Document Detail


Increased heart rate response to laboratory-induced mental stress predicts frequency and duration of daily life ambulatory myocardial ischemia in patients with coronary artery disease.
MedLine Citation:
PMID:  7572620     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study assessed the relation between hemodynamic data during a standardized mental stressor and ambulatory ischemia to determine if laboratory-induced responses could predict the magnitude of daily life ischemia. Forty-two men and 11 women, aged 46 to 79 years (mean 61), with coronary artery disease and exercise-induced ischemia were studied. All patients underwent 24- to 48-hour ambulatory electrocardiographic (ECG) monitoring (mean 43 +/- 0.8 hours) and laboratory-induced mental stress using a public speaking task. Hemodynamic data were obtained at rest and every minute during mental stress. Thirty-three of 53 patients (62%) had at least 1 ischemic episode during ECG monitoring. In patients who had ambulatory ischemia, there was a mean number of 7.9 +/- 1.8 episodes (mean total duration 79.2 +/- 24.1 minutes/48 hours). Significant positive correlations were found for peak heart rate and changes in heart rate during mental stress and ambulatory ischemia (r = 0.353 to 0.462, p < 0.05) in patients who had ambulatory ischemia. There was no correlation between systolic blood pressure during mental stress and ambulatory ischemia. Results of this study demonstrate that heart rate response during laboratory-induced mental stress correlates with magnitude of ischemia on ambulatory ECG monitoring in patients with coronary artery disease.
Authors:
R Krittayaphong; K C Light; P L Biles; M N Ballenger; D S Sheps
Publication Detail:
Type:  Clinical Trial; Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of cardiology     Volume:  76     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1995 Oct 
Date Detail:
Created Date:  1995-10-27     Completed Date:  1995-10-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  657-60     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiology, University of North Carolina School of Medicine, Chapel Hill, USA.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living*
Aged
Coronary Disease / physiopathology*,  psychology
Electrocardiography, Ambulatory
Female
Heart Rate*
Hemodynamics
Humans
Male
Middle Aged
Myocardial Ischemia / physiopathology*
Predictive Value of Tests
Stress, Psychological / physiopathology*
Grant Support
ID/Acronym/Agency:
1-R01-HL-47477/HL/NHLBI NIH HHS; RR00046/RR/NCRR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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