对心理压力的自主反应与心血管死亡率有关
Anish S Shah1,2,3, Viola Vaccarino3,4, Kasra Moazzami4
1Department of Medicine, Division of Cardiology, University of Utah, 30 North Mario Capecchi Dr, 3rd Floor North, Salt Lake City, UT 84112, USA.
European heart journal open
|November 26, 2024
概括
急性心理压力增加了心血管疾病 (CVD) 的死亡风险. 自主功能障碍,通过低频心率变化 (LF HRV) 测量,在压力和休息时与更高的心血管疾病死亡率有关.
科学领域:
- 心脏病学 心脏病学
- 自主神经科学 自主神经科学
- 心理生理学 心理生理学
背景情况:
- 将心理压力与心血管疾病 (CVD) 死亡率联系在一起的机制需要进一步阐明.
- 自主神经系统功能障碍与心血管疾病的发病有关.
研究的目的:
- 调查急性精神压力期间自主功能障碍的心电图测量与心血管疾病死亡率之间的关联.
- 为了检查心率变化 (HRV) 在压力期间变化与心血管疾病结果的关系.
主要方法:
- 765名患有稳定心血管疾病的参与者进行了标准化心理压力测试,并进行了霍尔特监测.
- 用低频率 (LF) 心率变化 (HRV) 从休息到压力变化来评估自主功能.
- 特定原因的生存模型分析了与心血管疾病死亡率的关联,控制风险因素.
主要成果:
- 压力诱导的LFHRV下降与心血管疾病死亡风险增加3.48倍有关.
- 低静止LFHRV (下四分位数) 独立地增加了心血管疾病死亡风险1.75倍.
- 压力下降的LF HRV和低休息的LF HRV的组合显示了附加风险增加 (HR=5.73).
结论:
- 压力诱导的LF HRV下降和低休息的LF HRV都独立且附加地与心血管疾病死亡率的增加有关.
- 需要进一步的研究来确定针对自主功能障碍的干预措施是否可以改善心血管疾病的结果.
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