Impact of Persistent Combat-Related PTSD on Heart Disease and Chronic Disease Comorbidity in Aging Vietnam Veterans.

Journal of occupational and environmental medicine Pub Date : 2024-12-18 DOI:10.1097/JOM.0000000000003302

Steven D Stellman, Anica Pless Kaiser, Brian N Smith, Avron Spiro, Jeanne Mager Stellman

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Abstract

Objectives: To assess combat and combat-related posttraumatic stress disorder (PTSD) as risk factors for heart disease and non-cardiac chronic disease comorbidity in deployed Vietnam veterans 50 years post-War.

Methods: A random sample of 735 Vietnam-deployed American Legionnaires was surveyed in 1984, 1998, and 2000 for combat exposure, probable PTSD, and history of diagnosed chronic illnesses.

Results: Twenty-eight percent reported a diagnosed heart condition; combat exposure in Vietnam was a significant predictor (OR = 1.92, 95% confidence interval 1.13-3.31). Veterans with heart disease reported significantly more comorbid chronic illnesses, including arthritis and respiratory conditions: sleep apnea, emphysema, and asthma. Chronic illnesses were reported more often by men with PTSD.

Conclusion: Emerging evidence suggests that 50 years after Vietnam combat and associated PTSD may contribute to heart disease and comorbid conditions.

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持续战斗相关创伤后应激障碍对老年越南退伍军人心脏病和慢性病共病的影响

目的：评估战争和与战斗相关的创伤后应激障碍（PTSD）作为战后50年部署的越南退伍军人心脏病和非心脏慢性疾病共病的危险因素。方法：对1984年、1998年和2000年在越南服役的735名美国退伍军人的战斗暴露、可能的创伤后应激障碍和诊断出的慢性疾病史进行随机抽样调查。结果：28%的人被诊断患有心脏病；越南的战斗暴露是显著的预测因子（OR = 1.92, 95%置信区间1.13-3.31）。患有心脏病的退伍军人报告了更多的合并症慢性疾病，包括关节炎和呼吸系统疾病：睡眠呼吸暂停、肺气肿和哮喘。患有创伤后应激障碍的男性更常报告慢性疾病。结论：新出现的证据表明，越南战争结束50年后及其相关的创伤后应激障碍可能导致心脏病和合并症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of occupational and environmental medicine

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