腹腔失律的情绪和身体沉物
Rachel Lampert1, Tammy Joska, Matthew M Burg
1Yale University School of Medicine, New Haven, Conn, USA.
Circulation
|October 3, 2002
概括
愤怒和体力活动可以触发心室节律失常在植入式心脏转换器-除器 (ICDs) 的患者. 这些发现表明,潜在的新疗法可以减少风险人群的心脏事件.
科学领域:
- 心脏病学 心脏病学
- 心理生理学 心理生理学
背景情况:
- 心理压力与突然心脏病死亡有关.
- 情绪/身体压力因素在风险患者中引发心室节律失常的作用需要系统评估.
研究的目的:
- 系统地评估情绪或身体压力因素是否会引发可植入心脏转换器-除器 (ICD) 的患者的自发心室节律失常.
主要方法:
- 患有ICD的患者在冲击和控制期间之前的日记中记录了情绪状态和身体活动.
- 在1996年至1999年间,从42名患者中分析了总共107例确诊的需要冲击的心室节律失常.
- 电图证实了冲击时的心脏节律.
主要成果:
- 愤怒程度为3或更高之前15%的冲击相比3%的控制期 (P<0.04).
- 其他情绪状态在冲击期和控制期之间没有显著差异.
- 患者在发生冲击事件之前身体更活跃,愤怒和身体活动都与冲击前期间独立相关.
结论:
- 愤怒和体力活动可以起到激发心室心律失常的作用,在ICD患者.
- 未来针对这些压力因素的疗法可能会减少心室节律失常和ICD冲击.
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