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THE ROLE OF THE MENTAL STRESS-TESTS EXAMINATION OF PATIENTS WITH VENTRICULAR ARRHYTHMIA

https://doi.org/10.18705/2311-4495-2016-3-2-6-16

Abstract

The aim of the study was a comparative assessment of the results of various mental stress-tests (MT) and the development of a common MT protocol to assess the contribution of psychogenic factors in arrhythmogenesis in patients with ventricular arrhythmias (VA) in the absence of structural heart disease. There were 66 patients with idiopathic VA and anxiety neurotic disorders (AND) drawn from 400 patients after examination (ECG, Holter ECG monitoring, echocardiography, treadmill exercise test, coronary angiography and MRI when necessary; psychological examination and a consultation by a psychotherapist). MT were performed all patients according to the study protocol. Results. Correlation analysis of hemodynamic parameters in a rest period between all MT showed there were no differences in the period of rest between MT. Consequently, the test sequence does not affect its results. According to a comparative and correlation analysis there were stasistically significant differences between MT only in hemodynamic parameters changes. There were not stasistically significant differences in the change of VA during the conduct of MT. Conclusion. Use of MT allows to evaluate the contribution of psyhoemotional factor in the genesis of VA in patients with idiopathic arrhythmia and AND. The whole complex of MT must be used to evaluate the psychoemotional factors in the genesis of VA considering that the more tests we spend, the more likely to get a patient’s response to some test.

About the Authors

Darya Yu. Alekseeva
Федеральное государственное бюджетное учреждение «Северо-Западный Федеральный медицинский исследовательский центр им. В. А. Алмазова» Минздрава России
Russian Federation


Elena A. Tsurinova
Федеральное государственное бюджетное учреждение «Северо-Западный Федеральный медицинский исследовательский центр им. В. А. Алмазова» Минздрава России
Russian Federation


Vladislav N. Solntsev
Федеральное государственное бюджетное учреждение «Северо-Западный Федеральный медицинский исследовательский центр им. В. А. Алмазова» Минздрава России
Russian Federation


Oleg V Mamontov
Федеральное государственное бюджетное учреждение «Северо-Западный Федеральный медицинский исследовательский центр им. В. А. Алмазова» Минздрава России
Russian Federation


Tatyana V. Treshkur
Федеральное государственное бюджетное учреждение «Северо-Западный Федеральный медицинский исследовательский центр им. В. А. Алмазова» Минздрава России
Russian Federation


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Review

For citations:


Alekseeva D.Yu., Tsurinova E.A., Solntsev V.N., Mamontov O.V., Treshkur T.V. THE ROLE OF THE MENTAL STRESS-TESTS EXAMINATION OF PATIENTS WITH VENTRICULAR ARRHYTHMIA. Translational Medicine. 2016;3(2):6-16. (In Russ.) https://doi.org/10.18705/2311-4495-2016-3-2-6-16

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