Artery Research

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Volume 20, Issue C, December 2017, Pages 71 - 71

P61 PSYCHOLOGICAL DETERMINANTS OF TARGET ORGAN DAMAGE IN HYPERTENSIVE PATIENTS: FOCUS ON TYPE A PERSONALITY AND LEFT VENTRICULAR MASS INDEX

Authors
Andrea Greco1, Alessandro Maloberti2, 3, Paola Sormani2, 3, Giulia Colombo2, 3, Luca Giupponi2, 3, Stephan Laurent4, 5, 6, Pierre Boutouyrie4, 5, 6, Massimo D’Addario1, Anna Maria Annoni1, Antonella Moreo3, Cristina Giannattasio2, 3, Patrizia Steca1
1Department of Psychology, University of Milan-Bicocca, Milan, Italy
2Medicine and Surgery Department, University of Milano-Bicocca, Milan, Italy
3Cardiology IV Unit, “A. De Gasperis” Department, Ospedale Niguarda Ca’ Granda, Milan, Italy
4Université Paris Descartes, Sorbonne Paris Cité, Paris, France
5Inserm U970, Paris, Cardiovascular Research Centre (PARCC), Cardiovascular and epidemiology and Sudden Death Team, Paris, France
6AP-HP, Hopitaux Universitaires Paris Ouest, Department of Pharmacology, Paris, France
Available Online 6 December 2017.
DOI
10.1016/j.artres.2017.10.083How to use a DOI?
Abstract

Background: Increased Left Ventricular Mass Index (LVMI) is a well known risk factor for cardiac morbidity and mortality. Furthermore, it is widely recognized that clinical evolution and progression of established CV diseases are related to a range of psychological characteristics, which may partially explain the spread and recurrence of these diseases. Little is known about LVMI and its association with psychological characteristics in arterial Hypertension (HT) patients. The aim of the current cross- sectional study was to evaluate the association between psychological characteristics and LVMI in a cohort of hypertensive patients.

Methods: A total of 244 outpatients (age 18–80 years) followed by the Hypertension Unit of S. Gerardo Hospital (Monza, Italy) affected by essential hypertension were recruited. Anamnestic data, clinical BP, and laboratory data and LVMI were evaluated. Patients were asked to complete a battery of psychological questionnaires under the guidance of a psychologist.

Results: At T0 the mean age was 55.9±10.1years, SBP and DBP were 135.6±17.7 and 82.5±9.1 mmHg and PWV was 8.6±2.1m/s. The multivariate stepwise linear regression analysis showed that sex (beta = 0.252, p < 0.001), age (beta = 0.135, p < 0.037), mean BP (beta = 0.178, p = 0.003), family history of CV disease (beta = 0.129, p = 0.027), and Type-A personality (beta = 0.148, p = 0.014) were significantly and independently associated with LVMI.

Conclusion: Among psychological factors, higher levels of Type-A personality is related to higher LVMI, while Type-D personality, anxiety, depression and stress are not associated.

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<Previous Article In Issue
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Journal
Artery Research
Volume-Issue
20 - C
Pages
71 - 71
Publication Date
2017/12/06
ISSN (Online)
1876-4401
ISSN (Print)
1872-9312
DOI
10.1016/j.artres.2017.10.083How to use a DOI?
Open Access
This is an open access article distributed under the CC BY-NC license.

Cite this article

risenwbib
TY  - JOUR
AU  - Andrea Greco
AU  - Alessandro Maloberti
AU  - Paola Sormani
AU  - Giulia Colombo
AU  - Luca Giupponi
AU  - Stephan Laurent
AU  - Pierre Boutouyrie
AU  - Massimo D’Addario
AU  - Anna Maria Annoni
AU  - Antonella Moreo
AU  - Cristina Giannattasio
AU  - Patrizia Steca
PY  - 2017
DA  - 2017/12/06
TI  - P61 PSYCHOLOGICAL DETERMINANTS OF TARGET ORGAN DAMAGE IN HYPERTENSIVE PATIENTS: FOCUS ON TYPE A PERSONALITY AND LEFT VENTRICULAR MASS INDEX
JO  - Artery Research
SP  - 71
EP  - 71
VL  - 20
IS  - C
SN  - 1876-4401
UR  - https://doi.org/10.1016/j.artres.2017.10.083
DO  - 10.1016/j.artres.2017.10.083
ID  - Greco2017
ER  -