静脈動脈不全の感情的,物理的な原因
Rachel Lampert1, Tammy Joska, Matthew M Burg
1Yale University School of Medicine, New Haven, Conn, USA.
Circulation
|October 3, 2002
まとめ
怒りと身体的活動は,インプラント可能な心臓変容器-デフィブリレーター (ICD) を使った患者の心房不律を誘発する可能性があります. これらの発見は,リスクの高い個体における心臓イベントを減らすための潜在的な新しい治療法を示唆しています.
科学分野:
- 心臓病学 心臓病学
- 精神生理学 精神生理学とは
背景:
- 心理的ストレスは,突然の心臓発作による死と関連しています.
- リスクの高い患者の心房不律を誘発する感情的/身体的ストレス要因の役割は,体系的な評価を必要とします.
研究 の 目的:
- 感情的または身体的なストレス要因が,インプラント可能な心臓変容器-デフィブリレーター (ICD) の患者で自発的な心房不律を誘発するかどうかを体系的に評価する.
主な方法:
- ICDを使用した患者は,ショックとコントロール期間前の日記で気分状態と身体活動を記録しました.
- 1996年から1999年の間に42人の患者を対象に,合計107人の確認されたショックを必要とする心房不律症が分析されました.
- 電気図はショック時の心拍数を確認した.
主要な成果:
- 怒りのレベルが3以上であったのは,ショックの15%に先行し,対照の3% (P<0.04) であった.
- 他の気分状態は,ショックとコントロール期間の間に有意な違いを示さなかった.
- 患者はショック事件の前により身体的に活動的であり,怒りと身体活動の両方が独立してショック前の期間と関連していました.
結論:
- 怒りと身体的活動は,ICD患者の心房不律症のトリガとして作用する可能性があります.
- これらのストレス因子に対する反応を標的とした将来の治療法は,心房不律症とICDショックを軽減する可能性がある.
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