| Effects of anger on left ventricular ejection fraction in coronary artery disease. | |
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MedLine Citation:
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PMID: 1632389 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study examined the comparative potency of several psychological stressors and exercise in eliciting myocardial ischemia as measured by left ventricular (LV) ejection fraction (EF) changes using radionuclide ventriculography. Twenty-seven subjects underwent both exercise (bicycle) and psychological stressors (mental arithmetic, recall of an incident that elicited anger, giving a short speech defending oneself against a charge of shoplifting) during which EF, blood pressure, heart rate and ST segment were measured. Eighteen subjects had 1-vessel coronary artery disease (CAD), defined by greater than 50% diameter stenosis in 1 artery as assessed by arteriography. Nine subjects served as healthy control subjects. Anger recall reduced EF more than exercise and the other psychological stressors (overall F [3.51] = 2.87, p = .05). Respective changes in EF for the CAD patients were -5% during anger recall, +2% during exercise, 0% during mental arithmetic and 0% during the speech stressor. More patients with CAD had significant reduction in EF (greater than or equal to 7%) during anger (7 of 18) than during exercise (4 of 18). The difference in EF change between patients with CAD and healthy control subjects was significant for both anger (t25 = 2.23, p = 0.04) and exercise (t25 = 2.63, p = 0.01) stressors. In this group of patients with CAD, anger appeared to be a particularly potent psychological stressor. |
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Authors:
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G Ironson; C B Taylor; M Boltwood; T Bartzokis; C Dennis; M Chesney; S Spitzer; G M Segall |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: The American journal of cardiology Volume: 70 ISSN: 0002-9149 ISO Abbreviation: Am. J. Cardiol. Publication Date: 1992 Aug |
Date Detail:
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Created Date: 1992-08-20 Completed Date: 1992-08-20 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0207277 Medline TA: Am J Cardiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 281-5 Citation Subset: AIM; IM |
Affiliation:
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Department of Psychology, University of Miami, Coral Gables. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anger
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physiology* Anxiety / physiopathology Blood Pressure Coronary Disease / physiopathology, psychology*, radionuclide imaging Electrocardiography Exercise Test Heart Rate Humans Male Middle Aged Myocardial Contraction Radionuclide Ventriculography Stress, Psychological / physiopathology Stroke Volume* |
| Grant Support | |
ID/Acronym/Agency:
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MH 16744-07/MH/NIMH NIH HHS |
| Comments/Corrections | |
Comment In:
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Am J Cardiol. 1993 Feb 15;71(5):500
[PMID:
8430663
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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