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May 29, 2020Journal of Translational MedicineOpen Access

A meta-analysis on the prevalence, associated factors and diagnostic methods of mental stress induced myocardial ischemia

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Why the study?

Multiple types of mental stress, diagnostic techniques, and diagnostic measurements increase complexity and heterogeneity in MSIMI assessment.

Comparison

Different mental stress types, diagnostic techniques, and diagnostic measurements

Design

Systematic review and meta-analysis

Authors

LZLijun ZhangBGI Group (China)YBYanping BaoPeking UniversityXWXi WangShanxi Agricultural University

Discussion

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Implication

MSIMI affects ~1/3 of CAD patients; extends prior estimates while underscoring heterogeneity that leaves optimal diagnostics open.

Structured PICO

P
Population
CAD patients from 20 enrolled articles
I
Intervention
Mental stress testing (e.g., public speaking, mental arithmetic, anger recall) and diagnostic techniques (SPECT, RNV, ECG, Echocardiography)
O
Outcome
Prevalence of mental stress induced myocardial ischemia (MSIMI)surrogate

The prevalence of mental stress induced myocardial ischemia in CAD patients is approximately 32%, but varies significantly depending on the type of stressor and diagnostic modality used.

Cite This Study

Zhang et al. (2020) studied this question.

synapsesocial.com/papers/69f14aab2811130d0cde1e8dhttps://doi.org/10.1186/s12967-020-02383-z
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Also Consider

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  1. 1Operating Characteristics of a Rank Correlation Test for Publication Bias1994 · 17,336 citations
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  3. 3Usefulness of Peripheral Arterial Tonometry in the Detection of Mental Stress‐Induced Myocardial Ischemia2009 · 38 citations
  4. 4Brain Correlates of Mental Stress-Induced Myocardial Ischemia2018 · 73 citations