TY - JOUR
T1 - Type D Personality Associated With Increased Risk for Mortality in Adults With Congenital Heart Disease
AU - Kauw, Dirkjan
AU - Schoormans, Dounya
AU - Sieswerda, Gertjan Tj
AU - Van Melle, Joost P
AU - Vliegen, Hubert W
AU - Van Dijk, Arie P J
AU - Hulsbergen-Zwarts, Mariët S
AU - Post, Marco C
AU - Ansink, Tieneke J
AU - Mulder, Barbara J M
AU - Bouma, Berto J
AU - Schuuring, Mark J
N1 - Funding Information:
This work was supported by the Dutch Heart Foundation (AMC CH Congenital Heart Diseases grant number 2017 T2 to D.K.).
Funding Information:
The authors thank all Congenital Corvitia participants, Lia Engelfriet, and Sylvia Mantels. This work was carried out in the context of the Parelsnoer Institute (part of and funded by the Dutch Federation of University Medical Centers).
Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.
PY - 2022/3
Y1 - 2022/3
N2 - BACKGROUND: Type D personality has been previously shown to increase the risk for mortality in patients with acquired heart disease.OBJECTIVE: We aimed to compare mortality in adult patients with congenital heart disease (CHD) with and without type D.METHODS: Survival was assessed using prospective data from the Dutch national Congenital Corvitia registry for adults with CHD. Patients were randomly selected from the registry and characterized at inclusion in 2009 for the presence of type D using the DS14 questionnaire.RESULTS: One thousand fifty-five patients, with 484 (46%) males, a mean (SD) age of 41 (14) years, 613 (58%) having mild CHD, 348 (33%) having moderate CHD, and 94 (9%) having severe CHD, were included. Type D personality was present in 225 patients (21%). Type D was associated with an increased risk for all-cause mortality independent of age, sex, New York Heart Association class, number of prescribed medications, depression, employment status, and marital status (hazard ratio, 1.94; 95% confidence interval, 1.05-3.57; P = .033).CONCLUSION: Type D personality was associated with an increased risk for all-cause mortality in adult patients with CHD.
AB - BACKGROUND: Type D personality has been previously shown to increase the risk for mortality in patients with acquired heart disease.OBJECTIVE: We aimed to compare mortality in adult patients with congenital heart disease (CHD) with and without type D.METHODS: Survival was assessed using prospective data from the Dutch national Congenital Corvitia registry for adults with CHD. Patients were randomly selected from the registry and characterized at inclusion in 2009 for the presence of type D using the DS14 questionnaire.RESULTS: One thousand fifty-five patients, with 484 (46%) males, a mean (SD) age of 41 (14) years, 613 (58%) having mild CHD, 348 (33%) having moderate CHD, and 94 (9%) having severe CHD, were included. Type D personality was present in 225 patients (21%). Type D was associated with an increased risk for all-cause mortality independent of age, sex, New York Heart Association class, number of prescribed medications, depression, employment status, and marital status (hazard ratio, 1.94; 95% confidence interval, 1.05-3.57; P = .033).CONCLUSION: Type D personality was associated with an increased risk for all-cause mortality in adult patients with CHD.
KW - congenital heart disease
KW - heart diseases
KW - mortality
KW - type D personality
UR - http://www.scopus.com/inward/record.url?scp=85124498480&partnerID=8YFLogxK
U2 - 10.1097/JCN.0000000000000747
DO - 10.1097/JCN.0000000000000747
M3 - Article
C2 - 32858606
SN - 1474-5151
VL - 37
SP - 192
EP - 196
JO - European Journal of Cardiovascular Nursing
JF - European Journal of Cardiovascular Nursing
IS - 2
ER -