CLINICAL RESEARCH Stiffness of large arteries and cardiovascular risk in patients with post-traumatic stress disorder

Aims Post-traumatic stress disorder (PTSD) develops after exposure to particularly traumatic events. Its severity depends on the nature and intensity of the stressor and susceptibility of the exposed person. The present study was carried out to find out whether PTSD and its severity, resulting from deportation to Siberia in the patients ’ childhood (from 1940 to 1946), have any association on the somatic health status and cardiovascular risk of these persons in advanced age. Methods and results Eighty patients with PTSD and 70 subjects without PTSD followed up in primary care setting were enrolled in the study. Post-traumatic stress disorder was diagnosed according to the DSM-IV criteria; severity of the symptoms included in the criteria was also assessed. All patients were subject to a standardized interview including demographic data and current and past diseases, supplemented with physical examination, biochemical tests, and aortic pulse wave velocity (PWV). The group of patients with PTSD resulting from deportation to Siberia in their childhood had higher prevalence of coronary artery disease (71.3 vs. 44.3%, P, 0.001), diabetes (26.3 vs. 11.4%, P, 0.05), and hearin