Relation of cardiovascular responses to mental stress and cardiac vagal activity in coronary artery disease.

Published

Journal Article

Forty-six patients with documented coronary artery disease were studied to examine the relation of cardiovascular reactivity to mental stress and cardiac vagal activity. Cardiac vagal activity was measured by means of frequency-domain analysis of heart rate variability with 48-hour out-of-hospital Holter monitoring. The amplitude of the high-frequency component (0.16 to 0.40 Hz) of heart rate variability is considered to be an index of cardiac vagal activity. Cardiovascular reactivity was measured in the laboratory during a 3-minute public speaking task. Results revealed that (1) the amplitude of the high-frequency component was significantly higher during sleep (24.6 +/- 11.3 ms) than during waking (18.2 +/- 8.0 ms) (p = 0.002); (2) compared to subjects with low diastolic blood pressure reactivity, those who displayed high diastolic blood pressure reactivity exhibited a significantly lower amplitude of the high-frequency component (19.2 +/- 6.9 vs 23.4 +/- 9.6 ms, p = 0.03). These results indicate that decreased cardiac vagal activity may contribute to the exaggerated diastolic blood pressure reactivity to mental stress in patients with coronary artery disease.

Full Text

Duke Authors

Cited Authors

  • Jiang, W; Hayano, J; Coleman, ER; Hanson, MW; Frid, DJ; O'Connor, C; Thurber, D; Waugh, RA; Blumenthal, JA

Published Date

  • September 1, 1993

Published In

Volume / Issue

  • 72 / 7

Start / End Page

  • 551 - 554

PubMed ID

  • 8362769

Pubmed Central ID

  • 8362769

Electronic International Standard Serial Number (EISSN)

  • 1879-1913

International Standard Serial Number (ISSN)

  • 0002-9149

Digital Object Identifier (DOI)

  • 10.1016/0002-9149(93)90350-l

Language

  • eng