Key result
Autonomic disequilibrium from emotional arousal is linked to ~40% higher risk of severe hypertension.
Why the study?
The study aimed to identify clinically significant functional interactions between the autonomic nervous system and the personal emotional sphere in patients with cardiovascular diseases.
Cohort (n=105)
Double-blind
Linear randomization for patient selection
No
Answers are grounded in this paper and cite their sources.
Hypothesis-generating link to severe hypertension risk; leaves open whether emotional-autonomic assessment aids stratification or requires prospective validation.
Objective: to identify clinically significant functional interactions between the autonomic nervous system and personal emotional sphere. Material and methods. 105 patients with cardiovascular diseases were examined. Using a clinical role-playing game, the states of the psycho-emotional arousal of modalities: «anger», «fear», «sadness», and «joy» with some intervals of relaxation between them were successively induced in the patients, and the intensity of the psycho-emotional arousal was also recorded. At the same time, the parameters of heart rate variability were registered using the KP-01 Holter monitoring system. The patients were divided into two groups depending on the presence of a high direct relationship between the recorded indicators. Results. It has been found that a high direct relationship (rs[9] = 0.70, p = 0.018) of the power spectral density in the low frequency range, the total index of autonomic disequilibrium, and the intensity of emotional responses is associated with a 3-4 risk of arterial hypertension, coronary heart disease , cardiosclerosis, chronic heart failure. Conclusion. The presence of these correlations is associated with cardiovascular disease and is an independent risk factor for its development.
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П. С. Лапанов (2020) conducted a cohort in Cardiovascular disease (presence or suspicion of arterial hypertension) (n=105). High direct correlation (rs >= 0.697) between psycho-emotional arousal intensity and total index of autonomic disequilibrium (LF+HF) vs. Low correlation (rs < 0.697) between psycho-emotional arousal intensity and heart rate variability parameters was evaluated on Arterial hypertension risk grade 3-4 (RR 1.4, 95% CI 1.1-1.8, p=0.018). High correlation between emotional arousal and autonomic disequilibrium (rs=0.70, p=0.018) was associated with higher rates of grade 3-4 hypertension risk (82.9% vs 60.0%, RR 1.4, 95% CI 1.1-1.8).
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