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38; p less then 0.01). Limitations The results were obtained from a single teaching hospital and assessment of PTSD symptoms was questionnaire based. Conclusion We provide the first evidence that PDI score can predict the development of PTSD symptoms in ACS patients. Assessing peritraumatic distress after ACS with the PDI may be useful for initiating early intervention against PTSD symptoms.Background Treatments for posttraumatic stress (PTS) are effective for many but not all people. There is a continued need to further our understanding of psychological m