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May 3, 2018Journal of the American Heart Association56 citationsOpen Access

Coronary and Peripheral Vasomotor Responses to Mental Stress

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Why the study?

Does mental stress induce coronary and peripheral vasomotor responses that correlate with endothelial function in patients undergoing coronary angiography?

Population

38 patients aged 59±8 years undergoing coronary angiography

Comparison

Mental stress induced by mental arithmetic… vs Rest/baseline

Design

Cross-sectional

Key result

Mental stress-induced coronary blood flow responses correlated with endothelium-dependent coronary microvascular function (r=0.38, P=0.03) and peripheral microvascular circulation (r=-0.60, P=0.004).

Authors

MHMuhammad HammadahJKJeong Hwan KimIMIbhar Al Mheid

Discussion

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Overview

Mental stress responses may reflect endothelial microvascular dysfunction; hypothesis-generating for peripheral surrogates pending prospective validation.

Study Design

Type

Cross-Sectional (n=38)

Structured PICO

Does mental stress induce coronary and peripheral vasomotor responses that correlate with endothelial function in patients undergoing coronary angiography?

P
Population
38 patients with a mean age of 59 years undergoing coronary angiography.
E
Exposure
Mental stress induced by mental arithmetic testing, along with intracoronary acetylcholine and nitroprusside
C
Comparator
Rest/baseline
O
Outcome
Coronary epicardial and microvascular responses (coronary blood flow) and peripheral microvascular tone (peripheral arterial tonometry ratio)surrogate

Coronary microvascular responses to mental stress are determined by endothelium-dependent function and are reflected in the peripheral microvascular circulation.

Main Result

Effect estimate: r = 0.38

p-value: p=0.03

Cite This Study

Hammadah et al. (2018) conducted a cross-sectional in Patients undergoing coronary angiography (n=38). Mental stress vs. Rest was evaluated on Correlation between mental stress-induced coronary blood flow response and endothelium-dependent CBF changes with acetylcholine (r = 0.38, p=0.03). Mental stress-induced coronary blood flow responses correlated with endothelium-dependent coronary microvascular function (r=0.38, P=0.03) and peripheral microvascular circulation (r=-0.60, P=0.004).

synapsesocial.com/papers/6a20b1b3515be2b4c6f9e822https://doi.org/10.1161/jaha.118.008532
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