{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T20:11:20Z","timestamp":1780344680541,"version":"3.54.1"},"reference-count":34,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,3,18]],"date-time":"2020-03-18T00:00:00Z","timestamp":1584489600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Anxiety disorders are prevalent in patients with myocardial infarction (MI), but the effects of anxiety disorders on in\u2010hospital outcomes within MI patients have not been well studied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Hypothesis<\/jats:title><jats:p>To examine the effects of concurrent anxiety disorders on in\u2010hospital outcomes in MI patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective cohort study in patients with a principal diagnosis of MI with and without anxiety disorders in the National Inpatient Sample 2016. A total of 129\u2009305 primary hospitalizations for acute MI, 35\u2009237 with ST\u2010segment elevation myocardial infarction (STEMI), and 94\u2009068 with non\u2010ST elevation myocardial infarction (NSTEMI) were identified. Of these, 13\u2009112 (10.1%) had anxiety (7.9% in STEMI and 11.0% in NSTEMI). We compared outcomes of anxiety and nonanxiety groups after propensity score matching for the patient and hospital demographics and relevant comorbidities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After propensity score matching, the anxiety group had a lower incidence of in\u2010hospital mortality (3.0% vs 4.4%, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), cardiac arrest (2.1% vs 2.8%, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), cardiogenic shock (4.9% vs 5.6%, <jats:italic>P<\/jats:italic> = .007), and ventricular arrhythmia (6.7% vs 7.9%, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) than the nonanxiety group. In the NSTEMI subgroup, the anxiety group had significantly lower rates of in\u2010hospital mortality (2.3% vs 3.5%, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), cardiac arrest (1.1% vs 1.5%, <jats:italic>P<\/jats:italic> = .008), and cardiogenic shock (2.8% vs 3.5%, <jats:italic>P<\/jats:italic> = .008). In the STEMI subgroup, we found no differences in in\u2010hospital outcomes (all <jats:italic>P<\/jats:italic>\u2009&gt;\u2009.05) between the matched groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although we found that anxiety was associated with better in\u2010hospital outcomes, subgroup analysis revealed that this only applied to patients admitted for NSTEMI instead of STEMI.<\/jats:p><\/jats:sec>","DOI":"10.1002\/clc.23358","type":"journal-article","created":{"date-parts":[[2020,3,18]],"date-time":"2020-03-18T21:47:14Z","timestamp":1584568034000},"page":"622-629","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The association between anxiety disorders and in\u2010hospital outcomes in patients with myocardial infarction"],"prefix":"10.1002","volume":"43","author":[{"given":"Pengyang","family":"Li","sequence":"first","affiliation":[{"name":"Department of Medicine Saint Vincent 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