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Behavioral Triggers of Silent and Symptomatic Myocardial Ischemia

 

作者: DAVID S. KRANTZ,   FRANCES H. GABBAY,   SUSAN M. HEDGES,   JACOB KLEIN,   LINDA E. NEBEL,   KARIN F. HELMERS,   STEPHEN PATTERSON,   JULIA L. SAMETH,   JOHN S. GOTTDIENER,   ALAN ROZANSKI,  

 

期刊: Journal of Cardiovascular Electrophysiology  （WILEY Available online 1991）
卷期: Volume 2, issue 1  

页码: 86-91

 

ISSN:1045-3873

 

年代: 1991

 

DOI:10.1111/j.1540-8167.1991.tb01376.x

 

出版商: Blackwell Publishing Ltd

 

关键词: silent myocardial ischemia;chest pain;mental stress;Holter monitoring;behavioral factors

 

数据来源: WILEY

 

摘要:

Behavior and Myocardial Ischemia.Recent ambulatory electrocardiography studies reveal that myocardial ischemia out‐of‐hospital exhibits features that may not be evident during controlled exercise testing. Specifically, out‐of‐hospital ischemia: (1) is more frequently asymptomatic or silent; (2) occurs during a wide variety of mental, as well as physical, activities; (3) is triggered at relatively low heart rate elevations compared to exercise; (4) exhibits a circadian rhythm; and (5) exhibits variability over time. This article reviews recent field and laboratory research suggesting that behavioral factors, including mental stress, may contribute to the typical features of myocardial ischemia out‐of

 

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