Open AccessThe Effect of Emotional Responses on Heart Rate Variability as a Risk Factor for Cardiovascular Disease
Author(s) -
П. С. Лапанов
Publication year - 2020
Publication title -
problemy zdorovʹâ i èkologii
Language(s) - English
Resource type - Journals
eISSN - 2708-6011
pISSN - 2220-0967
DOI - 10.51523/2708-6011.2020-17-1-12
Subject(s) - anger , heart rate variability , sadness , medicine , cardiology , arousal , heart rate , disease , risk factor , autonomic nervous system , blood pressure , psychology , audiology , clinical psychology , neuroscience
Objective: to identify clinically significant functional interactions between the autonomic nervous system and personal emotional sphere. Material and methods. 105 patients with cardiovascular diseases were examined. Using a clinical role-playing game, the states of the psycho-emotional arousal of modalities: «anger», «fear», «sadness», and «joy» with some intervals of relaxation between them were successively induced in the patients, and the intensity of the psycho-emotional arousal was also recorded. At the same time, the parameters of heart rate variability were registered using the KP-01 Holter monitoring system. The patients were divided into two groups depending on the presence of a high direct relationship between the recorded indicators. Results. It has been found that a high direct relationship (r s[9] = 0.70, p = 0.018) of the power spectral density in the low frequency range, the total index of autonomic disequilibrium, and the intensity of emotional responses is associated with a 3-4 risk of arterial hypertension, coronary heart disease , cardiosclerosis, chronic heart failure. Conclusion. The presence of these correlations is associated with cardiovascular disease and is an independent risk factor for its development.