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The Relationship Between Type D Personality and the Complexity of Coronary Artery Disease

Authors Enatescu VR, Cozma D, Tint D, Enatescu I, Simu M, Giurgi-Oncu C, Lazar MA, Mornos C

Received 25 January 2021

Accepted for publication 2 March 2021

Published 18 March 2021 Volume 2021:17 Pages 809—820


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Roger Pinder

Virgil Radu Enatescu,1,* Dragos Cozma,2,3,* Diana Tint,4,5 Ileana Enatescu,6 Mihaela Simu,1 Catalina Giurgi-Oncu,1 Mihai Andrei Lazar,2 Cristian Mornos2,3

1Department of Neuroscience, “Victor Babes” University of Medicine and Pharmacy Timisoara, Timisoara, Romania; 2Department of Cardiology 1, “Victor Babes” University of Medicine and Pharmacy Timisoara, Timisoara, Romania; 3Institute of Cardiovascular Diseases Timisoara, Timisoara, Romania; 4School of Medicine, Transylvania University, Brasov, Romania; 5Department of Cardiology, ICCO Clinics Brasov, Brasov, Romania; 6Department of Obstetrics and Gynecology-Discipline of Childcare and Neonatology, “Victor Babes” University of Medicine and Pharmacy Timisoara, Timisoara, Romania

*These authors contributed equally to this work

Correspondence: Ileana Enatescu Email [email protected]
Diana Tint Email [email protected]

Purpose: The relationship between personality traits and cardiovascular disease has gathered sustained interest over the last years, type –D personality (TDP) being significantly associated with coronary artery disease (CAD). However, data regarding the connection between the TDP and the severity of CAD disease is scarce. The aim of our study was to assess the relationship between TDP and the complexity of CAD, and to compare it with other sociodemographic and clinical features.
Patients and Methods: We conducted a cross-sectional case-control clinical-based study on 221 consecutive hospitalized patients with chest pain (60 ± 10.2 years; 131 men), referred for coronary angiography.
Results: TDP was identified in 42 (19%) patients, using the DS 14 scale. Symptomatology profile was evaluated using the SCL-90 scale. Syntax score was greater in the subgroup of patients with TDP in comparison to non-TDP subgroup (26.21± 12.03 vs 15.49± 8.89, respectively, p< 0.001), and most of SCL-90 symptom dimensions have significantly higher levels in the subgroup of TDP with CAD patients (all p < 0.05). Smoking (β=0.132, p=0.037), dyslipidemia (β=0.149, p=0.013), Diabetes Mellitus (β=232, p< 0.001), NA dimension of TDP (β=0.255, p< 0.001) and SI (β=0.279, p< 0.001) dimension of TDP have a significant contribution to the complexity of CAD assessed by Syntax score.
Conclusion: TDP was associated with a more complex CAD assessed by Syntax score, and may represent a dynamic interface between the biological and psychological vulnerabilities and the symptoms of CAD.

Keywords: coronary artery disease, type D personality, Syntax score

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