Document Detail

Cardiovascular responses to emotional stress (quiz interview) in post-myocardial infarction patients and matched control subjects.
MedLine Citation:
PMID:  7052823     Owner:  NLM     Status:  MEDLINE    
In this investigation, 30 male post-myocardial infarction patients and 30 male control subjects matched according to age and occupation were given a 12-minute tape-recorded stress quiz described by Schiffer et al. Cardiovascular responses (electrocardiogram, heart rate, systolic, blood pressure, and diastolic blood pressure) to emotional stimuli were monitored in a laboratory setting at rest before the quiz and at two-minute intervals during the quiz. Heart rate and blood pressure values were significantly higher during the quiz than at rest for both patient and control groups. There was a significantly higher response for diastolic pressure and a significantly lower response for heart rate in the patient group compared with the control group. In the analysis for occupational status in the entire population, systolic pressure was significantly higher for the executives than for non-executives. Subgroup analyses of patients with angina, hypertension and/or ECG changes (N = 12) revealed a significantly higher diastolic pressure response than found in either the patients without these symptoms (N = 18) or in the controls (N = 30). In comparison to exercise test results, the emotional stress test (quiz) elicited somewhat more PVC's but less ST segment depression. These results support previous reports suggesting that emotional stress testing may be a valid tool in the diagnosis of coronary heart disease and in determining the physiological mechanisms which underlie the association between emotional stress and coronary heart disease.
W E Sime; J C Buell; R S Eliot
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of human stress     Volume:  6     ISSN:  0097-840X     ISO Abbreviation:  J Human Stress     Publication Date:  1980 Sep 
Date Detail:
Created Date:  1983-07-08     Completed Date:  1983-07-08     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7602457     Medline TA:  J Human Stress     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  39-46     Citation Subset:  IM    
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MeSH Terms
Angina Pectoris / psychology
Blood Pressure
Heart Rate
Hypertension / psychology
Middle Aged
Myocardial Infarction / physiopathology,  psychology*
Physical Exertion
Stress, Psychological / physiopathology,  psychology*

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