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Background <p>Posttraumatic stress disorder (PTSD) can also occur as a&#xa0;consequence of traumatic cardiovascular events. This so-called cardiac-induced PTSD (CI-PTSD) is associated with a&#xa0;worse disease progression, increased mortality and a&#xa0;higher risk of further cardiovascular events. Compared to classical PTSD, CI-PTSD is characterized by a&#xa0;persistent sense of threat, future-oriented intrusions and intensified physical symptoms, making it more challenging to identify in clinical practice.</p> Objective <p>This review article provides an up to date insight into traumatic events related to heart diseases. It examines the prevalence, pathophysiological mechanisms, diagnostic criteria and distinctions from other trauma-related disorders. Additionally, therapeutic options and their associated challenges are identified.</p> Method <p>This study is based on current evidence-based research on the prevalence, pathophysiology, diagnostics and treatment of CI-PTSD.</p> Results <p>The CI-PTSD has a&#xa0;prevalence of 4–44%, with an average of 12% across all cardiovascular diseases. The pathophysiology includes dysregulated autonomic function, which, in combination with tobacco and alcohol consumption, physical inactivity and poor treatment adherence, increases the cardiovascular burden. Early detection and targeted trauma-specific treatment improve the prognosis of CI-PTSD patients.</p> Conclusion <p>Future research should develop specific diagnostic tools and personalized therapeutic approaches with inclusion of family support and evaluate the long-term effects of trauma-focused interventions.</p>

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Trauma durch Herzereignis – wie weiter?

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年8月15日

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  • Mary Princip

摘要

Background

Posttraumatic stress disorder (PTSD) can also occur as a consequence of traumatic cardiovascular events. This so-called cardiac-induced PTSD (CI-PTSD) is associated with a worse disease progression, increased mortality and a higher risk of further cardiovascular events. Compared to classical PTSD, CI-PTSD is characterized by a persistent sense of threat, future-oriented intrusions and intensified physical symptoms, making it more challenging to identify in clinical practice.

Objective

This review article provides an up to date insight into traumatic events related to heart diseases. It examines the prevalence, pathophysiological mechanisms, diagnostic criteria and distinctions from other trauma-related disorders. Additionally, therapeutic options and their associated challenges are identified.

Method

This study is based on current evidence-based research on the prevalence, pathophysiology, diagnostics and treatment of CI-PTSD.

Results

The CI-PTSD has a prevalence of 4–44%, with an average of 12% across all cardiovascular diseases. The pathophysiology includes dysregulated autonomic function, which, in combination with tobacco and alcohol consumption, physical inactivity and poor treatment adherence, increases the cardiovascular burden. Early detection and targeted trauma-specific treatment improve the prognosis of CI-PTSD patients.

Conclusion

Future research should develop specific diagnostic tools and personalized therapeutic approaches with inclusion of family support and evaluate the long-term effects of trauma-focused interventions.