Hemodynamic response to different types of mental stress in patients with recent myocardial infarction.

Mazzuero, Giorgio; Zotti, Anna Maria; Bertolotti, Giorgio; Tavazzi, Luigi

doi:10.1536/ihj.30.35

Cited by 4 publications

(1 citation statement)

References 33 publications

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“…The first suggestions that the cerebral cortex can affect autonomic control of the cardiorespiratory system were attributed to Jackson in 1931-1932, through his clinical observation of patients with tumours and other gross anatomical disorders of the brain (Appenzeller, 1990). Since that time, confirmation of the link between higher and lower brain structures and cardiorespiratory control has come through a number of investigations on the role of behavioral factors in health and cardiovascular disease (Eisenhofer et af., 1985;Johansson & Hjalmarson, 1988;Parati et af., 1988;Pagani et al, 1989Pagani et al, , 1991Mazzuero et al, 1989;Langewitz & Ruddel, 1989;Freyschuss et al, 1990;Anderson et af., 1991;Steptoe & Vogele, 1991;Jiang et af., 1993). Cardiovascular function, including heart rate variability (HRV) and blood pressure variability (BPV), has been assessed during the anticipation of, administration of, or recovery from psychologically stressful stimuli or tasks (Steptoe & Vogele, 1991), including problem-solving (Pagani er al., 1989(Pagani er al., , 1991Mazzuero et af., 1989;Steptoe & Vogele, 1991), information-processing (Freyschuss et af., 1990;Steptoe & Vogele, 1991;Novak et al, 1993), psychomotor tasks (Eisenhofer et af., 1985;Parati et af., 1988;Steptoe & Vogele, 1991) and different affective conditions (Pagani etaf., 1991;Jiang et af., 1993).…”

Section: Introductionmentioning

confidence: 99%

Effects of mental state on heart rate and blood pressure variability in men and women

Madden

Savard

1995

Clinical Physiology

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The effect of different mental states on autonomic modulation of the cardiovascular system was assessed in healthy, normotensive men (n = 18) and women (n = 12). Heart rate variability (HRV), systolic blood pressure variability (BPV) and arterial baroreflex function were assessed during 4 tests at rest ((10 min + 5 min recovery) x 4): (1) Control (spontaneous breathing, (SB) (2) Mental distraction (SB + word puzzle) (3) Conscious control of breathing (paced at SB rate) and (4) Mental stress (SB + computer quiz). There were no significant gender differences in the responses to the interventions in terms of arterial (spontaneous) baroreflex (SPBX) control of HR, and indices of time and frequency domains of HRV and BPV, with the exception of the sympathetic indicator of HRV (low frequency power/total power; P < 0.01) which was lower in women during control and mental stress tests. Conscious control of breathing at SB did not alter HRV, BPV or SPBX in either men or women. Mental distraction and mental stress led to decreases in indices of time and frequency domains of HRV and BPV in all subjects, as well as increases in HR during distraction and in systolic BP during stress. These findings suggest that in studies of cardiovascular control: (1) Paced breathing at SB can be used for individuals with irregular breathing patterns (2) The extent of mental stress achieved is intervention-specific and for the most part, independent of gender and (3) Resting assessment of HRV, BPV and SPBX can be made by having subjects sit quietly without interventions in a controlled laboratory setting.

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Section: Introductionmentioning

confidence: 99%

Effects of mental state on heart rate and blood pressure variability in men and women

Madden

Savard

1995

Clinical Physiology

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Psychophysiological reactivity, depression, neuroticism and type a behaviour: An interactive effect?

et al. 1995

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The greater reactivity in Type A subjects is a controversial issue. It is possible that anxiety, neuroticism and depression interact with Type A behaviour pattern, giving rise to different psychophysiological reactivity. To evaluate this hypothesis we studied 70 Italian healthy male volunteers. All were blue‐collar workers. Cardiac health was confirmed by a detailed family and medical history. Individual assessment included the Structured Interview, the Eysenck Personality Questionnaire (EPQ), the State‐Trait Anxiety Inventory (STAI) and the Depression Questionnaire (QD). To assess cardiac (rate‐pressure product) and electrodermic (skin conductance level) psychophysiological reactivity we used the following tasks: (1) Interactive Concentration Test (ICT); (2) Mental Arithmetic (MAT); (3) Workside Noises (WN). In Type A (A1 + A2) subjects a higher neuroticism score was associated with greater reactivity whereas in non A (X + B) subjects a lower neuroticism score was associated with greater reactivity. Subjects classified as Type A with lower depression scores had greater cardiovascular responses, whereas in non A subjects higher depression scores were associated with greater reactivity.

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Mental Arithmetic Produces Pulmonary and Systemic Venoconstriction

Hirakawa¹,

Gotoh²,

Yagi³

et al. 1993

Veins

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Hemodynamic response to different types of mental stress in patients with recent myocardial infarction.

Cited by 4 publications

References 33 publications

Effects of mental state on heart rate and blood pressure variability in men and women

Effects of mental state on heart rate and blood pressure variability in men and women

Psychophysiological reactivity, depression, neuroticism and type a behaviour: An interactive effect?

Mental Arithmetic Produces Pulmonary and Systemic Venoconstriction

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