Association Between Panic Disorder and Risk of Atrial Fibrillation

Cheng, Ya Fen; Leu, Hsin Bang; Su, Ching Chieh; Huang, Chin Chou; Chiang, Chi‐Lu; Huang, Po Hsun; Chung, Chia Min; Lin, Shing Jong; Chen, Jaw Wen; Chan, Wan Leong

doi:10.1097/psy.0b013e318273393a

Cited by 32 publications

(28 citation statements)

References 30 publications

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“…In a case-cohort study of a population-based sample from Taiwan consisting of 3888 patients with diagnosis of panic disorder (PD) and 38,880 controls, during follow up as long as 7 years, crude AF risk was 1.2% in the PD group and 0.9% in the control group. Multivariable analyses that included age, gender, hypertension, CHF, valvular heart disease, and chronic obstructive pulmonary disease showed elevated AF risk in PD (HR 1.73, 95% CI 1.27–2.37) 32 . However, in a prospective cohort analysis of 30,746 female health professionals without known heart disease, global psychological distress according to a 5-item questionnaire was not associated with AF risk, and neither were specific items regarding depression and anxiety 33 .…”

Section: Human Studies Of Emotion and Arrhythmiamentioning

confidence: 96%

Psychological Distress and Arrhythmia: Risk Prediction and Potential Modifiers

Peacock

Whang

2013

Progress in Cardiovascular Diseases

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The connection between the heart and the brain has long been anecdotally recognized but systematically studied only relatively recently. Cardiac arrhythmias, especially sudden cardiac death, remain a major public health concern and there is mounting evidence that psychological distress plays a critical role as both a predictor of high-risk cardiac substrate and as an inciting trigger. The transient, unpredictable nature of emotions and cardiac arrhythmias have made their study challenging, but evolving technologies in monitoring and imaging along with larger epidemiological data sets have encouraged more sophisticated studies examining this relationship. Here we review the research on psychological distress including anger, depression and anxiety on cardiac arrhythmias, insights into proposed mechanisms, and potential avenues for future research.

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Section: Human Studies Of Emotion and Arrhythmiamentioning

confidence: 96%

Psychological Distress and Arrhythmia: Risk Prediction and Potential Modifiers

Peacock

Whang

2013

Progress in Cardiovascular Diseases

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“…Ôèáðèëëÿöèÿ ïðåäñåðäèé (ÔÏ) -ñàìîå ðàñïðîñòðàíåííîå íàðóøåíèå ðèòìà ñåðäöà, êîòîðàÿ âîçíèêàåò ïðåèìóùåñòâåííî â ïîaeèëîì âîçðàñòå [32], ó 30-44% ïðîòåêàåò áåññèìïòîìíî [33]. ÔÏ àññîöèèðîâàíà ñ óâåëè÷åíèåì çàáîëåâàåìîñòè è ñìåðòíîñòè [37,38] ïîâûøåíèåì ðèñêà èíñóëüòà è ñåðäå÷íîé íåäîñòàòî÷íîñòè [33]. Íåïðåäñêàçóåìûé õàðàêòåð ýòîé àðèòìèè ñ íåîaeèäàííûì íà÷àëîì èëè ðåöèäèâèðóþùèì òå÷åíèåì ñóùåñòâåííî âëèÿåò íà âñå ñôåðû aeèçíè ïàöèåíòà [33], â òîì ÷èñëå íà ïñèõè÷åñêîå çäîðîâüå [33,36].…”

Section: нервно-кардиальная ось и значимые факторы рискаunclassified

The role and assesment of mental and emotional state in patients with arrhythmias

Neznanov¹,

Лебедева²,

Petrova³

et al. 2020

Bûll. sib. med.

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The aim is to study the influence and assessment of mental and emotional states in patients with arrhythmias.Materials and methods. Literature search was performed using the following resources: PubMed, Web of Science, Scopus, as well as in the search system Google Scholar by the key words “psychoarrhythmology”, “neural-cardiac axis”, “psychocardiology”, “arrhythmogenesis”, and “stress-induced arrhythmia”. Articles should be freely available and should represent the most relevant information on the topic. Studies were selected by the largest sample and citation index.Results. In this review of studies on the correlation of psychosocial factors and constitutional features of personality in patients with arrhythmias, the available data on the pathogenesis of cardiac pathology, including the main arrhythmological disorders in nervous excitation caused by negative emotions and stress are presented. The article also reflects the importance of a multidisciplinary approach to risk prediction, potential risk modifiers and approaches to the treatment of cardiac pathology, taking into account the psycho-emotional state of the patient.Conclusion. Reducing the severity of the disease requires a comprehensive approach, in particular, psychodiagnostics, psychocorrection, psychotherapy and psychopharmacotherapy. Further development of this approach to this problem will lead to the creation of new programs for early diagnosis, prevention and treatment of cardiac pathology.

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“…Other studies have indicated a significant role of the type A behaviour pattern and acute life stress in AF (Mattioli et al, 2005). In addition, anxiety, anxiety sensitivity, and tendency to panic disorder increase the risk of AF (Frasure-Smith et al, 2012, Cheng et al, 2013. However, previous studies have not examined the relation between patient characteristics and the nature of AF.…”

mentioning

confidence: 91%

Temperament, stress, and atrial fibrillation

Maryniak

Hasiec

Duda

et al. 2015

Polish Psychological Bulletin

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In some patients with atrial fibrillation (AF), the causative agent of attack is stress (AF associated with adrenergic activity). In others, AF usually begins during relax or sleep (AF associated with vagal nerve dominance). This study aimed to investigate the individual factors associated with the adrenergic or vagal type of AF. This study included 138 patients with paroxysmal atrial fibrillation (AF). Sixty-eight patients reported that AF was frequently triggered by stress (sympathetic-type AF) and 70 patients reported that AF usually began during relaxation or sleep (vagal-type AF). Gender, age, ejection fraction, and temperament were compared across the two groups. Temperament was evaluated using the Formal Characteristics of Behaviour-Temperament Inventory. The groups differed only in temperament. Patients with sympathetic-type AF had a higher score for emotional reactivity (p = 0.002) and perseverance (p = 0.002) temperament traits and a lower score for endurance (p = 0.003) than patients with vagal-type AF and than the average in population.

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Association Between Panic Disorder and Risk of Atrial Fibrillation

Abstract: PD is independently associated with higher incidence of AF to be diagnosed in the future. Larger prospective studies or meta-analysis are suggested to confirm the findings.

Cited by 32 publications

References 30 publications

Psychological Distress and Arrhythmia: Risk Prediction and Potential Modifiers

Psychological Distress and Arrhythmia: Risk Prediction and Potential Modifiers

The role and assesment of mental and emotional state in patients with arrhythmias

Temperament, stress, and atrial fibrillation

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