One of the main conclusions that were extracted from the thesis presented at UMH was about a serious infarction (primary angioplasty), with early treatment, could improve psychologically. In addition, people who suffer less severe infarctions (elective angioplasty), with a less immediate treatment, would worsen his state of min.

What are the conclusions of the thesis that delves into psychological aspects in patients with myocardial infarction?

The student and Professor in the Department of Clinical Medicine of the University Miguel Hernández (UMH) Elche, Vicente Arrarte Esteban, was directed by the Professor of the Department of Health Psychology of the UMH, Eva María León Zarceño and by the professor of the Department of Clinical Medicine of the UMH and chief of Service of Cardiology General University Hospital of Alicante (HGUA), Francisco Sogorb Garri.
“Analysis of psychological variables in patients with acute ischemic heart disease (acute coronary syndrome) according to procedure”was the title of the thesis presented by Vicente Arrarte Esteban. His author, professor of the UMH, focused on investigate psychological aspects of suffering a myocardial infarction and some differences according to treatment and time spent for their attention.

 

What are the background of the thesis that delves into psychological aspects in patients with myocardial infarction?

Several years have been used to carry out the research study, obtaining information through a cardiac rehabilitation program in the General University Hospital of Alicante, coordinated by the doctoral student and specialist in cardiology Vicente Arrate.
The project has provided different results;

• Functionally worst patients, due to its performance in stress tests, are those who have a worse profile psychosociological.
• The Group of women tested in the study, showed results of improvement in cardiac rehabilitation programs. After the studies and research carried out, changes were observed in the treatment and slight differences from men.

The conclusions of the study pointed out that women affected by myocardial infarction were suffering it to age more advanced that in men, and due to social factors, tend to desist in this type of rehabilitation programs.
Vicente Arrate Esteban, cardiologist and professor in the Department of Clinical Medicine of the UMH.
The doctoral student and cardiologist Vicente Arrarte pointed out the importance of a multidisciplinary team where collaborate:

• psychologists,
• cardiologists,
• rehabilitation,
• and other specialists

to give wide coverage to patients as the core of care rather than focusing on the disease.
In addition, highlighted the work of nurse and physiotherapist of the specific program with patients, which enabled daily rehabilitation treatment with patients with ischemic heart disease.

The cardiologist Vicente Arrarte said that “in this work there are data that reinforce the indications of a psychological treatment in patients following an acute coronary syndrome, especially in those with worse functional status initial. In addition, delays in treatment should be avoided provided the means used are profitable”. Likewise, the results appeared in the temperament “obliged to rethink the psychological means available in hospitals and use psychological treatments most suitable programmes of” Cardiac rehabilitation to prevent poor control of a recognized by major cardiological guidelines risk factor”. Arrarte, with such data, suggested individualized psychological character programs.
 

Who made up the court of the thesis that delves into psychological aspects in patients with myocardial infarction?

• Jesús Rodríguez Marín, professor emeritus of the Department of Health Psychology of the UMH.
• Miguel Ángel Serrano Rosa, professor of the University of Valencia.
• Almudena Castro Conde, coordinator of cardiac rehabilitation in La Paz Hospital, Madrid.
• Vicente Climent Payá, cardiologist of the General University Hospital of Alicante.
• María José Quiles Sebastián, professor of the Department of Health Psychology of the UMH