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An Unpredictable Chronic Mild Stress Protocol for Instigating Depressive Symptoms, Behavioral Changes and Negative Health Outcomes in Rodents
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Emotional stressors trigger cardiovascular events.

B G Schwartz1, W J French, G S Mayeda

  • 1Heart Institute, Good Samaritan Hospital, Los Angeles, CA, USA.

International Journal of Clinical Practice
|June 16, 2012
PubMed
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Acute emotional stress can trigger cardiovascular events like heart attacks by increasing sympathetic activity and promoting blood clotting. Therapies targeting this stress response may help prevent these dangerous cardiac events.

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Area of Science:

  • Cardiology
  • Psychosomatic Medicine
  • Stress Physiology

Background:

  • Cardiovascular events represent a significant cause of morbidity and mortality globally.
  • Acute mental stress is increasingly recognized as a trigger for serious cardiovascular events.

Purpose of the Study:

  • To elucidate the relationship between emotional stress and cardiovascular events.
  • To review the literature on the cardiovascular effects of emotional stress.
  • To describe the underlying pathophysiology and potential therapeutic implications.

Main Methods:

  • Targeted literature searches were conducted using PubMed.
  • Existing author databases were supplemented to ensure comprehensive review.

Main Results:

  • Acute mental stress, from events like natural disasters or personal loss, can precipitate cardiovascular events.
  • Stress-induced mechanisms include increased sympathetic output, impaired endothelial function, and a hypercoagulable state.
  • These physiological changes can lead to vulnerable plaque rupture and thrombosis, potentially causing myocardial infarction or sudden cardiac death.

Conclusions:

  • Interventions targeting the stress-cardiac pathway may prevent stress-induced plaque rupture.
  • Evidence suggests beta-blockers, statins, and aspirin may reduce the incidence of stress-triggered myocardial infarctions.
  • Stress management techniques and transcendental meditation require further investigation for their therapeutic potential.