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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
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Heart rate never lies: interventional cardiologist and Braude's quote revised

Stéphane Cook1, Jean-Christophe Stauffer1, Jean-Jacques Goy1

  • 1Department of Cardiology , University & Hospital , Fribourg , Switzerland.

Open Heart
|February 3, 2016
PubMed

Insights

Interventional cardiologists experience increased heart rate (HR) during complex cardiac procedures, indicating mental stress. This study monitored HR variations in these specialists during work and daily life.

Area of Science:

  • Cardiology
  • Occupational Health
  • Physiology

Background:

  • Interventional cardiologists perform complex procedures under pressure.
  • The perception of stress immunity in these specialists is common.
  • Understanding stress markers is crucial for physician well-being.

Purpose of the Study:

  • To evaluate heart rate (HR) variations as a stress indicator in interventional cardiologists.
  • To compare HR during percutaneous cardiac procedures versus daily life activities.
  • To identify potential physiological responses to occupational demands.

Main Methods:

  • Single-centre observational study of six male interventional cardiologists.
  • Heart rate (HR) monitoring using Apple Watch during procedures and daily activities.
  • Included control activities: outpatient consultations, sports, marital conflicts, sexual intercourse.

Main Results:

  • Average daily HR was 88±17 bpm.
  • HR significantly increased during procedures (90±17 bpm) compared to non-procedural workdays (87±17 bpm).
  • Higher HR observed during work weeks versus weekends; complex procedures associated with HR up to 122 bpm.

Conclusions:

  • Percutaneous cardiac procedures elevate HR, suggesting mental stress in interventional cardiologists.
  • HR increase is independent of physical exertion, highlighting psychological impact.
  • Findings indicate significant emotional responses to demanding clinical work.
Abstract

Keywords:
INTERVENTIONAL CARDIOLOGYheart ratepercutaneous coronary interventionphysical exertion

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