کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5045842 1475902 2017 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Associations between positive emotional well-being and stress-induced myocardial ischemia: Well-being scores predict exercise-induced ischemia
ترجمه فارسی عنوان
ارتباط بین سلامت عاطفی مثبت و ایسکمی میوکارد ناشی از استرس: نمرات سلامت، ایسکمی ناشی از ورزش را پیش بینی می کند
کلمات کلیدی
برنامه زمانبندی عمومی مقیاس رفاه عمومی، احساسات مثبت، ورزش ایسکمی ناشی از ورزش، ایسکمی ناشی از استرس ذهنی، بیماری قلبی عروقی،
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی روانپزشکی بیولوژیکی
چکیده انگلیسی


- Well-being scores, including measures of positive emotion, predict lower rates of exercise-stress induced myocardial ischemia in a cohort of patients with ischemic heart disease.
- This relationship persists when controlling for negative emotion.
- This relationship persists when controlling for traditional health-related behaviors that are associated with ischemic heart disease.

ObjectiveDepressive symptoms have been associated with myocardial ischemia induced by mental (MSIMI) and exercise (ESIMI) stress in clinically stable ischemic heart disease (IHD) patients, but the association between positive emotions and inducible ischemia is less well characterized. The objective of this study was to examine the associations between ratings of well-being and stress-induced ischemia.MethodsSubjects were adult patients with documented IHD underwent mental and exercise stress testing for the Responses of Myocardial Ischemia to Escitalopram Treatment (REMIT) trial. The General Well-Being Schedule (GWBS), with higher scores reflecting greater subjective well-being, and the Center for Epidemiologic Studies Depression Scale (CES-D) were obtained from the REMIT participants. Echocardiography was used to measure ischemic responses to mental stress and Bruce protocol treadmill exercise testing. Data were analyzed using logistic regression adjusting for age, sex, resting left-ventricular ejection fraction (LVEF), and resting wall motion score index, as well as health-related behaviors.ResultsGWBS scores were obtained for 210 individuals, with MSIMI present in 92 (43.8%) and ESIMI present in 64 (30.5%). There was a significant inverse correlation between GWBS-PE (Positive Emotion subscale) scores and probability of ESIMI (OR = 0.55 (95%CI 0.36-0.83), p = 0.005). This association persisted after additional control for CESD subscales measuring negative and positive emotions and for variables reflecting health-related behaviors. A similar inverse correlation between GWBS-PE and MSIMI was observed, but did not reach statistical significance (OR = 0.81 (95%CI 0.54-1.20), p = 0.28).ConclusionThis is, to our knowledge, the first study demonstrating that greater levels of self-reported positive emotions are associated with a lower likelihood of ESIMI among patients with known IHD. Our results highlight the important interface functions of the central nervous and cardiovascular systems and underscore areas for future investigation.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Psychosomatic Research - Volume 93, February 2017, Pages 14-18
نویسندگان
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