемическая болезнь сердца
• психосоциальные фак­торы риска