Cardiovascular impact of post-traumatic stress disorder: A systematic review and meta-analysis

<h3>Background</h3><p dir="ltr">Post-traumatic stress disorder (PTSD) is increasingly recognized for its effects beyond mental health, with emerging evidence suggesting a significant association with cardiovascular diseases (CVD). This <u>systematic review</u>...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Bijaya K Padhi (16823745) (author)
مؤلفون آخرون: Mahalaqua Nazli Khatib (9714860) (author), Hashem Abu Serhan (15993651) (author), Abhay M Gaidhane (17910632) (author), Sarvesh Rustagi (17471712) (author), Quazi Syed Zahiruddin (13231791) (author), Rakesh Kumar Sharma (7271042) (author), Prakasini Satapathy (8677284) (author)
منشور في: 2024
الموضوعات:
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author Bijaya K Padhi (16823745)
author2 Mahalaqua Nazli Khatib (9714860)
Hashem Abu Serhan (15993651)
Abhay M Gaidhane (17910632)
Sarvesh Rustagi (17471712)
Quazi Syed Zahiruddin (13231791)
Rakesh Kumar Sharma (7271042)
Prakasini Satapathy (8677284)
author2_role author
author
author
author
author
author
author
author_facet Bijaya K Padhi (16823745)
Mahalaqua Nazli Khatib (9714860)
Hashem Abu Serhan (15993651)
Abhay M Gaidhane (17910632)
Sarvesh Rustagi (17471712)
Quazi Syed Zahiruddin (13231791)
Rakesh Kumar Sharma (7271042)
Prakasini Satapathy (8677284)
author_role author
dc.creator.none.fl_str_mv Bijaya K Padhi (16823745)
Mahalaqua Nazli Khatib (9714860)
Hashem Abu Serhan (15993651)
Abhay M Gaidhane (17910632)
Sarvesh Rustagi (17471712)
Quazi Syed Zahiruddin (13231791)
Rakesh Kumar Sharma (7271042)
Prakasini Satapathy (8677284)
dc.date.none.fl_str_mv 2024-05-29T12:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.cpcardiol.2024.102632
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Cardiovascular_impact_of_post-traumatic_stress_disorder_A_systematic_review_and_meta-analysis/29715764
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Health sciences
Public health
Post-traumatic stress disorder
Stroke
Myocardial infarction
Meta-analysis
Public health
dc.title.none.fl_str_mv Cardiovascular impact of post-traumatic stress disorder: A systematic review and meta-analysis
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background</h3><p dir="ltr">Post-traumatic stress disorder (PTSD) is increasingly recognized for its effects beyond mental health, with emerging evidence suggesting a significant association with cardiovascular diseases (CVD). This <u>systematic review</u> and meta-analysis aimed to synthesize available evidence on the association between PTSD and various cardiovascular outcomes. </p><h3>Methods</h3><p dir="ltr">We conducted a comprehensive literature search in databases until March 15, 2024. Studies were included if they were observational in design and assessed the association between PTSD and cardiovascular outcomes. Data were extracted on study characteristics, participant demographics, PTSD assessment, cardiovascular outcomes, and effect estimates. Meta-analyses were performed using random-effects models, and heterogeneity was assessed using the I² statistic. All statistical analyses were conducted using R software version 4.3. </p><h3>Results</h3><p dir="ltr">Twenty studies met the inclusion criteria, encompassing a total of over 335,000 participants. The pooled analyses demonstrated a statistically significant increased risk of any CVD (HR = 1.417, 95 % CI: 1.313-1.522), MI (HR = 1.415, 95 % CI: 1.331-1.500), and stroke (HR = 2.074, 95 % CI: 1.165-2.982) associated with PTSD. Substantial heterogeneity was observed across the studies for stroke and MACE, and evidence of publication bias was noted. </p><h3>Conclusion</h3><p dir="ltr">This meta-analysis confirms a significant association between PTSD and an increased risk of several cardiovascular outcomes, indicating the importance of integrating cardiovascular risk management with psychiatric care for PTSD patients to mitigate the heightened risk of CVDs. Future research should focus on exploring the underlying mechanisms and potential interventions to manage both PTSD and its associated cardiovascular risks effectively.</p><h2>Other Information</h2><p dir="ltr">Published in: Current Problems in Cardiology<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.cpcardiol.2024.102632" target="_blank">https://dx.doi.org/10.1016/j.cpcardiol.2024.102632</a></p>
eu_rights_str_mv openAccess
id Manara2_6de2f720a8bb97ee143882d024227d04
identifier_str_mv 10.1016/j.cpcardiol.2024.102632
network_acronym_str Manara2
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spelling Cardiovascular impact of post-traumatic stress disorder: A systematic review and meta-analysisBijaya K Padhi (16823745)Mahalaqua Nazli Khatib (9714860)Hashem Abu Serhan (15993651)Abhay M Gaidhane (17910632)Sarvesh Rustagi (17471712)Quazi Syed Zahiruddin (13231791)Rakesh Kumar Sharma (7271042)Prakasini Satapathy (8677284)Biomedical and clinical sciencesCardiovascular medicine and haematologyClinical sciencesHealth sciencesPublic healthPost-traumatic stress disorderStrokeMyocardial infarctionMeta-analysisPublic health<h3>Background</h3><p dir="ltr">Post-traumatic stress disorder (PTSD) is increasingly recognized for its effects beyond mental health, with emerging evidence suggesting a significant association with cardiovascular diseases (CVD). This <u>systematic review</u> and meta-analysis aimed to synthesize available evidence on the association between PTSD and various cardiovascular outcomes. </p><h3>Methods</h3><p dir="ltr">We conducted a comprehensive literature search in databases until March 15, 2024. Studies were included if they were observational in design and assessed the association between PTSD and cardiovascular outcomes. Data were extracted on study characteristics, participant demographics, PTSD assessment, cardiovascular outcomes, and effect estimates. Meta-analyses were performed using random-effects models, and heterogeneity was assessed using the I² statistic. All statistical analyses were conducted using R software version 4.3. </p><h3>Results</h3><p dir="ltr">Twenty studies met the inclusion criteria, encompassing a total of over 335,000 participants. The pooled analyses demonstrated a statistically significant increased risk of any CVD (HR = 1.417, 95 % CI: 1.313-1.522), MI (HR = 1.415, 95 % CI: 1.331-1.500), and stroke (HR = 2.074, 95 % CI: 1.165-2.982) associated with PTSD. Substantial heterogeneity was observed across the studies for stroke and MACE, and evidence of publication bias was noted. </p><h3>Conclusion</h3><p dir="ltr">This meta-analysis confirms a significant association between PTSD and an increased risk of several cardiovascular outcomes, indicating the importance of integrating cardiovascular risk management with psychiatric care for PTSD patients to mitigate the heightened risk of CVDs. Future research should focus on exploring the underlying mechanisms and potential interventions to manage both PTSD and its associated cardiovascular risks effectively.</p><h2>Other Information</h2><p dir="ltr">Published in: Current Problems in Cardiology<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.cpcardiol.2024.102632" target="_blank">https://dx.doi.org/10.1016/j.cpcardiol.2024.102632</a></p>2024-05-29T12:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.cpcardiol.2024.102632https://figshare.com/articles/journal_contribution/Cardiovascular_impact_of_post-traumatic_stress_disorder_A_systematic_review_and_meta-analysis/29715764CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/297157642024-05-29T12:00:00Z
spellingShingle Cardiovascular impact of post-traumatic stress disorder: A systematic review and meta-analysis
Bijaya K Padhi (16823745)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Health sciences
Public health
Post-traumatic stress disorder
Stroke
Myocardial infarction
Meta-analysis
Public health
status_str publishedVersion
title Cardiovascular impact of post-traumatic stress disorder: A systematic review and meta-analysis
title_full Cardiovascular impact of post-traumatic stress disorder: A systematic review and meta-analysis
title_fullStr Cardiovascular impact of post-traumatic stress disorder: A systematic review and meta-analysis
title_full_unstemmed Cardiovascular impact of post-traumatic stress disorder: A systematic review and meta-analysis
title_short Cardiovascular impact of post-traumatic stress disorder: A systematic review and meta-analysis
title_sort Cardiovascular impact of post-traumatic stress disorder: A systematic review and meta-analysis
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Health sciences
Public health
Post-traumatic stress disorder
Stroke
Myocardial infarction
Meta-analysis
Public health