Thursday 24 April 2014

Post Traumatic Stress Disorder Gives A Higher Risk Of Cardiovascular Disease

Post Traumatic Stress Disorder Gives A Higher Risk Of Cardiovascular Disease.
Veterans hardship from post-traumatic accent disorder, or PTSD, appear to be at higher peril for heart disease. For the first time, researchers have linked PTSD with severe atherosclerosis (hardening of the arteries), as uniform by levels of calcium deposits in the arteries. The condition "is emerging as a significant gamble factor," said Dr Ramin Ebrahimi, co-principal investigator of a reflect on on the issue presented Wednesday at the annual meeting of the American Heart Association in Chicago. The authors are hoping that these and other, alike findings will prompt doctors, particularly primary anxiety physicians, to more carefully screen patients for PTSD and, if needed, follow up aggressively with screening and treatment.

Post-traumatic anxiety disorder - triggered by experiencing an event that causes intense fear, helplessness or queasiness - can include flashbacks, emotional numbing, overwhelming guilt and shame, being surely startled, and difficulty maintaining close relationships. "When you go to a doctor, they ask questions about diabetes, stiff blood pressure and cholesterol," said Ebrahimi, who is a research scientist at the Greater Los Angeles Veterans Administration Center. "The purpose would be for PTSD to become part of routine screening for soul disease risk factors".

Although PTSD is commonly associated with war veterans, it's now also everywhere linked to people who have survived traumatic events, such as rape, a severe accident or an earthquake, inundation or other natural disaster. The authors reviewed electronic medical records of 286,194 veterans, most of them manful with an average age 63, who had been seen at Veterans Administration medical centers in southern California and Nevada. Some of the veterans had latest been on active duty as far back as the Korean War.

Researchers also had access to coronary artery calcium CT c con images for 637 of the patients, which showed that those with PTSD had more calcium built up in their arteries - a jeopardize factor for heart disease - and more cases of atherosclerosis. About three-quarters of those diagnosed with PTSD had some calcium build-up, versus 59 percent of the veterans without the disorder. As a group, the veterans with PTSD had more simple affliction of their arteries, with an average coronary artery calcification provocation of 448, compared to a score of 332 in the veterans without PTSD - a significantly higher reading.

This is the beginning time atherosclerosis has been identified as a possible reason for elevated tenderness disease in people with PTSD, the authors stated. Veterans with PTSD were also more likely than their counterparts to pass away from all causes. During an average follow-up of almost 10 years, and after adjusting for age, gender, and routine risks for heart disease, the researchers discovered that veterans diagnosed with PTSD had 2,41 times the gait of death from all causes, compared to veterans without PTSD.

In fact, PTSD was diagnosed in only 10,6 percent of all the veterans studied, but nearly 30 percent of those who died had PTSD, the results showed. Among the veterans with a calcium build-up in their arteries, those with PTSD had a 48 percent increased jeopardy of extirpation overall and a 41 percent increased endanger of dying from cardiovascular disease, compared to their peers without the disorder.

The authors suspected that PTSD may lead to more severe atherosclerosis because of the release of various stress hormones (epinephrine, norepinephrine, cortisol) associated with the fight-or-flight reply characteristics of the disorder. "That may be injuring the arterial wall," explained Dr Naser Ahmadi, the study's co-principal investigator and a fact-finding scientist with the Greater Los Angeles Veterans Administration Medical Center. It should be prominent that the cramming did not prove a cause-and-effect, however. And since it was presented at a meeting, the data and conclusions should be viewed as prior until published in a peer-reviewed journal.

Dr Robert Eckel, past president of the American Heart Association and professor of drug at the University of Colorado, Denver, feels that the specific mechanism is still unclear: Why word for word is PTSD linked to atherosclerosis? "There's not a clear mechanism. It could be blood pressure, cholesterol, unconventional diets. Do people with PTSD eat more fast food? Are they less physically active? Are they smokers?" Eckel said. A next retire might be to compare public with PTSD with people who have other psychiatric conditions such as depression or schizophrenia, Eckel added. "This is the end of the iceberg," he said disebsin 30 mg cost in mexico. "We need more surveillance with radar to see under the tip".

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