Coronary disease & ACS

Pathways Linking Post-Traumatic Stress Disorder to Incident Ischemic Heart Disease in Women: Call to Action

JACC AdvPublished Retrospective cohort study

Authors' conclusion

Traditional IHD risk factors explained a quarter of the PTSD-IHD association in women veterans, and over half of the risk of IHD associated with PTSD remained unexplained even when adjusting for a wide range of risk factors.

Study context

Population
US women veterans enrolled in Veterans Health Administration care, 2000–2017
Exposure
Post-traumatic stress disorder (PTSD) vs no PTSD
Outcome
Mediation of the PTSD-incident ischemic heart disease (IHD) (CAD, angina or MI) association by risk factors
Methodological detailspropensity-score matched, longitudinal
  • Propensity-score matched
  • Longitudinal

Main finding

As reported in the abstract

Proportion of PTSD-IHD association explained by risk factors

Traditional risk factors (hypertension, hyperlipidemia, smoking, DM)

24.2%

Psychiatric risk factors (eg, depression, anxiety, substance use disorders)

33.8%

All 13 risk factors

48.5%

Observational data: associations, not effects.

Original publication

Pathways Linking Post-Traumatic Stress Disorder to Incident Ischemic Heart Disease in Women: Call to Action. JACC Adv. Published 30 November 2023. doi:10.1016/j.jacadv.2023.100744

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