Psychological disturbances, autonomous heart rate regulation, and sudden death risk in myocardial infarction patients
Clinical and psychological examination was performed in 320 patients, 18–20 days after diagnosing acute myocardial infarction (AMI). In 56 %, anxiety and depressive symptoms were observed. These patients, comparing to those without psychological disturbances, demonstrated greater manifestation of au...
| Main Authors: | , , |
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| Format: | Article |
| Language: | Russian |
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«FIRMA «SILICEA» LLC
2008-02-01
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| Series: | Российский кардиологический журнал |
| Subjects: | |
| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/1450 |
| _version_ | 1797857211261648896 |
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| author | S. A. Boldueva O. V. Trofimova A. A. Gimgina |
| author_facet | S. A. Boldueva O. V. Trofimova A. A. Gimgina |
| author_sort | S. A. Boldueva |
| collection | DOAJ |
| description | Clinical and psychological examination was performed in 320 patients, 18–20 days after diagnosing acute myocardial infarction (AMI). In 56 %, anxiety and depressive symptoms were observed. These patients, comparing to those without psychological disturbances, demonstrated greater manifestation of autonomic dysbalance during heart rate variability (HRV) assessment (increased sympathetic and deceased vagal activity). Disturbed HRV correlated with progressing anxiety and depression. In sudden death group, psychological and HRV disturbances were substantially more manifested, regardless of AMI clinical course severity. This could trigger fatal arrhythmia development. In participants with anxiety and depression symptoms, including those with sudden death, personality anxiety level was higher. |
| first_indexed | 2024-04-09T20:53:04Z |
| format | Article |
| id | doaj.art-43f307f3d89140f285ff044bc6b8cb3b |
| institution | Directory Open Access Journal |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| last_indexed | 2024-04-09T20:53:04Z |
| publishDate | 2008-02-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj.art-43f307f3d89140f285ff044bc6b8cb3b2023-03-29T21:23:15Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202008-02-010126311238Psychological disturbances, autonomous heart rate regulation, and sudden death risk in myocardial infarction patientsS. A. Boldueva0O. V. Trofimova1A. A. Gimgina2Санкт-Петербургская государственная медицинская академия им. И.И.МечниковаСанкт-Петербургская государственная медицинская академия им. И.И.МечниковаСанкт-Петербургская государственная медицинская академия им. И.И.МечниковаClinical and psychological examination was performed in 320 patients, 18–20 days after diagnosing acute myocardial infarction (AMI). In 56 %, anxiety and depressive symptoms were observed. These patients, comparing to those without psychological disturbances, demonstrated greater manifestation of autonomic dysbalance during heart rate variability (HRV) assessment (increased sympathetic and deceased vagal activity). Disturbed HRV correlated with progressing anxiety and depression. In sudden death group, psychological and HRV disturbances were substantially more manifested, regardless of AMI clinical course severity. This could trigger fatal arrhythmia development. In participants with anxiety and depression symptoms, including those with sudden death, personality anxiety level was higher.https://russjcardiol.elpub.ru/jour/article/view/1450sudden deathmyocardial infarctionpsychological factorsheart rate variability |
| spellingShingle | S. A. Boldueva O. V. Trofimova A. A. Gimgina Psychological disturbances, autonomous heart rate regulation, and sudden death risk in myocardial infarction patients Российский кардиологический журнал sudden death myocardial infarction psychological factors heart rate variability |
| title | Psychological disturbances, autonomous heart rate regulation, and sudden death risk in myocardial infarction patients |
| title_full | Psychological disturbances, autonomous heart rate regulation, and sudden death risk in myocardial infarction patients |
| title_fullStr | Psychological disturbances, autonomous heart rate regulation, and sudden death risk in myocardial infarction patients |
| title_full_unstemmed | Psychological disturbances, autonomous heart rate regulation, and sudden death risk in myocardial infarction patients |
| title_short | Psychological disturbances, autonomous heart rate regulation, and sudden death risk in myocardial infarction patients |
| title_sort | psychological disturbances autonomous heart rate regulation and sudden death risk in myocardial infarction patients |
| topic | sudden death myocardial infarction psychological factors heart rate variability |
| url | https://russjcardiol.elpub.ru/jour/article/view/1450 |
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