Post-traumatic stress disorder as a sequel of acute myocardial infarction: an overlooked cause of psychosocial disability

Abstract

Abstract In this paper we describe the phenomenon of post-traumatic stress disorder (PTSD) as it is currently recognized. We examine some of the social influences that influence how the disorder is regarded. Although usually seen as something that is inflicted upon individuals from outside, we argue that the disastrous event might equally be an internal occurrence such as acute myocardial infarction (AMI). Summarizing the clinical evidence for PTSD following AMI, we note that post-traumatic stress symptoms are relatively common, but that most sufferers’ problems resolve. For a significant minority, however, symptoms appear prolonged and significant, and with this latter group in mind, we argue that adjustments should be made in current rehabilitation practices to include screening for those at risk. The end point must be to facilitate effective intervention for those with chronic problems, rather than to advocate general mobilization of resources in a problem that, for many, is time limited.