Breaking News
February 21, 2019 - Mayo clinic researchers discuss local case studies of leprosy
February 21, 2019 - Scientists demonstrate key role of salt in allergic immune reactions
February 21, 2019 - Experts propose revising the criteria for diagnosis of Parkinson’s disease
February 21, 2019 - The med student and the machine
February 21, 2019 - Hey, Hey! Ho, Ho! Is Striking For School Nurses The Way To Go?
February 21, 2019 - Latest research encourages children to move out and learn through physical activity
February 21, 2019 - Proper oral hygiene and regular visits to dentist can promote heart health
February 21, 2019 - New, versatile technique for remote control of transplanted cells in Parkinson’s
February 21, 2019 - Why melanoma tumors in the brain may be worse?
February 21, 2019 - New project aims to improve lung disease care in Appalachia
February 21, 2019 - Drug increases melanin production in some people with albinism
February 21, 2019 - Over 1 in 3 adults miss the mark on protein, finds study
February 21, 2019 - CymaBay Therapeutics Announces Seladelpar Granted Breakthrough Therapy Designation by the FDA for the Treatment of Primary Biliary Cholangitis
February 21, 2019 - A correlation between obesity and income has only developed in the past 30 years
February 21, 2019 - Baby, then work: An effort to help resident-parents in emergency medicine
February 21, 2019 - Heavy cigarette smoking could damage vision, say researchers
February 21, 2019 - Some drug combinations may be more effective than others for schizophrenic patients
February 21, 2019 - Combination of common antibiotics can eliminate multi-drug resistant E. coli
February 21, 2019 - New computational tool searches for factors that cause specific diseases
February 21, 2019 - New method to assess effectiveness of psychotherapies for social anxiety disorder
February 21, 2019 - New technology measures hormones that influence reproductive health efficiently
February 21, 2019 - Bat influenza viruses could potentially attack the cells of humans and livestock
February 21, 2019 - Immunotherapeutic antibody therapy to kill cancer has now progressed to patient testing
February 21, 2019 - Johns Hopkins scientists find new compound that may prevent reperfusion injury
February 21, 2019 - Researchers develop new way to deliver treatment for cartilage regeneration
February 21, 2019 - Study sheds new light on left ventricular dysfunction in ischemic heart disease
February 21, 2019 - New technique could expedite cancer diagnosis, lead to better patient outcomes
February 21, 2019 - New map of infant brain may aid early diagnosis of autism
February 21, 2019 - Human consciousness depends on the brain’s ability to maintain dynamics of neural activity
February 21, 2019 - Harmony Biosciences Announces File Acceptance Of Its New Drug Application For Pitolisant
February 21, 2019 - Medications could fill treatment gap for adolescents with obesity
February 21, 2019 - New antibiotics are desperately needed: Machine learning could help | News Center
February 21, 2019 - Researchers develop new computer game for dementia carers
February 21, 2019 - University of Dundee partners with Takeda to develop new treatments for tau pathology
February 21, 2019 - Influenza vaccine may be less effective in elderly patients, finds study
February 21, 2019 - Researchers explain why T cells lose their protective ability in inflamed tissues
February 21, 2019 - New optimization method rapidly analyzes nanomedicines for cancer treatment
February 21, 2019 - Viruses in the intestinal tracts can lead to islet autoimmunity and Type 1 diabetes
February 21, 2019 - Link between dietary fatty acid intake and hypertension found to be influenced by diabetes status
February 21, 2019 - FDA Approves Esperoct (turoctocog alfa pegol, N8-GP) for Hemophilia A
February 21, 2019 - ‘Boy erased’—why conversion therapies and ex-gay ministries should be outlawed
February 21, 2019 - Titia de Lange to give annual McCormick Lecture on March 8 | News Center
February 21, 2019 - Study reveals how helper T cells support memory cells to function optimally
February 21, 2019 - Autistic children with co-occurring ADHD have greater adaptive behavior impairments
February 21, 2019 - Elevated levels of key cellular process implicated in intestinal inflammation and IBD
February 20, 2019 - Over Half of Hip Replacements Expected to Last 25 Years
February 20, 2019 - Microscopic eye movements affect how we see contrast
February 20, 2019 - Computer vs. patient: Fighting for residents’ attention | News Center
February 20, 2019 - New “Smart Drug” Shows Promise for Metastatic Triple-Negative Breast Cancer
February 20, 2019 - Researchers develop large-scale window material for high-efficiency PM2.5 capture
February 20, 2019 - Widespread confusion among consumers on food date labels lead to unnecessary discards
February 20, 2019 - Researchers unlock plant’s secret of producing specialized metabolites
February 20, 2019 - Newly released national framework identifies obstacles to improving EMS systems
February 20, 2019 - Exercise can shift human body clock depending on time when people work out
February 20, 2019 - Female adolescent blood donors more likely to have iron deficiency and related anemia
February 20, 2019 - Rubicon level linked to inhibition of autophagic process
February 20, 2019 - Researchers find potential therapeutic strategy to treat Alzheimer’s
February 20, 2019 - New forms of older anti-cancer agent appear to enhance immune response to fight melanoma
February 20, 2019 - Health Tip: Eat Less Saturated Fat
February 20, 2019 - Sleeping in contact lenses puts you at risk of dangerous infection
February 20, 2019 - “We should study that!”: How a nurse-scientist found her passion
February 20, 2019 - Cervical microbiome may influence HPV infection more than previously thought
February 20, 2019 - Sausage mislabeling in Canada is down, new study finds
February 20, 2019 - Study shows blood pressure benefits of morning exercise for older overweight/obese adults
February 20, 2019 - New screening method could catch organ rejection much earlier without a biopsy needle
February 20, 2019 - Study may have important implications for refining parenting during child’s adolescence
February 20, 2019 - Study sheds new light on how antibiotic resistance genes are transferred between bacteria
February 20, 2019 - Chronic Wasting Disease may soon spread to humans, warns CDC
February 20, 2019 - Scientists identify new genetic causes linked to abnormal pregnancies and miscarriages
February 20, 2019 - Using LyoSpeed technology to avoid residual solvent when drying HPLC fractions
February 20, 2019 - New AI can identify, predict development of different combinations of cancer symptoms
February 20, 2019 - Scientists join forces to identify a new approach to fight African sleeping sickness
February 20, 2019 - New screening tool more likely to identify sexual and labor exploitation of youth
February 20, 2019 - Newly licensed nurses work for long hours, also have a second paid job
February 20, 2019 - Physicists identify simple mechanism used by deadly bacteria to fend off antibiotics
February 20, 2019 - FDA Grants Priority Review to Genentech’s Personalized Medicine Entrectinib
February 20, 2019 - Exposure to chemicals before and after birth is associated with a decrease in lung function
February 20, 2019 - Neuroscientists reveal that simple brain region can guide complex feats of mental activity
February 20, 2019 - Study finds new link between food allergies and multiple sclerosis
February 20, 2019 - First gene therapy operation for macular degeneration is a success
AHA: PTSD Common Among Those Who Suffer Tear in the Aorta’s Wall

AHA: PTSD Common Among Those Who Suffer Tear in the Aorta’s Wall

image_pdfDownload PDFimage_print

TUESDAY, Nov. 13, 2018 (American Heart Association) — The sharp and sudden pain from an aortic dissection, along with the emergency treatment that follows, can lead to post-traumatic stress disorder years later, a new study finds.

An aortic dissection is a life-threatening condition in which a tear in the wall of the aorta — the major artery carrying blood out of the heart — allows blood to rush between the wall’s layers. Most people who have one say they feel a sudden ripping or stabbing chest pain that sometimes spreads to the back. It is usually treated with surgery and medication.

In a study of aortic dissection patients treated at the Cleveland Clinic, researchers reached out to 295 people with an online survey that included four questions commonly used to screen for PTSD.

Patients were asked whether they startled easily, or felt constantly on guard since their dissection. They also were asked about feeling numb or detached from others, whether they had nightmares or unwelcome thoughts about their dissection, or if they went out of their way to avoid situations that reminded them of it.

About 44 percent of those surveyed, or 129 people, answered all four screening questions. Of that group, 22 percent screened positive for PTSD. The results “absolutely shocked” researchers, said Selena Pasadyn, a medical student at the Cleveland Clinic Lerner College of Medicine and the study’s lead investigator.

“We’re advancing a lot in our care for these patients. We’re able to get them through this acute event, but it’s also our responsibility as physicians to think about their long-term quality of life,” Pasadyn said. “This is a cry to physicians to consider PTSD, to screen for it, and to refer and treat appropriately.”

She said she also hopes to raise awareness among patients so they can become better advocates for themselves.

“They need to be aware that they may feel watchful. They may feel on guard or startled,” she said. “They need to know these are normal feelings, but they’re also treatable feelings.”

The average age of the patient responding to the survey was 54, and the average time that had passed since their aortic dissection was about seven years, she said.

The findings were presented Saturday at the American Heart Association’s Scientific Sessions conference, in Chicago.

While the study is one of only a few to look specifically at aortic dissection patients, related research has found that about 15 to 25 percent of heart attack and stroke survivors also screen positive for PTSD, said Donald Edmondson, director of Columbia University’s Center for Behavioral Cardiovascular Health in New York City.

An aortic dissection has all of the characteristics of a PTSD-inducing cardiovascular event, he said.

“Any type of event that is sudden onset, highly painful, and life-threatening has the potential to cause PTSD,” said Edmondson, who was not involved in the new study. “But what’s unique and special about medical events like this is that unlike combat or sexual assault, where people can find a safe place where they’re not at risk, someone who’s had an aortic dissection or a heart attack or stroke can never get away from their heart (or brain).”

Edmondson said that heart attack survivors with PTSD are at double the risk of having another attack or dying within the next year than a survivor who is not under similar distress.

There are two reasons for this, he said. One has to do with the body’s natural reaction to stress. Just thinking about a traumatic event can make some people hyperventilate or become lightheaded.

“Often when people become aware of their physiological signals, like feeling short of breath, it distresses them. It makes them worry they’re going to have another cardiovascular event, which of course makes their heart rate go faster,” Edmondson said. “That vicious cycle appears to contribute to secondary risk.”

Heart attack and stroke survivors with PTSD also are less likely to take medicine prescribed to help prevent future events.

“Their medications serve as reminders of their cardiovascular event and the fact that they’re still at risk,” Edmondson said. “They try to avoid thinking about that, even though they think about it all the time.”

© 2018 HealthDay. All rights reserved.

Posted: November 2018

Tagged with:

About author

Related Articles