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Perceived Anxiety, Coping, and Autonomic Function in Takotsubo Syndrome Long after the Acute Event

Title: Perceived Anxiety, Coping, and Autonomic Function in Takotsubo Syndrome Long after the Acute Event
Authors: Lazzeroni, D.; Ciraci, C.; Sommaruga, M.; Oggioni, C.; Saccò, M.; Ziveri, V.; Paglialonga, L.; Bini, M.; Moderato, L.; Brambilla, L.; Coruzzi, P.; Cruciani, G.; Lingiardi, V.; Tanzilli, A.; Galli, F.
Contributors: Lazzeroni, D.; Ciraci, C.; Sommaruga, M.; Oggioni, C.; Saccò, M.; Ziveri, V.; Paglialonga, L.; Bini, M.; Moderato, L.; Brambilla, L.; Coruzzi, P.; Cruciani, G.; Lingiardi, V.; Tanzilli, A.; Galli, F.
Publisher Information: MDPI; Basel
Publication Year: 2022
Collection: Sapienza Università di Roma: CINECA IRIS
Subject Terms: Takotsubo syndrome; autonomic function; heart rate variability (HRV); coping; anxiety; stre
Description: Background: Anxiety and depressive disorders represent predisposing factors for the autonomic dysfunctions that characterize the acute phase of Takotsubo syndrome (TS). However, there is insufficient data on this relationship after the acute event. The present study aimed at evaluating the psychological and autonomic status of patients with a history of TS. Methods: Ten TS patients whose acute event occurred at least 1 year prior to the evaluation and nine healthy age- and sex-matched subjects were evaluated. The cardiovascular assessment included a clinical examination, beat-to-beat heart rate monitoring to assess heart rate variability, and a psychological examination using the 16 Personality Factors-C Form (16PF), the Acceptance and Action Questionnaire-II, the Coping Orientations to Problems Experienced (COPE), the Beck Depression Inventory-II, and the State-Trait Anxiety Inventory (STAI). Results: TS patients scored significantly higher on the STAI (i.e., Anxiety Trait), 16PF (i.e., Tension), and COPE (i.e., Transcendental Orientation). TS patients also showed lower heart rate variability. Moreover, a significant inverse correlation was found between sympathetic tone (LF/HF ratio) and coping orientation. Conclusions: Long after the acute event, TS patients are characterized by elevated anxiety, high tension, and a specific religious coping strategy.
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/wos/WOS:000856785500001; volume:12; issue:9; journal:LIFE; https://hdl.handle.net/11573/1693732
DOI: 10.3390/life12091376
Availability: https://hdl.handle.net/11573/1693732; https://doi.org/10.3390/life12091376
Accession Number: edsbas.CB1CC9C8
Database: BASE