scholarly journals Facial Expressions of Emotions During Pharmacological and Exercise Stress Testing: the Role of Myocardial Ischemia and Cardiac Symptoms

2021 ◽  
Author(s):  
Maria T. Bekendam ◽  
Willem J. Kop ◽  
Ilse A. C. Vermeltfoort ◽  
Jos W. Widdershoven ◽  
Paula M. C. Mommersteeg
Keyword(s):  
Stress Testing ◽  
Negative Emotions ◽  
Emotion Expression ◽  
Self Report ◽  
Exercise Stress ◽  
Bicycle Exercise ◽  
Cardiac Stress ◽  
Cardiac Symptoms ◽  
Video Images

Abstract Background Negative emotions have been linked to ischemic heart disease, but existing research typically involves self-report methods and little is known about non-verbal facial emotion expression. The role of ischemia and anginal symptoms in emotion expression was examined. Methods Patients undergoing cardiac stress testing (CST) using bicycle exercise or adenosine with myocardial perfusion imaging were included (N = 256, mean age 66.8 ± 8.7 year., 43% women). Video images and emotion expression (sadness, anxiety, anger, and happiness) were analyzed at baseline, initial CST , maximal CST, recovery. Nuclear images were evaluated using SPECT. Results Ischemia (N = 89; 35%) was associated with higher levels of sadness (p = .017, d = 0.34) and lower happiness (p = .015, d = 0.30). During recovery, patients with both ischemia and anginal symptoms had the highest sadness expression (F (3,254) = 3.67, p = .013, eta2 = 0.042) and the lowest happiness expression (F (3, 254) = 4.19, p = .006, eta2 = .048). Conclusion Sadness and reduced happiness were more common in patients with ischemia. Also, anginal symptoms were associated with more negative emotions.

scholarly journals Comparison of Preoperative Assessment of Patient’s Metabolic Equivalents (METs) Estimated from History versus Measured by Exercise Cardiac Stress Testing

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Adam S. Weinstein ◽  
Martin I. Sigurdsson ◽  
Angela M. Bader
Keyword(s):  
Cardiac Failure ◽  
Stress Testing ◽  
Stress Test ◽  
Preoperative Evaluation ◽  
Preoperative Assessment ◽  
Exercise Stress ◽  
Cardiac Stress ◽  
Metabolic Equivalents ◽  
Cardiac Stress Testing ◽  
Cardiac Stress Test

Background. Preoperative anesthetic evaluations of patients before surgery traditionally involves assessment of a patient’s functional capacity to estimate perioperative risk of cardiovascular complications and need for further workup. This is typically done by inquiring about the patient’s physical activity, with the goal of providing an estimate of the metabolic equivalents (METs) that the patient can perform without signs of myocardial ischemia or cardiac failure. We sought to compare estimates of patients’ METs between preoperative assessment by medical history with quantified assessment of METs via the exercise cardiac stress test. Methods. A single-center retrospective chart review from 12/1/2005 to 5/31/2015 was performed on 492 patients who had preoperative evaluations with a cardiac stress test ordered by a perioperative anesthesiologist. Of those, a total of 170 charts were identified as having a preoperative evaluation note and an exercise cardiac stress test. The METs of the patient estimated by history and the METs quantified by the exercise cardiac stress test were compared using a Bland–Altman plot and Cohen’s kappa. Results. Exercise cardiac stress test quantified METs were on average 3.3 METS higher than the METs estimated by the preoperative evaluation history. Only 9% of patients had lower METs quantified by the cardiac stress test than by history. Conclusions. The METs of a patient estimated by preoperative history often underestimates the METs measured by exercise stress testing. This demonstrates that the preoperative assessments of patients’ METs are often conservative which errs on the side of patient safety as it lowers the threshold for deciding to order further cardiac stress testing for screening for ischemia or cardiac failure.

The ECG in cardiac stress testing: a valuable, but unappreciated source of clues

1998 ◽  
Vol 7 (4) ◽  
pp. 320-327
Author(s):  
LG Futterman ◽  
L Lemberg
Keyword(s):  
Emergency Department ◽  
Clinical Features ◽  
Stress Testing ◽  
Stress Test ◽  
Exercise Stress Test ◽  
Accurate Diagnosis ◽  
Exercise Stress ◽  
Cardiac Stress ◽  
Cardiac Stress Testing ◽  
Ecg Abnormalities

The ECG exercise stress test is a very potent aid to the clinical diagnosis of CAD. Thorough knowledge of the ECG abnormalities and clinical features related to the stress test are required for an accurate diagnosis. The ECG exercise stress test is not a substitute for clinical acumen. Proper evaluation of the stress test is a clinical art of the skilled clinician. ECG exercise stress testing can be done efficiently and effectively by trained emergency department physicians. As a result, the diagnosis of CAD can be greatly accelerated.

Angina pectoris during daily activities and exercise stress testing: The role of inducible myocardial ischemia and psychological distress

Pain ◽  
2008 ◽  
Vol 139 (3) ◽  
pp. 551-561 ◽  
Author(s):  
Mark D. Sullivan ◽  
Paul S. Ciechanowski ◽  
Joan E. Russo ◽  
John A. Spertus ◽  
Laurie A. Soine ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Angina Pectoris ◽  
Myocardial Ischemia ◽  
Stress Testing ◽  
Exercise Stress ◽  
Daily Activities ◽  
Exercise Stress Testing

Over de rol van positieve en negatieve emoties bij het welbevinden van managers: Een studie met de Job-related Affective Well-being Scale (JAWS)

2006 ◽  
Vol 19 (4) ◽  
Author(s):  
Wilmar Schaufeli ◽  
Willem van Rhenen
Keyword(s):  
Employee Engagement ◽  
Positive Emotions ◽  
Negative Emotions ◽  
Well Being ◽  
Significant Loss ◽  
Two Dimensions ◽  
Self Report ◽  
Dutch Version ◽  
Positive And Negative Emotions

About the role of positive and negative emotions in managers' well-being: A study using the Job-related Affective Well-being Scale (JAWS) About the role of positive and negative emotions in managers' well-being: A study using the Job-related Affective Well-being Scale (JAWS) W. Schaufeli & W. van Rhenen, Gedrag & Organisatie, Volume 19, November 2006, nr. 4, pp. 323-344 Generally speaking, emotions are classified using two dimensions: arousal and pleasure. The Job-related Affective Well-being Scale (JAWS), a self-report questionnaire that is used to assess emotions at work, also uses these two dimensions. The current study among 815 managers has two aims. The first aim is to introduce and validate the Dutch version of the JAWS. It appears that the original 30-item version of the JAWS can be reduced to 12 items, without significant loss of information. Furthermore, the predictive validity of the JAWS is illustrated by the fact that positive emotions are negatively related to duration and frequency of future absenteeism of managers. Secondly, a model that assumes that positive and negative emotions play a different role in manager's well-being is successfully tested. Negative emotions play a key role in a stress process that may lead to burnout and health complaints, whereas positive emotions play a key role in a motivational process that may lead to employee engagement and positive attitudes towards the organization.

The Medium-Term Effects of Treatment for Mild Aortic Recoarctation

2016 ◽  
Vol 8 (1) ◽  
pp. 55-61 ◽  
Author(s):  
Camilla Grøndahl ◽  
Thais Almeida Lins Pedersen ◽  
Vibeke Elisabeth Hjortdal
Keyword(s):  
Blood Pressure Monitoring ◽  
Adult Population ◽  
Maximum Flow ◽  
Medium Term ◽  
Bicycle Exercise ◽  
Cardiac Symptoms ◽  
Blood Pressures ◽  
Maximum Flow Velocity ◽  
Definite Role

Objective: To assess medium-term effects of treatment for mild to moderate recoarctation in an adult population. Design: We identified all patients who had coarctation repair between 1965 and 1985 in our institution. They were all (n = 156) invited to a thorough outpatient examination, which was accepted by 133. Eleven (median age 36 [28-53] years) were identified with isolated mild to moderate recoarctation and received reintervention. They comprise the patient population of the current study. We performed bicycle exercise testing, transthoracic echocardiography, magnetic resonance imaging, and 24-hour blood pressure monitoring before and 14 to 29 months after reintervention. Results: Compared to the values before reintervention, 24-hour blood pressures were reduced, but only significantly so for nighttime values. On echocardiography, wall thickness was reduced (1.2 ± 0.3 vs 1.1 ± 0.2, P > .05), and maximum flow velocity in the distal aortic arch decreased (2.8 ± 0.5 m/s vs 2.1 ± 0.4 m/s, P < .05). The invasive coarctation gradient was significantly reduced (15 ± 7 mm Hg vs 5 ± 9 mm Hg, P < .05), and the diameter at the coarctation site was increased (11 ± 3 mm vs 15 ± 3 mm, P < .05). Maximum achieved workload increased (182 ± 51 W vs 205 ± 65 W, P < .05). Cardiac symptoms were overall reduced. Conclusion: Reintervention was overall beneficial in increasing exercise capacity and reducing symptoms in the medium term, but the effects on established myocardial hypertrophy and blood pressures were less profound. Larger studies are needed in order to establish the definite role of reintervention for patients with milder recoarctation.

Sign in / Sign up

Export Citation Format

Share Document