Coronary vasoconstriction induced by mental stress (simulated public speaking).

Abstract The present study demonstrates that potent mental stress, such as that produced in response to the simulated public speaking task, results in an increase in heart rate and blood pressure, and vasoconstriction of normal coronary artery segments in patients with and without angiographically demonstrable coronary artery disease.

[1]  A. L'Abbate,et al.  Coronary dynamics and mental arithmetic stress in humans. , 1991, Circulation.

[2]  D. Berman,et al.  Effect of beta-blockade on low heart rate-related ischemia during mental stress. , 1991, Journal of the American College of Cardiology.

[3]  R. Miller,et al.  Provocation of Coronary Artery Spasm by the Cold Pressor Test: Hemodynamic, Arteriographic and Quantitative Angiographic Observations , 1980, Circulation.

[4]  E. Nabel,et al.  Evidence of endothelial dysfunction in angiographically normal coronary arteries of patients with coronary artery disease. , 1989, Circulation.

[5]  G. Specchia,et al.  Mental arithmetic stress testing in patients with coronary artery disease. , 1984, American heart journal.

[6]  D. Berman,et al.  Mental stress and the induction of silent myocardial ischemia in patients with coronary artery disease. , 1988, The New England journal of medicine.

[7]  W. Abelmann,et al.  Evidence for emotionally-induced coronary arterial spasm in patients with angina pectoris. , 1980, British heart journal.

[8]  R. Verrier,et al.  Autonomic nervous system and coronary blood flow changes related to emotional activation and sleep. , 1991, Circulation.

[9]  J. Hill,et al.  Constrictor and dilator responses to intracoronary acetylcholine in adjacent segments of the same coronary artery in patients with coronary artery disease. Endothelial function revisited. , 1994, Circulation.

[10]  A. Maseri,et al.  Response of angiographically normal and atherosclerotic left anterior descending coronary arteries to acetylcholine. , 1990, The American journal of cardiology.

[11]  R. Verrier,et al.  Delayed myocardial ischemia following the cessation of sympathetic stimulation. , 1988, American heart journal.

[12]  C. Taylor,et al.  Anger report predicts coronary artery vasomotor response to mental stress in atherosclerotic segments. , 1993, The American journal of cardiology.

[13]  J. Kostis,et al.  Effect of cutaneous nitroglycerin patches on coronary artery diameter: issues concerning development of tolerance. , 1989, Journal of the American College of Cardiology.

[14]  E L Bolson,et al.  A new digital electronic caliper for measurement of coronary arterial stenosis: comparison with visual estimates and computer-assisted measurements. , 1984, The American journal of cardiology.

[15]  R. Verrier,et al.  Delayed myocardial ischemia induced by anger. , 1987, Circulation.

[16]  J. Hodgson,et al.  Evidence that selective endothelial dysfunction may occur in the absence of angiographic or ultrasound atherosclerosis in patients with risk factors for atherosclerosis. , 1994, Journal of the American College of Cardiology.

[17]  Porter Ka,et al.  TREATMENT OF OSTEOSARCOMA. , 1964 .

[18]  G. Billman,et al.  Mechanisms Mediating the Coronary Vascular Response to Behavioral Stress in the Dog , 1981, Circulation research.

[19]  C. Conti,et al.  Regional coronary angiographic observations during cold stimulation in patient with exertional chest pain: comparison of diameter responses in normal and fixed stenotic vessels. , 1981, American heart journal.

[20]  A. Yeung,et al.  The effect of atherosclerosis on the vasomotor response of coronary arteries to mental stress. , 1991, The New England journal of medicine.