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Published on: June 28, 2019
Effect of mental stress on coronary flow velocity reserve in healthy men
Rei Hasegawa1, Masao Daimon, Tomohiko Toyoda
1Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, Chiba, Japan.
Insights
Mental stress significantly reduces coronary flow velocity reserve (CFVR) in healthy men, indicating impaired coronary circulation even after the stress event. This effect persisted for at least 30 minutes post-stress.
Area of Science:
- Cardiology
- Physiology
- Medical Imaging
Background:
- Mental stress is a known cardiovascular risk factor.
- The impact of acute mental stress on coronary circulation requires further elucidation.
Purpose of the Study:
- To investigate the acute effects of mental stress on coronary flow velocity reserve (CFVR) in healthy men.
Main Methods:
- Transthoracic Doppler echocardiography was employed to measure CFVR.
- A mental stress test was administered to the experimental group.
- A control group underwent measurements without stress induction.
Main Results:
- CFVR significantly decreased at 15 and 30 minutes post-mental stress compared to baseline (p <0.001 and p <0.01, respectively).
- The control group showed no significant changes in CFVR across measurements.
- Coronary circulation remained impaired for at least 30 minutes after mental stress.
Conclusions:
- Mental stress acutely impairs coronary circulation in healthy individuals.
- The observed reduction in CFVR suggests a potential mechanism for stress-induced cardiac events.
- These findings highlight the importance of managing mental stress for cardiovascular health.
Abstract:
The effect of mental stress on coronary flow velocity reserve (CFVR) was examined in healthy men using transthoracic Doppler echocardiography. In the mental stress group (n = 31), CFVR was significantly reduced at 15 (to 3.3 +/- 0.8, p <0.001) and 30 (to 3.7 +/- 0.8, p <0.01) minutes after mental stress testing, compared with before mental stress (4.3 +/- 0.9), whereas it did not change in each of 3 measurements in control subjects (n = 10). Mental stress impaired coronary circulation even after a certain interval after the stress.
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