Behavioral Triggers of Silent and Symptomatic Myocardial Ischemia

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

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

Behavioral Triggers of Silent and Symptomatic Myocardial Ischemia

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

^*Corresponding author for this work

Medical & Clinical Psychology

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

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‐hospital.

Original language	English
Pages (from-to)	s86-s91
Journal	Journal of Cardiovascular Electrophysiology
Volume	2
DOIs	https://doi.org/10.1111/j.1540-8167.1991.tb01376.x
State	Published - Apr 1991

Keywords

behavioral factors
chest pain
Holter monitoring
mental stress
silent myocardial ischemia

Access to Document

10.1111/j.1540-8167.1991.tb01376.x

Cite this

KRANTZ, DAVID. S., GABBAY, FRANCES. H., HEDGES, SUSAN. M., KLEIN, JACOB., NEBEL, LINDA. E., HELMERS, KARIN. F., PATTERSON, STEPHEN., SAMETH, JULIA. L., GOTTDIENER, JOHN. S., & ROZANSKI, ALAN. (1991). Behavioral Triggers of Silent and Symptomatic Myocardial Ischemia. Journal of Cardiovascular Electrophysiology, 2, s86-s91. https://doi.org/10.1111/j.1540-8167.1991.tb01376.x

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abstract = "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‐hospital.",

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AU - HEDGES, SUSAN M.

AU - KLEIN, JACOB

AU - NEBEL, LINDA E.

AU - HELMERS, KARIN F.

AU - PATTERSON, STEPHEN

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AU - GOTTDIENER, JOHN S.

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