Acute Myocardial Infarction in Severe Mental Illness: prevalence, clinical outcomes and process of care in United States hospitalizations.

Mamas; Chew-Graham

Abstract

Patients with severe mental illness (SMI) are a high-risk group for cardiovascular disease. The present study examined the prevalence and outcomes of SMI patients in a national AMI cohort. SMI has doubled in prevalence amongst AMI patients, mainly due to a rise in Major Depression and Bipolar Disorder. Only Schizophrenia and ‘Other non-organic psychoses’ groups were associated with worse outcomes, but all SMI subtypes were less likely to receive invasive management for their AMI.

• Acceptance Date: Apr 26, 2019
• Publication Date: Jul 1, 2019
• Journal: Canadian Journal of Cardiology
• Print ISSN: 0828-282X
• Publisher: Elsevier
• Pages: 821-830
• DOI: https://doi.org/10.1016/j.cjca.2019.04.021
• Keywords: severe mental illness, bipolar disorder, schizophrenia, major depression, psychosis, acute myocardial infarction, outcomes, management
• Publisher URL: https://doi.org/10.1016/j.cjca.2019.04.021