Acute Myocardial Infarction
Conditions
Brief summary
Psychosocial factors play an important role in the pathophysiology of acute myocardial infarction (AMI), but it is not known if psychotherapy is beneficial after the contemporary treatment of AMI consisting of medical and interventional therapy. The investigators have designed a randomized, controlled study to assess the effects of short-term psychotherapy (STP) on the clinical outcomes of patients who have undergone an emergency percutaneous coronary intervention (PCI) post-AMI.
Interventions
BEHAVIORALPsychotherapy
humanistic-existential psychotherapy conducted in individual and group meetings
DRUGMedical therapy
Optimal medical therapy after Acute myocardial infarction
Sponsors
San Filippo Neri General Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Patients admitted to San Filippo Neri Hospital for AMI and treated with primary or urgent PCI. * Primary PTCA is performed up to 12 hours after the beginning of chest pain in cases of STEMI, while patients with NSTEMI are enrolled if urgent PTCA is being performed within 48 hours of the onset of chest pain. * Only patients in whom complete revascularization is achieved are being enrolled in the study.
Exclusion criteria
* Patients with psychiatric disorders or disability, cognitive impairment, or other life-threatening conditions are being excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The cumulative incidence of new cardiological events and the occurrence of new medical pathologies | 5 years |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of re-hospitalisations | 5 years |
Countries
Italy
Outcome results
None listed