Heart and MindPub Date : 2022-10-01DOI: 10.4103/hm.hm_26_22
T. Theorell
{"title":"Psychosocial stressors in psychosomatic cardiology: A narrative review","authors":"T. Theorell","doi":"10.4103/hm.hm_26_22","DOIUrl":"https://doi.org/10.4103/hm.hm_26_22","url":null,"abstract":"The definition of a psychosocial stressor and reactions to it is discussed in relation to individual and environmental factors. The relation of this model to psychophysiological stress reactions and regeneration, as well as its significance for cardiovascular diseases, is described. Three classes of psychosocial stressors (life changes, work conditions, and family conflicts) are then described in relation to cardiovascular illness and risk factors. Particular emphasis is on longitudinal studies of patients. Heart contractility and urinary adrenaline excretion are discussed in detail. Epidemiological data on psychosocial stressors and cardiovascular disease outcomes (mainly myocardial infarction) are also discussed.","PeriodicalId":34653,"journal":{"name":"Heart and Mind","volume":"6 1","pages":"211 - 218"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41288516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heart and MindPub Date : 2022-10-01DOI: 10.4103/hm.hm_36_22
S. Rabkin
{"title":"Does psychosocial stress lead to spontaneous coronary artery dissection? A review of the evidence","authors":"S. Rabkin","doi":"10.4103/hm.hm_36_22","DOIUrl":"https://doi.org/10.4103/hm.hm_36_22","url":null,"abstract":"Spontaneous coronary artery dissection (SCAD) is the acute development of a false lumen within the coronary artery wall by the spontaneous formation of an intramural hematoma which may compromise coronary (blood) flow by compression of the true lumen. Psychological factors have been implicated in its pathophysiology, but a synthesis of available data has not been previously undertaken. A literature search was conducted with the terms coronary artery dissection or spontaneous coronary artery dissection AND the terms psychological stress, anxiety, or depression. Initial studies in the field reported that psychological stress, anxiety, or depression was associated with SCAD and that acute stress may have a role in producing the SCAD. Recent studies with control groups of either acute coronary syndromes or acute myocardial infarction have produced discordant results. A meta-analysis of these studies, in this review, using a fixed effects model, showed that there was no significant association between SCAD and either moderate-to-high psychological stress or moderate-to-severe depression. However, one study reported that patients with SCAD were two-fold more likely to have experienced an emotional precipitant in the 24 h prior to the event. Assessment of patients with SCAD found long-term psychological consequences, and in some cases similar to posttraumatic stress disorder. In conclusion, chronic psychological stress, anxiety, or depression is not associated with the development of SCAD, however acute emotional stress may be a factor precipitating SCAD in some patients. Further research is necessary to examine the biological basis for SCAD and how acute stress might play a role in its pathogenesis.","PeriodicalId":34653,"journal":{"name":"Heart and Mind","volume":"6 1","pages":"219 - 225"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49377119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A case report of iatrogenic radial artery pseudoaneurysm: Avoidable complication with the need of early intervention","authors":"Anshuman Darbari, Rahul Sharma, Rahul Dev, Ruhi Sharma","doi":"10.4103/hm.hm_17_22","DOIUrl":"https://doi.org/10.4103/hm.hm_17_22","url":null,"abstract":"It is crucial to clinically differentiate true aneurysms from pseudoaneurysms. Here, we are reporting a case of postintervention, iatrogenic distal radial artery pseudoaneurysm, which was successfully managed surgically. The present case scenario signifies the clinical features of pseudoaneurysm and relevant discussion with early treatment needs for this iatrogenic complication.","PeriodicalId":34653,"journal":{"name":"Heart and Mind","volume":"6 1","pages":"282 - 284"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47681700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heart and MindPub Date : 2022-10-01DOI: 10.4103/hm.hm_49_22
Yuxi Wei, Yu Liu, N. Ayas, I. Laher
{"title":"A narrative review on obstructive sleep apnea in China: A sleeping giant in disease pathology","authors":"Yuxi Wei, Yu Liu, N. Ayas, I. Laher","doi":"10.4103/hm.hm_49_22","DOIUrl":"https://doi.org/10.4103/hm.hm_49_22","url":null,"abstract":"We review the aspects of obstructive sleep apnea (OSA), which is the most common respiratory disorder of sleep in China. Approximately 176 million people in China have apnea/hypopnea index ≥5/h, ranking first among the ten countries with the highest prevalence rates. Two-thirds of patients do not receive treatment at all or withdraw after only brief treatment in a survey nested in two centers in China. Drowsiness and progressive cognitive impairment related to OSA decrease work performance and add to workplace errors and accidents. Many patients with OSA remain undiagnosed. Untreated OSA increases the risk of developing cardiovascular diseases and metabolic diseases. Undiagnosed and untreated OSA patients place a great burden on healthcare costs and services, and thus enormous economic burdens across most countries across the world, due to the global epidemic of obesity, an important contributor to OSA. Continuous positive airway pressure is the first-line treatment for OSA in China; however, adherence levels are poor. Effective and less labor-intensive methods that improve adherence need to be further investigated. Traditional Chinese medicine and acupuncture are promising treatments but with unproven efficacy.","PeriodicalId":34653,"journal":{"name":"Heart and Mind","volume":"6 1","pages":"232 - 241"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43547846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heart and MindPub Date : 2022-07-01DOI: 10.4103/hm.hm_29_22
O. Sum-ping, Y. Geng
{"title":"Impact of Sleep on Cardiovascular Health: A Narrative Review","authors":"O. Sum-ping, Y. Geng","doi":"10.4103/hm.hm_29_22","DOIUrl":"https://doi.org/10.4103/hm.hm_29_22","url":null,"abstract":"Sleep is a universal biological function but remains poorly understood and a relatively new field of science and medicine. Over the past decade, there have been rapidly accumulating scientific and clinical data around sleep, including the effects of various sleep aspects on cardiovascular health. Much of the research in the field has focused on sleep-disordered breathing, particularly obstructive sleep apnea. However, other sleep pathologies including hypersomnolence disorders, sleep-related movement disorders, and parasomnia disorders have been linked with cardiovascular health. Other areas of sleep, such as sleep duration, timing, and circadian rhythms, also have a demonstrated association with heart health. In this review, we provide an updated summary of the literature connecting sleep and cardiovascular disease.","PeriodicalId":34653,"journal":{"name":"Heart and Mind","volume":"6 1","pages":"120 - 126"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48532292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heart and MindPub Date : 2022-07-01DOI: 10.4103/hm.hm_39_22
P. Palade, M. Mahadevan
{"title":"Book review of heart disease: It is all in your head, and what to do about it","authors":"P. Palade, M. Mahadevan","doi":"10.4103/hm.hm_39_22","DOIUrl":"https://doi.org/10.4103/hm.hm_39_22","url":null,"abstract":"","PeriodicalId":34653,"journal":{"name":"Heart and Mind","volume":"6 1","pages":"207 - 208"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43945378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heart and MindPub Date : 2022-07-01DOI: 10.4103/hm.hm_40_22
Lin Lu
{"title":"Sleep, exercise, stress, COVID-19, and human health","authors":"Lin Lu","doi":"10.4103/hm.hm_40_22","DOIUrl":"https://doi.org/10.4103/hm.hm_40_22","url":null,"abstract":"","PeriodicalId":34653,"journal":{"name":"Heart and Mind","volume":"6 1","pages":"99 - 100"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44162183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heart and MindPub Date : 2022-07-01DOI: 10.4103/hm.hm_31_22
S. Hooshiar, Helia Esmaili, A. Taherian, S. Jafarnejad
{"title":"Exercise, Advanced Glycation End Products, and Their Effects on Cardiovascular Disorders: A Narrative Review","authors":"S. Hooshiar, Helia Esmaili, A. Taherian, S. Jafarnejad","doi":"10.4103/hm.hm_31_22","DOIUrl":"https://doi.org/10.4103/hm.hm_31_22","url":null,"abstract":"Lifelong accumulation of advanced glycation end products (AGEs) is linked to cardiovascular disease (CVD). As a result of AGEs, cardiovascular dysfunction develops and progresses via two main mechanisms: cross-linking AGEs with tissue proteins and binding of AGEs to their receptor for AGE (RAGE). In addition, the formation of atherosclerotic plaques in these patients may be due to increased oxidative stress, leading to an elevation in blood circulation and tissue AGEs. Increasing physical activity is a critical approach among the different strategies to manage the deleterious effects of these changes caused by disease. Exercise prevents the accumulation of AGEs and slows the progression of chronic disease sequels. Exercise reduces AGE levels through a reduction of insulin sensitivity, fat mass, inflammation, and RAGE expression. An improvement in glucose metabolism and glycemic control are also other possible explanations. Reduced peripheral insulin resistance may attenuate AGE accumulation. Physical exercise causes more antioxidant enzyme secretion and reduces oxidative stress. Antioxidant and anti-inflammatory endothelial function is improved by exercise. After exercise, subendothelial matrix stiffness decreases, and endothelial function is improved. In this current study, the association between AGEs and exercise and their interaction effects on CVD are discussed.","PeriodicalId":34653,"journal":{"name":"Heart and Mind","volume":"6 1","pages":"139 - 150"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43522272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heart and MindPub Date : 2022-07-01DOI: 10.4103/hm.hm_25_22
K. Dimitriadis, E. Bletsa, E. Lazarou, I. Leontsinis, P. Stampouloglou, E. Dri, Athanasios Sakalidis, Nikolaos Pyrpyris, P. Tsioufis, G. Siasos, D. Tsiachris, K. Tsioufis
{"title":"A Narrative Review on Exercise and Cardiovascular Events: “Primum Non Nocere”","authors":"K. Dimitriadis, E. Bletsa, E. Lazarou, I. Leontsinis, P. Stampouloglou, E. Dri, Athanasios Sakalidis, Nikolaos Pyrpyris, P. Tsioufis, G. Siasos, D. Tsiachris, K. Tsioufis","doi":"10.4103/hm.hm_25_22","DOIUrl":"https://doi.org/10.4103/hm.hm_25_22","url":null,"abstract":"Exercise provides beneficial effects on the primary and secondary prevention of numerous chronic conditions, including cardiovascular disease, diabetes mellitus, and malignancies. Despite its indisputable benefits, exercise can rarely trigger major adverse cardiovascular events such as ventricular arr hythmias, myocardial infarction, or even sudden cardiac arrest in susceptible individuals. Physiological changes that occur during exercise, including increased sympathetic activity and cardiac oxygen requirements, may account for ischemia and trigger ventricular ectopy with eventually adverse outcomes. Tailored preparticipation screening for exercise and sports engagement is fundamental to unveiling underlying pathological conditions. The present review summarizes the overall impact of exercise on cardiovascular health and highlights the recommended prevention strategies.","PeriodicalId":34653,"journal":{"name":"Heart and Mind","volume":"6 1","pages":"127 - 138"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46576571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heart and MindPub Date : 2022-07-01DOI: 10.4103/hm.hm_20_21
Abdolmohammad Ranhbar, B. Sohrabi, Reza Hajizadeh, M. Shoar, Hadiseh Kavandi, Sahar Ghodratizadeh, Hanieh Sakha, Kamran Mohammadi
{"title":"Neutrophil-to-Lymphocyte Ratio and Outpatient Management of Low-Risk Acute Pulmonary Embolism","authors":"Abdolmohammad Ranhbar, B. Sohrabi, Reza Hajizadeh, M. Shoar, Hadiseh Kavandi, Sahar Ghodratizadeh, Hanieh Sakha, Kamran Mohammadi","doi":"10.4103/hm.hm_20_21","DOIUrl":"https://doi.org/10.4103/hm.hm_20_21","url":null,"abstract":"Purpose: Low-risk pulmonary thromboembolism (PTE) outpatient management has been described recently. The blood neutrophil/lymphocyte ratio (NLR) has been shown to be a useful marker of cardiovascular disease and an independent predictor of cardiac mortality. The predictive value of NLR in predicting mortality of low-risk PTE was evaluated in this study. Materials and Methods: The total of 168 patients with definite pulmonary embolism diagnosed by computed tomography angiography whose on-admission simplified Pulmonary Embolism Severity Index (PESI) score was zero enrolled in this study. The survival rate of patients according to their NLR was evaluated. Results: During 12 months' follow-up period, eight patients (4.7%) died. None of the patients with an NLR of <3.2 died during the follow-up. The median values of NLR in the nonsurvivor and survivor groups were 9.2 ± 3.03 (2–29.5) and 4.69 ± 0.43 (0.8–24.5), respectively. NLR values were significantly higher in nonsurvivors compared to survivors (P = 0.043). Conclusion: This study suggests that patients with zero PESI score and NLR <3.2 could be managed patiently with good results.","PeriodicalId":34653,"journal":{"name":"Heart and Mind","volume":"6 1","pages":"183 - 186"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43790564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}