12. Posttraumatic Stress Disorder and Heart Disease

  1. Michelle Riba3,
  2. Lawson Wulsin4 and
  3. Melvyn Rubenfire5
  1. Leonard A. Doerfler1 and
  2. John A. Paraskos2

Published Online: 31 JAN 2012

DOI: 10.1002/9780470975138.ch12

Psychiatry and Heart Disease: The Mind, Brain, and Heart

Psychiatry and Heart Disease: The Mind, Brain, and Heart

How to Cite

Doerfler, L. A. and Paraskos, J. A. (2011) Posttraumatic Stress Disorder and Heart Disease, in Psychiatry and Heart Disease: The Mind, Brain, and Heart (eds M. Riba, L. Wulsin and M. Rubenfire), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9780470975138.ch12

Editor Information

  1. 3

    Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA

  2. 4

    Department of Psychiatry&Behavioral Neuroscience, University of Cincinnati, Cincinnati, OH, USA

  3. 5

    Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA

Author Information

  1. 1

    Department of Psychology, Assumption College and, Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA USA

  2. 2

    Department of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, MA USA

Publication History

  1. Published Online: 31 JAN 2012
  2. Published Print: 16 DEC 2011

ISBN Information

Print ISBN: 9780470685808

Online ISBN: 9780470975138

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Keywords:

  • posttraumatic stress disorder;
  • myocardial infarction;
  • cardiac surgery;
  • pharmacotherapy;
  • exposure treatment;
  • assessment

Summary

Approximately 15% of patients who have had a myocardial infarction (MI) or coronary artery bypass graft surgery are likely to develop Posttraumatic Stress Disorder (PTSD) in the year after the cardiac event and there is substantial evidence linking PTSD with marked distress and poor quality of life. There is some evidence that PTSD is associated with adverse medical outcomes in cardiac patients. Because of the negative impact on quality of life, screening cardiac patients for PTSD is warranted. When PTSD is identified, there are several treatment options, including psychotherapy and pharmacotherapy, particularly with selective serotonin reuptake inhibitors (SSRIs).