Revista Sextante

Psychological Distress, Physical Activity and Self-Rated Health among Young Adults with Working MINOCA versus Obstructive Myocardial Infarction in Multan District, Pakistan

Syed Ali Akbar Rizvi

Departments of Public Health, Times University Multan, Pakistan

Muhammad Asif

Departments of Public Health, Times University Multan, Pakistan

Keywords: Anxiety symptoms, cardiovascular risk factors, depressive symptoms, MINOCA, perceived stress, smoking

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Abstract

Myocardial infarction with non-obstructive coronary arteries (MINOCA) is an important presentation of acute myocardial infarction (AMI) among young adults. In previous studies. psychological distress, physical activity and self-rated health have been insufficiently studied among this population in Multan District, Pakistan. The present study aimed to compare these measures, alongside selected cardiovascular risk factors, between young adults with working MINOCA and those with obstructive myocardial infarction. The study tables provided are a description of a hospital-based cross-sectional analysis of 290 adults (aged 18 to 45 years) who presented with a working MINOCA (43 patients) and with an obstructive MI (247 patients). Cardiovascular risk factors, and questionnaire-based indicators were summarised and compared among the groups. The number of current smokers was less among those in the working-MINOCA group than the number among those in the obstructive-MI group (27.9% vs. 44.5%, p = 0.042). It was also recorded that 61.0% of the total sample reported moderate or high levels of perceived stress, 27.9% moderate or severe levels of anxiety symptoms, and 19.0% moderate or severe levels of depressive symptoms. Working-MINOCA group had higher median perceived stress score compared to the obstructive-MI group (21.0; P = 0.034). There was a categorical stress comparison and group comparisons that were not statistically significant for anxiety, depressive symptoms, physical activity and self-rated health. These reported results indicate that the cardiovascular risk factors and psychological symptoms are relevant to the two groups of angiographies.