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A Cardiovascular Risk Assessment Model According to Behavioral, Psychosocial and Traditional Factors in Patients With St-Segment Elevation Myocardial Infarction (Cras-Mi): Review of Literature and Methodology of a Multi-Center Cohort Study Publisher Pubmed



Roohafza H1 ; Noohi F2 ; Hosseini SG3 ; Alemzadehansari M4 ; Bagherieh S5 ; Marateb H6, 7 ; Mansourian M7, 8 ; Mousavi AF9 ; Seyedhosseini M10 ; Farshidi H11 ; Ahmadi N12 ; Yazdani A13 ; Sadeghi M14
Authors
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Authors Affiliations
  1. 1. Assistance Professor, Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Professor, Cardiovascular Intervention Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
  3. 3. Research Assistant, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Associate Professor, Cardiovascular Intervention Research Center, Rajaie Cardiovascular Medical and Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Biomedical Engineering Department, Engineering Faculty, University of Isfahan, Isfahan, Iran
  6. 6. Department of Automatic Control, Biomedical Engineering Research Center, Universitat Politecnica de Catalunya, BarcelonaTech (UPC), Barcelona, Spain
  7. 7. Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
  8. 8. Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
  9. 9. Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  10. 10. Cardiovascular Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  11. 11. Professor, Cardiovascular Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  12. 12. Research Assistant, Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  13. 13. Research Assistant, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
  14. 14. Professor, Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Current Problems in Cardiology Published:2023


Abstract

This study aims to provide a comprehensive risk-assessment model including lifestyle, psychological parameters, and traditional risk factors to determine the risk of major adverse cardiovascular events (MACE) in patients with the first acute ST-segment elevation myocardial infarction episode. Patients were recruited from new hospital admissions of acute ST-segment elevation myocardial infarction and will be followed up to 3 years. Clinical and paraclinical characteristics, lifestyle, psychological, and MACE information are collected and will be used in the risk-assessment model. Totally, 1707 patients were recruited (male: 81.4%, mean age: 56.60 ± 10.34). Primary percutaneous coronary intervention was the most prevalent type of coronary revascularization (81.9%). In case of baseline psychological characteristics, mean depression score was 5.40 ± 4.88, and mean distress score was 7.64 ± 5.08. A comprehensive approach, focusing on medical, lifestyle, and psychological factors, will lead to better identification of cardiovascular disease patients at risk of developing MACE through comprehensive risk-assessment models. © 2022 Elsevier Inc.
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