Anxiety, stress and pain after a heart attack
Official title: The Impact of Anxiety, Stress and Pain in the Early Phase of Myocardial Infarction on the Development of Anxiety Symptoms and Posttraumatic Stress Disorder in the Long Term Outcome
Run by Medical University of Graz · NCT04130269 · Data updated 2026-11-12
This project tests how common anxiety, stress, and post-traumatic stress symptoms are in people who have just had a heart attack.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 19 Years to 90 Years |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Medical University of Graz Academic / other |
| Locations | 1 site (Graz, Styria) |
| Status | Recruiting |
| Started | April 7, 2020 |
| Main results expected | December 7, 2027 |
| Study ends | December 7, 2027 |
| Registry record updated | September 29, 2025 |
| Trial ID | NCT04130269 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 19–90 who are hospitalized for an acute myocardial infarction, have no prior psychiatric disease, are not receiving steroid therapy, and can give informed consent are ideal candidates.
✕Probably not a fit
Patients with preexisting psychiatric disorders, severe immune‑affecting illnesses, those on steroid therapy, or those unable to complete follow-up visits (for example due to dementia or delirium) may not receive benefit from this observational protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study follows people hospitalized for an acute myocardial infarction at three time points: Day 1–3 (acute), Day 5–14 (pre-discharge), and at 6 months. At each visit participants complete questionnaires on stress, anxiety, PTSD symptoms, and well-being, undergo cognitive testing, and provide blood samples for cortisol and metanephrine measurements. Clinical data including ECG, echocardiography, troponin and routine labs are collected to link psychological responses with cardiac biomarkers. The aim is to measure how many patients develop persistent anxiety, stress, or PTSD after a heart attack and to define biopsychosocial relationships that could inform prevention.
Why it matters
Potential benefit: If successful, the findings could help identify patients at risk for persistent stress or PTSD after a heart attack and guide earlier psychological or medical prevention.
How similar studies have gone: Previous observational research has reported that a notable minority of heart attack survivors develop PTSD and elevated stress biomarkers, so this approach is supported by earlier work.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * willingness to participate in the study * men and women 19-90 * after myocardial infarctions * no psychiatric disease before myocardial infarction * no other severe disease influencing the immune system Exclusion Criteria: * non fulfilment of inclusion criteria * non-compliant patients (dementia, delirium) * steroid-therapy
Where it's running
-
Medical University of Graz
Graz, Styria, Austria Recruiting
Study contacts
- Study coordinator: Andreas Baranyi, MD
- Email: an.baranyi@medunigraz.at
- Phone: 004331638513612
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Heart@Home: Safe, at-home care for people with acute heart problems compared with hospital care
This trial tests whether hospital-level care at home can safely and effectively treat adults with acute heart conditions who would normally be in the hospital.
-
Digital cardiac rehab to help heart attack patients improve function
A digital health–supported cardiac rehabilitation program is being tested to see if it helps people after a heart attack improve fitness and stay engaged with rehab, compared with standard outpatient rehab.
-
NMR-based Risk Test and Digital Health Support for midlife adults in Eloisa
This study tests whether an NMR metabolomics risk test can guide tailored digital health programs for midlife adults at risk of diabetes, heart disease, stroke, kidney disease, or fatty liver.
-
See if stopping long-term aspirin is as good as continuing it in older adults with stable ischemic heart disease
In adults 65 and older with stable ischemic heart disease, this trial tests whether stopping daily low-dose aspirin is not worse than continuing it.
-
Innate Immune Cells and Early Fibrotic Repair After a Heart Attack
This study tests whether specific neutrophil and monocyte patterns are linked to early scar formation after a heart attack in STEMI patients.
-
Remote Balance in Everyday Life for young MI patients with distress
This study tests a remote 6-session program (rBEL) to help adults under 55 who had a heart attack and feel distressed see if the program and study procedures are feasible.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.