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Anxiety Level and Responses to Stress caused by Air Raids Among Patients with Ischemic Heart Disease

Published online by Cambridge University Press:  28 June 2012

Dejana S. Vukovic ,
Mirjana E. Krotin ,
Momcilo M. Babic  and
Branislav M. Zivanovic
Dejana S. Vukovic*
Affiliation:
Institute of Social Medicine, School of Medicine, University of Belgrade, Serbia
Mirjana E. Krotin
Affiliation:
Department of Cardiology, University Medical Center, “Bezanijska kosa”, Belgrade, Serbia
Momcilo M. Babic
Affiliation:
University Medical Center, “Bezanijska kosa”, Belgrade Serbia
Branislav M. Zivanovic
Affiliation:
Department of Cardiology, University Medical Center, “Bezanijska kosa”, Belgrade, Serbia
*
Institute of Social Medicine School of Medicine, Dr Subotica 15, 11 000 Belgrade, Serbia E-mail: gvuko@eunet.yu
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Abstract

Background: This study was undertaken to examine the short-term responses of patients with ischemic heart disease to life-threatening events such as war.

Methods:

This retrospective study included 75 persons with ischemic heart disease who were admitted to the Cardiac policlinic for a control check-up immediately after the suspension of air raids. Two-thirds of them were male (average age 62 ±10). Data were obtained using a specially conceived questionnaire based on recall.

Results:

Almost 40% of patients estimated that they were very anxious the week before the attacks began, but the anxiety decreased after the beginning of the air raids. Frequency of anginal pains increased after the start of the air raids, but the difference was not statisticaly significant. The intensity of pains drastically increased in the first week of war. Consequently, the average number of pain killers consumed increased from the week before the attacks to the first week of the attacks, and it reached the highest value the week after the suspension of the attacks (1.39, 1.87, and 3.02 pain pills per week, respectively). The average weekly number of medications was 3.50 in the week prior to the air raids, increased to 5.05 during the first week of air raids, and rose to 6.06 in the week after the suspension.

Conclusion:

The adjustment on the psychological level was rapid but physical symptoms increased. This implies that physical adaptation to stress could be slower, or that the stress of the war provoked permanent changes in physical status.

Keywords

air raidsanxietyischemic heart diseasestress
Type
Brief Report
Information
Prehospital and Disaster Medicine , Volume 20 , Issue 4 , August 2005 , pp. 249 - 252
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2005

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References

1Stone, PH, Krantz, DS, McMahon, RP et al, : Relationship among mental stress-induced ischemia and ischemia during daily life and during exercise: The Psychophysiologic Investigations of Myocardial Ischemia (PIMI) study. J Am Coll Cardiol 1999;33:1476–1484.CrossRefGoogle ScholarPubMed
2Goldberg, AD, Becker, LC, Bonsall, R et al, : Ischemic, hemodynamic, and neurohormonal responses to mental and exercise stress. Experience from the Psychophysiological Investigations of Myocardial Ischemia Study (PIMI). Circulation 1996;94:2402–2409.Google ScholarPubMed
3Weisenberg, D, Meisel, SR, David, D: Sudden death among the Israeli civilian population during the Gulf War—Incidence and mechanisms. Isr J Med Sci 1996;32:95–99.Google ScholarPubMed
4Meisel, SR, Kutz, I, Dayan, KI et al, : Effect of Iraqi missile war on incidence of acute myocardial infarction and sudden death in Israeli civilians. Lancet 1991;338:660–661.CrossRefGoogle ScholarPubMed
5Carmel, S, Koren, I, Ilia, R: Coping with the Gulf war: Subculture differences among ischemic heart disease patients in Israel. Soc Sci Med 1993;37: 1481–1488.CrossRefGoogle ScholarPubMed
6Sibai, AM, Armenian, HK, Alam, S: Wartime determinants of arteriographically confirmed coronary artery disease in Beirut. Am J Epidemiol 1989; 130:623–631.CrossRefGoogle ScholarPubMed
7Rahe, RH: Anxiety and coronary heart disease in midlife. J Clin Psychiatry 1989;50 suppl:36–39.Google ScholarPubMed
8Kaufmann, PG, McMahon, RP, Becker, LC et al, : The Psychophysiological Investigations on Myocardial Ischemia (PIMI) study: Objective, methods, and variability measures. Psychosom Med 1998;60:56–63.CrossRefGoogle Scholar
9Sheps, DS, McMahon, RP, Pepine, CJ et al, : Heterogenity among cardiac ishemic and anginal responses to exercise, mental stress, and daily life. Am J Cardol 1998;82:1–6.CrossRefGoogle Scholar