Internet-based therapy for stress and anxiety after a heart attack without blocked arteries
Tests online cognitive behavioral therapy for stress and anxiety in people with heart attack symptoms.
Plain-language title generated from the registry record
Registry title: Internet-based Treatment of Stress and Anxiety in Myocardial Infarction With Non-obstructive Coronary Arteries
Key facts
- Where
- Stockholm, SwedenSee the site
Could this be for you?
Answer for yourself. This is not a decision: only the study team can say whether you can take part.
- Are you between 35 and 79 years old?
Source: NCT04178434, who can take part
Where in Sweden
- SödersjukhusetStockholm, SwedenTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- Per Tornvall
- Trial code
- NCT04178434
- Record updated
- 7 March 2025
- Original description
Patient with myocardial infarction with non-obstructive coronary arteries and takotsubo syndrome often have high levels of stress and anxiety. At present there are no treatment alternatives in this group of patients. Previously, cognitive behavioral therapy (CBT), primarily aiming at relieving stress, has been shown to decrease morbidity in patient with myocardial infarction with obstructive coronary arteries. The present open randomized study aims to decrease stress and anxiety in patients with myocardial infarction with non-obstructive coronary arteries and takotsubo syndrome by an internet-based CBT focusing on stress and anxiety.Read full original descriptionShow less
E-health Treatment of Stress and Anxiety in Stockholm Myocardial Infarction With Non-obstructive Coronaries Study
Patient with myocardial infarction with non-obstructive coronary arteries and takotsubo syndrome often have high levels of stress and anxiety. At present there are no treatment alternatives in this group of patients. Previously, cognitive behavioral therapy (CBT), primarily aiming at relieving stress, has been shown to decrease morbidity in patient with myocardial infarction with obstructive coronary arteries. The present open randomized study aims to decrease stress and anxiety in patients with myocardial infarction with non-obstructive coronary arteries and takotsubo syndrome by an internet-based CBT focusing on stress and anxiety.
Inclusion: a suspected diagnosis of MINOCA or takotsubo syndrome with coronary angiography without diameter stenosis ≥50%; age 35-80 years; admission-ECG with sinus rhythm; PSS-14 ≥ 25 and/or HADS-A ≥ 8 during admission; reading and writing proficiency in Swedish; computer/Internet access and literacy.
Exclusion: a previous myocardial infarction due to CAD; expected poor compliance to behavioural therapy; acute myocardial infarction type 2; cardiomyopathy other than takotsubo syndrome; not likely to survive > one year due to for example cancer; strong clinical suspicion of myocarditis; spontaneous coronary artery dissection; acute pulmonary embolism.