Psychological Stress Does Not Affect Plasma Catecholamines in Subjects With Cardiovascular Disorder

Stanford, S Clare; Mikhail, Ghada; Salmon, Peter; Gettins, D; Zieliński, S; Pepper, John

doi:10.1016/s0091-3057(97)00335-3

Cited by 6 publications

(9 citation statements)

References 24 publications

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“…For example, the association between hostility and increased cardiovascular reactivity is more tenuous than supposed (Felsten, 1995;Suls & Wan, 1993), and Lawler, Wilcox & Anderson (1995) failed to con rm the sex differences found in response to laboratory challenge by Mathews et al (Allen et al, 1993;Mathews & Stoney, 1988;Stoney, Davies & Mathews, 1987). Moreover, the neurohumoral and haemodynamic changes that have been reported to underpin laboratory induced vascular change in cardiac patients are not universally supported (Stanford, Mikhail, Salmon, Gettins, Zielinski & Pepper, 1997).…”

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confidence: 97%

Affective status following myocardial infarction can predict long‐term heart rate variability and blood pressure reactivity

Thornton

Hallas

1999

British J Health Psychol

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Objectives. The study describes cardiovascular reactivity to challenge 18 months post‐episode in primary myocardial infarct patients. Reactivity during laboratory tests was compared to changes induced by self‐reported stressful events and related to measures of anxiety and depression. Design. Prospective changes of mood states were documented between the postepisode period and an 18‐month follow‐up. Cross‐sectional bivariate correlations and regression analyses were used to relate mood states to cardiovascular responses. Method. Questionnaires were used to document anxiety, depression, more general negative and positive mood status, and patients'general appraisal of stressorsin 30 postmyocardial infarct patients. Responses were collated 4 weeks following their episode and again 18 months post‐episode at psychophysiological assessment. Systolic and diastolic blood pressure and heart rate were measured under four conditions: baseline rest in the laboratory, laboratory challenge tests, ambulation over a 12‐hour period, and self‐reported stressors during this period. A time domain assessment of heart rate variability was also collected over the ambulatory period. Results. Heightened reactivity was significantly greater to self‐reported stressors compared with laboratory challenge. Depression assessed in the immediate post‐episode period proved the best predictor of heightened reactivity to stressors of relevance to patients, and of heart rate variability. Mood status was not a strong predictor of responses to arbitrary laboratory challenge. Conclusions. The data are consistent with the hypothesis that an increased probability of subsequent episodes in post‐myocardial infarct patients suffering depression may be related to reactive vascular responses to self‐perceived stressors and changes in autonomic control.

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confidence: 97%

Affective status following myocardial infarction can predict long‐term heart rate variability and blood pressure reactivity

Thornton

Hallas

1999

British J Health Psychol

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“…[56][57][58] Six articles explore stress, but by giving a definition of consecutive coping strategies. 31 Three articles provide a definition of physiological stress reactions: heart rate and stroke volume, 59 arterial catecholamine response, 60 and heart rate and systolic/diastolic blood pressures. 61 Three other articles use other definitions of stress: 1 refers to the definition of posttraumatic stress syndrome although studying stress, 62 1 to perceived stress, 63 and 1 to stress as a self-care deficit according to Orem's Self-Care Deficit Theory.…”

Section: Presentation Of the Literature And Discussion What Is Explormentioning

confidence: 99%

“…Some information is found in the context of experimentally induced stress in laboratory research, such as in Stroop tests or mental arithmetic tasks. [59][60][61] However these laboratory-based studies are difficult to translate into real-life situations, into illness-related emergencies, or into stressful situations.…”

Section: What About Qualitative and Mixed Methods Research?mentioning

confidence: 99%

Psychological Stress in Transplantation: A Unified Concept? What is Measured and How: A Literature Review

Rapo

Piot-Ziegler

2013

Prog Transpl

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“…The concentrations of noradrenaline and adrenaline in arterial plasma of patients with heart failure (HF) are considerably greater than those found normally in healthy, young individuals (Hasking et al, 1986;Remes et al, 1991). The concentrations of both these amines are even higher in patients who have received an orthotopic heart transplant (OHT) or a coronary artery bypass and graft (CABG) (Stanford et al, 1997).…”

Section: Introductionmentioning

confidence: 98%

“…The three groups of subjects were the same as those already described (Stanford et al, 1997) and comprised: patients who had received an orthotopic heart transplant (OHT) or coronary bypass (CABG) and patients who were suffering from heart failure of mixed aetiology and who were awaiting a heart transplant (HF). This study formed part of a multidisciplinary investigation of the neurochemical, psychometric and haemodynamic responses to a psychological challenge in patients with cardiovascular disorder.…”

Section: Introductionmentioning

confidence: 99%

Plasma catecholamines, pharmacotherapy and mood of subjects with cardiovascular disorder

et al. 1999

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This study investigated whether drug therapy explains why the concentration of arterial plasma catecholamines in patients who have received an orthotopic heart transplant (OHT) or coronary bypass and graft (CABG) is greater than in those with heart failure (HF). The results suggest that the differences in plasma catecholamine concentrations in these groups of patients could not be attributed to administration of any of the drugs studied here. An additional finding is that the use of aspirin is associated with a higher concentration of plasma noradrenaline, but not adrenaline. Patients who were taking aspirin also had a more positive mood, as rated by the Profile of Mood States; this was mainly because they had a lower fatigue score than did patients who were not taking this drug. In contrast, several agents (warfarin, Ca2+-channel blockers and 'mixed cardiac' drugs), which had no effects on catecholamine overspill, were linked with negative mood; this was expressed consistently as a higher tension score. These findings suggest that drugs which are administered for their effects in the periphery could also influence patients' psychological status. With the possible exception of aspirin, this does not involve changes in spillover of catecholamines in the periphery.

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Psychological Stress Does Not Affect Plasma Catecholamines in Subjects With Cardiovascular Disorder

Cited by 6 publications

References 24 publications

Affective status following myocardial infarction can predict long‐term heart rate variability and blood pressure reactivity

Affective status following myocardial infarction can predict long‐term heart rate variability and blood pressure reactivity

Psychological Stress in Transplantation: A Unified Concept? What is Measured and How: A Literature Review

Plasma catecholamines, pharmacotherapy and mood of subjects with cardiovascular disorder

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