A Psychophysiological Case Study of Orchestra Conductors

2015 ◽  
Vol 30 (4) ◽  
pp. 189-196 ◽  
Author(s):  
S Victoria Jaque ◽  
Isabel H Karamanukyan ◽  
Paula Thomson
Keyword(s):  
Coronary Artery Disease ◽  
Heart Rate ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Coronary Artery ◽  
Self Report ◽  
Stair Climbing ◽  
Public Performance ◽  
Autonomic Nervous ◽  
Artery Disease

The psychological and physiological effects of performance were investigated in two professional orchestral conductors, with data collected prior to, during, and after a rehearsal and a public performance. The participants were given a battery of psychological self-report tests (anxiety, dissociation, health inventory, fantasy proneness, shame, and flow). Ambulatory physiological monitoring (Vivometric LifeShirt® system) was conducted during both a rehearsal and public performance to gather information about the autonomic nervous system and heart rate variability (HRV). One conductor had a history of asthma and anxiety, and the second conductor had coronary artery disease. The results revealed within-subject and between-subject differences in autonomic nervous system responses and HRV during several conditions (pre-performance rest, stair-climbing, rehearsal, and performance). Based on heart rate, the physiological demands of professional conducting are reflective of work intensities considered “hard.” Both conductors experienced high flow states. Anxiety and coronary artery disease may have attenuated HRV resilience in this study. It is recommended that noninvasive methods be implemented to assess cardiac autonomic activity in professional conductors, particularly during engagement in their professional activities. The findings suggest a need to further study anxiety, respiratory conditions, and cardiovascular risks for conductors.

Effects of physical exercise on the autonomic nervous system in patients with coronary artery disease: a systematic review

2020 ◽  
Vol 18 (11) ◽  
pp. 749-759
Author(s):  
Thainá de Gomes Figueiredo ◽  
Helga Cecília Muniz de Souza ◽  
Victor Ribeiro Neves ◽  
Ana Eugênia Vasconcelos do Rêgo Barros ◽  
Armèle de Fátima Dornelas de Andrade ◽  
...  
Keyword(s):  
Systematic Review ◽  
Coronary Artery Disease ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Coronary Artery ◽  
Physical Exercise ◽  
Autonomic Nervous ◽  
Artery Disease

Abstract 5647: Autonomic Nervous System Dysregulation in Implantable Cardioverter Defibrillator Patients with Depression and Anxiety

Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Willem J Kop ◽  
Jennifer L Francis ◽  
Mark C Haigney ◽  
Ali A Weinstein ◽  
Phyllis K Stein ◽  
...  
Keyword(s):  
Heart Rate ◽  
Nervous System ◽  
Autonomic Nervous System ◽  
Parasympathetic Activity ◽  
Depression Symptoms ◽  
Implantable Cardioverter Defibrillators ◽  
Depression And Anxiety ◽  
Autonomic Nervous ◽  
Parasympathetic Control ◽  
Artery Disease

Background : Autonomic nervous system (ANS) dysregulation increases risk of ventricular arrhythmias in patients with implantable cardioverter defibrillators (ICD). ANS dysregulation is common in depression and anxiety, but the relationship between these psychological factors and ANS dysregulation has not been investigated in ICD patients. Methods : ANS indices reflecting parasympathetic control of heart rate were obtained using heart rate variability (HRV) analyses in 44 ICD patients with documented coronary artery disease (age 62±9 yrs; ejection fraction 35.9±12.7%). Ambulatory 24-hr ECG recordings were used to calculate HRV (rMSSD and pNN50). Depression was assessed using the Beck Depression Inventory (BDI) and anxiety using the Taylor Manifest Anxiety Scale (TMA). Validated cut-off scores were used (depression: BDI≥10; anxiety: TMa≥9), and data were analyzed using Analysis of Variance. Results : ICD patients with depression symptoms (n=12) had significantly lower HRV markers of ANS parasympathetic activity (rMSSD:15.2±5.7 ms vs. 25.0±13.4 ms, p=0.002; pNN50:1.8±2.7% vs. 5.6±5.7%, p=0.006) than patients with low depression symptoms (n=32). High anxiety (n=10) was related to lower rMSSD (p =0.014). Comorbid depression and anxiety was associated with substantial HRV reduction (p<0.001) (Figure ). Conclusion : Depression and anxiety in ICD patients are associated with autonomic nervous system dysregulation (reduced HRV markers of parasympathetic control). Reduced parasympathetic activity may therefore contribute to the elevated risk of life-threatening cardiac arrhythmias in ICD patients with depression and anxiety. Figure 1. RMSSD among depression/anexity groups

scholarly journals Association between cardiac autonomic nervous dysfunction and the severity of coronary lesions in patients with stable coronary artery disease

2018 ◽  
Vol 46 (9) ◽  
pp. 3729-3740 ◽  
Author(s):  
Yafei Chen ◽  
Yijun Yu ◽  
Wusong Zou ◽  
Mingjing Zhang ◽  
Yuting Wang ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Heart Rate ◽  
Coronary Artery ◽  
Heart Rate Recovery ◽  
Stable Coronary Artery Disease ◽  
Multivariate Logistic Regression Analysis ◽  
Control Group ◽  
Autonomic Nervous ◽  
Coronary Lesions ◽  
Artery Disease

Objective Autonomic dysfunction is recognized in patients with coronary artery disease (CAD) and is related to worse cardiovascular outcome. This study aimed to evaluate cardiac autonomic nervous function by heart rate recovery (HRR) and heart rate variability (HRV), and demonstrate their relationship with the severity of coronary lesions in patients with stable CAD (SCAD). Methods Consecutive patients without CAD (controls, n = 65) and those with SCAD (n = 63) were included in this study. Patients with SCAD were further divided into single- or two-/three-vessel disease, as well as <70% or ≥70% stenosis subgroups. The association between HRR/HRV and coronary lesions was analysed. Results HRR and HRV values were significantly lower in the SCAD group compared with the control group. Multivariate logistic regression analysis showed that abnormal HRR and HRV were risk factors of SCAD. Moreover, delayed HRR was a risk factor of the severity of coronary lesions. Conclusions Our results show that autonomic function is impaired in patients with SCAD and delayed HRR is closely related to the severity of coronary lesions.

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