KMID : 1011920100110020028
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International Journal of Arrhythmia 2010 Volume.11 No. 2 p.28 ~ p.30
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Stress, heart disease and cardiac arrhythmias
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Nam Gi-Byoung
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Abstract
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The association of acute mental stress with myocardial infarction or fatal cardiac arrhythmias has been well demonstrated in epidemiologic studies conducted during natural disasters, terrorism or wars. The underlying pathophysiologic process includes acute increase in arterial blood pressure, endothelial dysfunction, aggravation of myocardial ischemia, coagulation abnormalities and hemoconcentration initiated by activation of the sympathetic nervous system and hypothalamic-pituitary-adrenal gland axis. In addition, psychococial factors related to life-style or work, type of personality, and environmental factors such as exposure to noise or traffic have also been identified as potential triggers of acute myocardial infarction. This article briefly summarizes the epidemiology and the pathophysiologic mechanism of acute or long-term mental stress on cardiac diseases and arrhythmias.
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KEYWORD
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stress, arrhythmia, myocardial infarction
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