Breaking News
May 3, 2019 - Vaping and Smoking May Signal Greater Motivation to Quit
May 3, 2019 - Dementia looks different in brains of Hispanics
May 3, 2019 - Short-Staffed Nursing Homes See Drop In Medicare Ratings
May 3, 2019 - Study of teens with eating disorders explores how substance users differ from non-substance users
May 3, 2019 - Scientists develop new video game that may help in the study of Alzheimer’s
May 3, 2019 - Arc Bio introduces Galileo Pathogen Solution product line at ASM Clinical Virology Symposium
May 3, 2019 - Cornell University study uncovers relationship between starch digestion gene and gut bacteria
May 3, 2019 - How to Safely Use Glucose Meters and Test Strips for Diabetes
May 3, 2019 - Anti-inflammatory drugs ineffective for prevention of Alzheimer’s disease
May 3, 2019 - Study tracks Pennsylvania’s oil and gas waste-disposal practices
May 3, 2019 - Creating a better radiation diagnostic test for astronauts
May 3, 2019 - Vegans are often deficient in these four nutrients
May 3, 2019 - PPDC announces seed grants to develop medical devices for children
May 3, 2019 - Study maps out the frequency and impact of water polo head injuries
May 3, 2019 - Research on Reddit identifies risks associated with unproven treatments for opioid addiction
May 3, 2019 - Good smells may help ease tobacco cravings
May 3, 2019 - Medical financial hardship found to be very common among people in the United States
May 3, 2019 - Researchers develop multimodal system for personalized post-stroke rehabilitation
May 3, 2019 - Study shows significant mortality benefit with CABG over percutaneous coronary intervention
May 3, 2019 - Will gene-editing of human embryos ever be justifiable?
May 3, 2019 - FDA Approves Dengvaxia (dengue vaccine) for the Prevention of Dengue Disease in Endemic Regions
May 3, 2019 - Why Tonsillitis Keeps Coming Back
May 3, 2019 - Fighting the opioid epidemic with data
May 3, 2019 - Maggot sausages may soon be a reality
May 3, 2019 - Deletion of ATDC gene prevents development of pancreatic cancer in mice
May 2, 2019 - Targeted Therapy Promising for Rare Hematologic Cancer
May 2, 2019 - Alzheimer’s disease is a ‘double-prion disorder,’ study shows
May 2, 2019 - Reservoir bugs: How one bacterial menace makes its home in the human stomach
May 2, 2019 - Clinical, Admin Staff From Cardiology Get Sneak Peek at Epic
May 2, 2019 - Depression increases hospital use and mortality in children
May 2, 2019 - Vicon and NOC support CURE International to create first gait lab in Ethiopia
May 2, 2019 - Researchers use 3D printer to make paper organs
May 2, 2019 - Viral infection in utero associated with behavioral abnormalities in offspring
May 2, 2019 - U.S. Teen Opioid Deaths Soaring
May 2, 2019 - Opioid distribution data should be public
May 2, 2019 - In the Spotlight: “I’m learning every single day”
May 2, 2019 - 2019 Schaefer Scholars Announced
May 2, 2019 - Podcast: KHN’s ‘What The Health?’ Bye-Bye, ACA, And Hello ‘Medicare-For-All’?
May 2, 2019 - Study describes new viral molecular evasion mechanism used by cytomegalovirus
May 2, 2019 - SLU study suggests a more equitable way for Medicare reimbursement
May 2, 2019 - Scientists discover first gene involved in lower urinary tract obstruction
May 2, 2019 - Researchers identify 34 genes associated with increased risk of ovarian cancer
May 2, 2019 - Many low-income infants receive formula in the first few days of life, finds study
May 2, 2019 - Global study finds high success rate for hip and knee replacements
May 2, 2019 - Taking depression seriously: What is it?
May 2, 2019 - With Head Injuries Mounting, Will Cities Put Their Feet Down On E-Scooters?
May 2, 2019 - Scientists develop small fluorophores for tracking metabolites in living cells
May 2, 2019 - Study casts new light into how mothers’ and babies’ genes influence birth weight
May 2, 2019 - Researchers uncover new brain mechanisms regulating body weight
May 2, 2019 - Organ-on-chip systems offered to Asia-Pacific regions by Sydney’s AXT
May 2, 2019 - Adoption of new rules drops readmission penalties against safety net hospitals
May 2, 2019 - Kids and teens who consume zero-calorie sweetened beverages do not save calories
May 2, 2019 - Improved procedure for cancer-related erectile dysfunction
May 2, 2019 - Hormone may improve social behavior in autism
May 2, 2019 - Alzheimer’s disease may be caused by infectious proteins called prions
May 2, 2019 - Even Doctors Can’t Navigate Our ‘Broken Health Care System’
May 2, 2019 - Study looks at the impact on criminal persistence of head injuries
May 2, 2019 - Honey ‘as high in sugars as table sugar’
May 2, 2019 - Innovations to U.S. food system could help consumers in choosing healthy foods
May 2, 2019 - FDA Approves Mavyret (glecaprevir and pibrentasvir) as First Treatment for All Genotypes of Hepatitis C in Pediatric Patients
May 2, 2019 - Women underreport prevalence and intensity of their own snoring
May 2, 2019 - Concussion summit focuses on science behind brain injury
May 2, 2019 - Booker’s Argument For Environmental Justice Stays Within The Lines
May 2, 2019 - Cornell research explains increased metastatic cancer risk in diabetics
May 2, 2019 - Mount Sinai study provides fresh insights into cellular pathways that cause cancer
May 2, 2019 - Researchers to study link between prenatal pesticide exposures and childhood ADHD
May 2, 2019 - CoGEN Congress 2019: Speakers’ overviews
May 2, 2019 - A new strategy for managing diabetic macular edema in people with good vision
May 2, 2019 - Sagent Pharmaceuticals Issues Voluntary Nationwide Recall of Ketorolac Tromethamine Injection, USP, 60mg/2mL (30mg per mL) Due to Lack of Sterility Assurance
May 2, 2019 - Screen time associated with behavioral problems in preschoolers
May 2, 2019 - Hormone reduces social impairment in kids with autism | News Center
May 2, 2019 - Researchers synthesize peroxidase-mimicking nanozyme with low cost and superior catalytic activity
May 2, 2019 - Study results of a potential drug to treat Type 2 diabetes in children announced
May 2, 2019 - Multigene test helps doctors to make effective treatment decisions for breast cancer patients
May 2, 2019 - UNC School of Medicine initiative providing unique care to dementia patients
May 2, 2019 - Nestlé Health Science and VHP join forces to launch innovative COPES program for cancer patients
May 2, 2019 - Study examines how our brain generates consciousness and loses it during anesthesia
May 2, 2019 - Transition Support Program May Aid Young Adults With Type 1 Diabetes
May 2, 2019 - Study shows how neutrophils exacerbate atherosclerosis by inducing smooth muscle-cell death
May 2, 2019 - Research reveals complexity of how we make decisions
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

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