Heart rate variability and sudden death secondary to coronary artery disease during ambulatory electrocardiographic monitoring

Martin, Gary J.; Magid, Norman M.; Myers, G.A.; Barnett, Phillip S.; Schaad, John W.; Weiss, Jerry; Lesch, Michael; Singer, Donald H.

doi:10.1016/0002-9149(87)90990-8

Cited by 261 publications

(64 citation statements)

References 13 publications

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“…This study suggests that the sympathetic nervous system is dominant for TABP individuals (Dembroski et al, 1978). Additionally, more recent studies suggest that the reduced function of the parasympathetic nervous system are related to cardiovascular disease (Hayano et al, 1990a;Martin et al, 1987). In the present study, HF as the index for the parasympathetic activity decreased by 40 to 55% and L/H ratio increased by 40 to 55% during the MA and UK tests.…”

Section: Discussionsupporting

confidence: 61%

Individual Differences in Physiological Responses and Type A Behavior Pattern.

Oishi

Kamimura²,

Nigorikawa

et al. 1999

Appl Human Sci

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Abstract.The relationships between individual differences in psychophysiological responses and tendency of Type A behavior pattern (TABP) were investigated during mental arithmetic (MA) at a steady rhythm, challenging calculation (Uchida-Kraepelin serial addition test: UK test), music listening, and exposure to an 80 dB SPL of white noise. Each mental task was sustained for 5 minutes. Sixteen healthy Japanese adults, (10 males and 6 females) with an age from 18 to 36 years old volunteered for this study. The KG's Daily Life Questionnaire (KG Questionnaire) was used to investigate the tendency toward TABP, which included three sub-factors: aggression-hostility, hard-driving and time urgency, and speed-power items. Recorded physiological variables were respiratory rate (RR), skin resistance response (SRR), eyeblinks, and heart rate (HR) calculated using frequency analysis to render high frequency power (HF) and the ratio of low/high frequencies (L/H ratio). During the MA and UK tests, significant increases in HR, L/H ratio, RR occurred, while significant decreases in HF were observed. Eyeblinks significantly increased during the MA test and significantly decreased during the UK test. During music and white noise, no significant changes occurred except for SRR, which decreased significantly. The coefficient of variances in each response was over 20% for almost all variables, indicating that individual differences in the magnitude of each response were large, even if the direction (increase or decrease) of the change was the same in almost all subjects. The highest correlation coefficients (r) between the mean values of relative magnitude for each variable and TABP scores during the MA and UK tests were obtained for the L/H ratio (MA: r=0.591, UK test: r=0.577) and the RR (MA: r= 0.576, UK test: r= 0.511). These values were statistically significant (p<0.05). Similar results were obtained for TABP sub-factors. Though other investigations have reported relationships between HF and TABP, we found no significant relationship. It was suggested that sympathetic nerve activity became greater for TABP individuals than for Type B individuals under stress conditions.

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Section: Discussionsupporting

confidence: 61%

Individual Differences in Physiological Responses and Type A Behavior Pattern.

Oishi

Kamimura²,

Nigorikawa

et al. 1999

Appl Human Sci

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“…HRV provides a noninvasive measure of sympathovagal balance, and low levels serve as a marker for an increased risk of cardiac death (G. J. Martin et al, 1987;Mølgaard, Sorensen, & Bjerregaard, 1991;Thayer & Lane, 2007). Vagal tone may be assessed with measures of respiratory sinus arrhythmia or by the high frequency components of HRV (Thayer & Lane, 2007).…”

Section: Atherosclerosis and Calcificationmentioning

confidence: 99%

The heart's content: The association between positive psychological well-being and cardiovascular health.

Boehm

Kubzansky

2012

Psychological Bulletin

740

698

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This review investigates the association between positive psychological well-being (PPWB) and cardiovascular disease (CVD). We also consider the mechanisms by which PPWB may be linked with CVD, focusing on the health behaviors (e.g., smoking, alcohol consumption, physical activity, sleep quality and quantity, and food consumption) and biological functions (e.g., cardiovascular, inflammatory, and metabolic processes) that are most relevant for cardiovascular health. Because PPWB is a broad concept, not all aspects of PPWB may be associated with cardiovascular health. Thus, we distinguish between eudaimonic well-being, hedonic well-being, optimism, and other measures of well-being when reviewing the literature. Findings suggest that PPWB protects consistently against CVD, independently of traditional risk factors and ill-being. Specifically, optimism is most robustly associated with a reduced risk of cardiovascular events. In general, PPWB is also positively associated with restorative health behaviors and biological function and inversely associated with deteriorative health behaviors and biological function. Cardiovascular health is more consistently associated with optimism and hedonic well-being than with eudaimonic well-being, although this could be due in part to more limited evidence being available concerning eudaimonic well-being. Some similarities were also evident across different measures of PPWB, which is likely due to measurement overlap. A theoretical context for this research is provided, and suggestions for future research are given, including the need for additional prospective investigations and research that includes multiple constructs of psychological well-being and ill-being.Keywords: cardiovascular disease, health behaviors, biological function, eudaimonic well-being, hedonic well-being Scholars have long recognized the connection between mental health and physical health. From the ancient Roman poet Juvenal who declared, "A healthy mind in a healthy body," to early 20th century psychoanalysts who investigated the connection between mental states and physiology (Menninger & Menninger, 1936), and to researchers in the late 20th century seeking to identify disease-prone personalities (H. S. Friedman & Booth-Kewley, 1987;Rosenman et al., 1964), the complex relationship between psychological attributes and physical ailments has been the subject of fascination across time. Although past research has predominantly focused on the relationship between poor psychological functioning (e.g., anxiety, depression, hostility) and physical health, increasing research also suggests that a protective relationship exists between positive psychological functioning and physical health (Diener & Chan, 2011;Pressman & Cohen, 2005). Because the effects of psychological well-being and psychological ill-being are not merely opposites of one another and the absence of one does not necessarily indicate the presence of the other (Ryff et al., 2006;Ryff & Singer, 1998), it is critical to consider each separately in rel...

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“…Increased mental effort induces a decrease in vagal tone (Aasman et al, 1987). Low vagal control of heart rate has been shown to be related to coronary artery disease (Martin et al, 1987) and increased mortality (Kleiger et al, 1987). In a recent consensus paper it is confirmed that HF -HRV clearly represents vagal influence: a low HF -HRV is associated with a low vagal cardiac control (Berntson et al, 1997).…”

Section: Introductionmentioning

confidence: 97%

Vagal cardiac control throughout the day: the relative importance of effort–reward imbalance and within-day measurements of mood, demand and satisfaction

Hanson

Godaert

Maas

et al. 2001

Biological Psychology

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The effects of variables derived from a work stress theory (the effort-reward imbalance theory) on the power in the high frequency (HF -HRV) band of heart rate (0.14-0.40 Hz) throughout a work day, were determined using multilevel analysis. Explanatory variables were analysed at two levels: at the lowest level (within-day level), the effects of positive mood, negative mood, demand, satisfaction, demand-satisfaction ratio, and time of day were assessed. At the highest level (the subject level), the effects of sleep quality, effort, reward, effort-reward imbalance, need for control, type of work (profession), negative affectivity, gender and smoking on HF -HRV were assessed. Need for control has a negative effect on HF -HRV after controlling for time of day effects, i.e. subjects with a high need for control have a lower vagal control of the heart. In the long run, these subjects may be considered to be at increased health risk, because they have less of the health protective effects of vagal tone. The interaction between effort-reward imbalance and time of day has a positive effect on HF -HRV, i.e. the cardiac vagal control of subjects with a high effort-reward imbalance increases as the day progresses. It is discussed that this probably reflects reduced effort allocation, ensuing from disengagement from the work demands.

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Heart rate variability and sudden death secondary to coronary artery disease during ambulatory electrocardiographic monitoring

Cited by 261 publications

References 13 publications

Individual Differences in Physiological Responses and Type A Behavior Pattern.

Individual Differences in Physiological Responses and Type A Behavior Pattern.

The heart's content: The association between positive psychological well-being and cardiovascular health.

Vagal cardiac control throughout the day: the relative importance of effort–reward imbalance and within-day measurements of mood, demand and satisfaction

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