Destabilizing Effects of Mental Stress on Ventricular Arrhythmias in Patients With Implantable Cardioverter-Defibrillators | Zendy

Rachel Lampert | Zendy; Diwaker Jain | Zendy; Matthew M. Burg | Zendy; William P. Batsford | Zendy; Craig A. McPherson | Zendy

Open Access

Destabilizing Effects of Mental Stress on Ventricular Arrhythmias in Patients With Implantable Cardioverter-Defibrillators

Author(s) -

Rachel Lampert,

Diwaker Jain,

Matthew M. Burg,

William P. Batsford,

Craig A. McPherson

Publication year - 2000

Publication title -

circulation

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 7.795

H-Index - 607

eISSN - 1524-4539

pISSN - 0009-7322

DOI - 10.1161/01.cir.101.2.158

Subject(s) - medicine , cardiology , mental stress , implantable cardioverter defibrillator , ventricular fibrillation , defibrillation , sudden cardiac death , anesthesia

The incidence of sudden cardiac death increases in populations who experience disasters such as earthquakes. The physiological link between psychological stress and sudden death is unknown; one mechanism may be the direct effects of sympathetic arousal on arrhythmias. To determine whether mental stress alters the induction, rate, or termination of ventricular arrhythmias, we performed noninvasive programmed stimulation (NIPS) in patients with defibrillators and ventricular tachycardia (VT), which is known to be inducible and terminated by antitachycardia pacing, at rest and during varying states of mental arousal.

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