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Psychological Distress After Sudden Cardiac Arrest and Its Impact on Recovery

  • Psychological Aspects of Cardiovascular Diseases (IM Kronish, Section Editor)
  • Published:
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Abstract

Purpose of Review

To summarize the prevalence, correlates, and health consequences of poor mental health in the increasingly sizable population of survivors of Sudden cardiac arrest (CA) and to describe current intervention research in this area.

Recent Findings

After CA many patients report high psychological distress, including depression, generalized anxiety, and posttraumatic stress. Emerging evidence suggests that distressed patients’ attention may narrow such that anxious awareness of afferent cardiac signals e.g., changes in heart rate or blood pressure, becomes predominant and a cause for concerned, constant monitoring. This cardiac-specific anxiety followed by behavioral avoidance and physiological hyperreactivity may increase patients’ already high risk of secondary cardiovascular disease and undermine their health-related quality of life (HRQoL).

Summary

Unlike other cardiovascular diseases, no clinical practice guidelines exist for assessing or treating psychological sequelae of CA. Future research should identify modifiable psychological targets to reduce secondary cardiovascular disease risk and improve HRQoL.

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    Funding

    Sachin Agarwal was a Principal-investigator on a related NIH grant (R01-HL153311) that provided salary support for his effort. Jeffery L. Birk reports grants from the National Institutes of Health (R01-HL151850). Talea Cornelius receives support from the National Institutes of Health National Center for Advancing Translational Sciences (KL2TR001874). Bernard Chang receives support from the NIH (HL 141811 and HL 146911). Donald E. Edmondson was a co-investigator on related NIH grants that provided salary support for his effort. Ian Kronish received support from the National Heart, Lung, and Blood Institute (R01132347) and the National Institute on Aging (P30 AG064198).

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    Authors and Affiliations

    1. Department of Neurology, Division of Critical Care & Hospitalist Neurology, Columbia University Irving Medical Center/New York Presbyterian Hospital, Milstein Hospital, 177 Fort Washington Avenue, New York, NY, 8GS-300, USA

      Sachin Agarwal, Sabine L. Abukhadra & Danielle A. Rojas

    2. Center for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, New York, USA

      Jeffrey L. Birk, Talea M. Cornelius, Donald E. Edmondson & Ian M. Kronish

    3. Department of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, New York, USA

      Maja Bergman

    4. Department of Emergency Medicine, Columbia University Irving Medical Center/New York Presbyterian Hospital, New York, USA

      Bernard P. Chang

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    1. Sachin Agarwal
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    Correspondence to Sachin Agarwal.

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    Conflict of Interest

    Talea Cornelius serves as a statistical consultant occasionally at the University of Conneticut. Bernard Chang reports consulting fees from Mighty Health, payment for expert testimony on a case, and Board of Director NY American College of Emergency Physicians. Ian Kronish receives an honorarium annually for service as a Section Editor for the journal Current Cardiology Reports. The other authors declare that they have no conflict of interest.

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    Agarwal, S., Birk, J.L., Abukhadra, S. et al. Psychological Distress After Sudden Cardiac Arrest and Its Impact on Recovery. Curr Cardiol Rep 24, 1351–1360 (2022). https://doi.org/10.1007/s11886-022-01747-9

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    • DOI: https://doi.org/10.1007/s11886-022-01747-9

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