THE ROLE OF THE MENTAL STRESS-TESTS IN THE EXAMINATION OF PATIENTS WITH VENTRICULAR ARRHYTHMIA
https://doi.org/10.18705/2311-4495-2018-5-1-25-35
Abstract
The aim of the study was to evaluate the contribution of psychoemotional factor in arrhythmogenesis in patients with idiopathic ventricular arrhythmias (VA) on the basis of analysis of the results of various mental stress-tests (MT).
Material and methods. 66 patients with idiopathic VA and anxiety neurotic disorders (AND) were included in the study after careful examination. MT were performed all patients according to the study protocol.
Results. According the data of statistical analysis there were not stasistically significant differences in the baseline levels of hemodynamic parameters in the perid of rest between MT. Thus, the sequence of the test does not affect its result. According comparative analysis there were statistically significant differences between MT only in the hemodynamic parameters changes and not in the change of VA. Comparative analysis between men and women in the changes of hemodynamic parameters and VA during the MT did not reveal gender differences.
The conclusion. Use of MT allows to evaluate the contribution of psyhoemotional factor in the genesis of VA in patients with idiopathic arrhythmia and AND. MT should be included in the algorithm for examining patients with VA because of the different effects of psychoemotional and physical stress, like a trigger, on the ventricular ectopic focus.
About the Authors
D. Yu. Alekseeva
Almazov National Medical Research Centre
Russian Federation
Competing Interests: Конфликт интересов не заявляется
Russian Federation
Darya Yu. Alekseeva - researcher, research laboratory of electrocardiology.
Akkuratova str. 2, Saint Petersburg, 197341
Competing Interests: Конфликт интересов не заявляется
A. A. Velikanov
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Arsenii A. Velikanov - PhD, associate professor, senior researcher of research laboratory of rehabilitation.
Akkuratova str. 2, Saint Petersburg, 197341
V. N. Solntsev
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Vladislav N. Solntsev - senior researcher of research laboratory of biostatistics research department of mathematical modeling and analysis.
Akkuratovastr. 2, SaintPetersburg, 197341
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Review
For citations:
Alekseeva D.Yu., Velikanov A.A., Solntsev V.N. THE ROLE OF THE MENTAL STRESS-TESTS IN THE EXAMINATION OF PATIENTS WITH VENTRICULAR ARRHYTHMIA. Translational Medicine. 2018;5(1):25-35. (In Russ.) https://doi.org/10.18705/2311-4495-2018-5-1-25-35
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