Cardiovascular responses to emotional stress (quiz interview) in post-myocardial infarction patients and matched control subjects.
Cardiovascular responses to emotional stress (quiz interview) in post-myocardial infarction patients and matched control subjects.
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心肌梗塞后患者和匹配的对照受试者对情绪压力的心血管反应（测验访谈）。
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发表时间：
1980
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通讯作者：
Robert S. Eliot
中科院分区：
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作者：
M.P.H. Wesley E. Sime;J. C. Buell;Robert S. Eliot
在这项研究中，根据年龄和职业匹配的30名男性心肌梗死后患者和30名男性对照受试者进行了12分钟的录音压力测验，（心电图、心率、收缩压、血压，和舒张压）对情绪刺激的反应在实验室环境中进行了监测，测试前休息时和测试期间每隔两分钟进行一次。心率和血压值显着高于测验期间比在休息的患者和对照组。与对照组相比，患者组对舒张压的反应显著更高，对心率的反应显著更低。在对整个人群职业状况的分析中，高管的收缩压显著高于非高管。对心绞痛、高血压和/或ECG改变患者（N = 12）进行的亚组分析显示，舒张压反应显著高于无这些症状的患者（N = 18）或对照组（N = 30）。与运动试验结果相比，情绪压力试验（测验）引起更多的PVC，但ST段压低较少。这些结果支持以前的报告表明，情绪压力测试可能是一个有效的工具，在冠心病的诊断和确定的生理机制，情绪压力和冠心病之间的关联。
In this investigation, 30 male post-myocardial infarction patients and 30 male control subjects matched according to age and occupation were given a 12-minute tape-recorded stress quiz described by Schiffer et al. Cardiovascular responses (electrocardiogram, heart rate, systolic, blood pressure, and diastolic blood pressure) to emotional stimuli were monitored in a laboratory setting at rest before the quiz and at two-minute intervals during the quiz. Heart rate and blood pressure values were significantly higher during the quiz than at rest for both patient and control groups. There was a significantly higher response for diastolic pressure and a significantly lower response for heart rate in the patient group compared with the control group. In the analysis for occupational status in the entire population, systolic pressure was significantly higher for the executives than for non-executives. Subgroup analyses of patients with angina, hypertension and/or ECG changes (N = 12) revealed a significantly higher diastolic pressure response than found in either the patients without these symptoms (N = 18) or in the controls (N = 30). In comparison to exercise test results, the emotional stress test (quiz) elicited somewhat more PVC's but less ST segment depression. These results support previous reports suggesting that emotional stress testing may be a valid tool in the diagnosis of coronary heart disease and in determining the physiological mechanisms which underlie the association between emotional stress and coronary heart disease.