Cardiac event-induced PTSD symptoms and continuous heart rate in coronary artery disease patients.
Year: 2026
Type: article
Study design: Observational Study
Abstract: OBJECTIVE: (PCL-5) are associated with elevated ambulatory HR in recently discharged cardiac patients, independent of PSS-linked health behaviors. METHOD: = 74) PSS wore 24-hr electrocardiography monitors and wrist actigraphy for 2 weeks, with beta-blocker adherence electronically tracked. RESULTS: = .009. This effect remained after adjusting for diurnal HR variation, age, sex, cardiac risk score, medical comorbidities, and three objectively estimated, PSS-linked health behaviors relevant to HR-physical activity, sleep episode length, and beta-blocker adherence. CONCLUSIONS: Findings suggest the potential value of targeting postcardiac event PSS to mitigate chronic sympathetic arousal. The use of intensive monitoring and high-resolution behavioral data strengthens the evidence for a physiological pathway linking psychological distress to elevated HR in cardiac patients. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
Source: Health Psychology
DOI: 10.1037/hea0001586
Authors: Maia ten Brink, Joseph E. Schwartz, Talea Cornelius, Ian M. Kronish, Ari Shechter, Keith M. Diaz, Alexandra Miecznikowski, Sung A. J. Lee, Gabriel J. Sanchez, Redeana C. Umland, Gaspar J. Cruz, Marthina A. Correa Hernandez, Maria-Jose Lopez-Sanchez, Richard P. Sloan, Sachin Agarwal, Jeffrey L. Birk
Institution: Columbia University Irving Medical Center
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Awards: G283355917, PTSD, Medication Adherence, and Prognosis after Acute Coronary Syndromes, G4334145014, Testing biopsychosocial mechanisms of the posthospital syndrome model ofearly rehospitalization in acute coronary syndrome patients, G5213465572, G535751848, Test of a new theory to explain excess risk in cardiac PTSD, Impact of Social-Interpersonal Factors in the ER on PTSD/Cardiac Outcomes, Clinical and Translational Science Award, Positive and Negative Psychological Predictors of Long-Term Recovery after Cardiac Arrest, Postdoctoral Training in Arteriosclerosis Research
OpenAlex ID: W7130510792