What is it about?
This study proposes practical criteria to identify heart patients who most need psychological support during rehabilitation in the COVID-19 era. We assessed 61 inpatients (28 men, 33 women) treated for myocardial infarction (MI) or hypertension crisis (HCC) and measured their stress load and social adaptation using the Holmes–Rahe Life Stress Inventory during days 2–5 of hospitalization. Based on age, diagnosis, and life-event scores, we defined high- and moderate-risk groups for targeted stress-resilience and social adaptation interventions.
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Why is it important?
Psychosocial stress can trigger or worsen cardiac events, yet stress screening is often missing from standard cardiac rehab—especially during pandemics, when stressors multiply. Simple bedside tools (like Holmes–Rahe) can quickly flag patients at imminent risk of decompensation, helping teams add psychological and social support early, which may improve adherence, recovery, and long-term outcomes.
Perspectives
Setting & period: Cardiology department, Adygea Republican Clinical Hospital; Sept–Dec 2020. Participants: 61 adults (28 men, 33 women) with MI or HCC. Assessment: Individual interview using the Holmes–Rahe 43-item life-events scale; stress-load categories: <150 (low), 150–199 (moderate), 200–299 (threshold), ≥300 (very high). Stratification: By sex and age (men: ≤61 vs. >61; women: ≤68 vs. >68). We related diagnosis patterns and stress-load to create selection criteria for rehab referrals.
Dr Aleksandr Martynenko
LLC “Multifunctional Medical Center” M-clinic, Tashkent, Uzbekistan
Read the Original
This page is a summary of: CRITERIA FOR THE SELECTION OF PATIENTS WITH AN ACUTE HEART FAILURE EVENT FOR THE CORRECTION OF STRESS RESISTANCE AND SOCIAL ADAPTATION IN COMPLEX REHABILITATION DURING A PANDEMIC COVID-19, Journal of Volgograd State Medical University, February 2021, Volgograd State Medical University,
DOI: 10.19163/1994-9480-2021-2(78)-160-164.
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