What is cardiac stress?
Stress is an issue that we all have experienced more or less. Sometimes this feeling is too much that compromises physical and mental health. There has been a lot of research on the effects of stress on people’s health, which we study the impact of stress on heart function.
Understanding the relationship between stress and cardiovascular diseases is not easy. Is there a disorder of people and behaviour? Does stress increase blood pressure? Can stress cause a heart attack? There are different beliefs in these cases, but research has shown that stress plays a role in many cardiovascular diseases.
In fact, there are two types of dangerous factors for the heart.
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interchangeable risk factors such as increasing obesity cholesterol, increased blood pressure, tobacco use, physical activity and high stress that the last one can increase blood pressure and heartbeat and make heart work harder.
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irrechangeable risk factors of inheritance, sex (men are more at risk of heart diseases than women), age and diabetes
Unsaid 50 % of people who suffer a heart attack die 2 hours after symptoms start. In the case of stress, psychological stresses such as anxiety and excitement can create changes in the body that lead to some disorders in the body’s organs, such as the effect on the cardiovascular system, in this case it has been proven to be a factor It can help some people with heart disease, increase cholesterol and other heart risks.
The relationship between stress and heart disease has been known long ago. Ali Al-Amoum all agree that stress is a risk factor for coroner vascular diseases and resulting in acute myocard infarction. Generally, the advancement of technology and modern life has caused changes in the way of life and social conditions dependent on the increase in estracial disorders and cardiovascular diseases. It is true that advanced technology for diagnosis and treatment and such changes in dangerous factors of coroner vascular diseases can reduce heart disease and mortality
Coroner vascular disease mortality with acute vascular syndrome demonstrations is still the main cause of death in both developed and developing countries.
Psychological stresses in addition to being a dangerous factor for coroner can cause acute infarctus, delay in recovery of the disease and its effects during treatment and maintenance of the patient. Stress can cause heart ischemia even in healthy people, but in patients with coroner vascular disorders it is more severe. Often, this ischemia can appear without a progressive mark (quiet ischemia) or as unnatural changes in the electrocardiogram (ECG). Though by traditionalism some ischemia can be shown that cause cardiac erythmia. Ejection Fraction is also reduced by stress that this change can be determined by vascology.
The mechanism of cardiac ischemia caused by stress has been studied by many researchers. They proved that excitement stress decreases coroner blood flow. Also in people with mild coroner vascular irritation, stress by increasing tenus and isomotor leads to coroner vascular spasm and resulting in a prone factor for the development of acute myocard infarctus (1). Stress along with hypervantilation and respiratory alcalosis can be ischemia myocard. It has caused and even in some patients with coroner vascular disorder to lead to acute myocard infarctus. Stress has been able to increase the number of platelets, accumulation and adhesion, which is more visible in people with coroner vascular disease (2). In other experimental experiments also proved that excitement stress can lead to microthermia in the vessels. May it be small.
The mechanism of stress in the heart
They divide stress into two types:
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Physical stress
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excitement stress
Physical stress is harmful for people with heart coroner disease because severe physical activity increases the need for oxygen and the heart needs to consume a lot of energy so this type of stress is bad for heart patients but in people with heart Natural exercises
Body and physical stress are called good and good type, because as we know exercise can reduce cholesterol, increase HDL, regulate blood pressure, weight loss, etc.
Emotional stress most people think this type of stress is for the heart. In fact, it is also because too much stress increases adrenaline secretion and its concentration rises in the blood and can cause blood clots, which is a dangerous factor to cause a heart attack. Other researchers have suggested that stress causes high homosystein (ik amino acid known to be a risk factor for coroner vessels) has become a serum and this way makes the heart suffer. In some other reports, stress may directly affect coroner vessels and lead to heart attack. However, in terms of pathophiriology and psycopharmacology have confirmed that during the stress of catcholamine, cortisol and sympathizic tanu increase and result in reduction of heart potassium especially in myocard, which thereby lowers the electrical stimulation of myocard and the development of arithmic It facilitates the. This mechanism has been proven in both humans and animals. In patients with infarctus, the sympathetic system is clearly superior to a healthy person, and in some groups even the nerve tenus is undermined, which is accompanied by an increased risk of arithmic and sudden death. In a clinical trial conducted by Mc Cance and his co-workers, it was shown that in people with coroner vascular disease by prescribing physiological amounts of adrenaline, infarctosis and rythmia may occur, but in people witnessing the opposite.
Epidemiological studies
Several statistical and clinical studies found that stress can increase the mortality rate of acute myocard infarctus.
One person is stressed out of every 7 adult American who suffers from a heart attack.
Long-term and chronic stress increases blood pressure along with high cholesterol. Stress can release hormones that facilitates blood clots production in the body.
Caffeine and tobacco can increase your heart rate by 14 times per minute, but if consumed with stress, this increases to 38 times per minute.
A smoker has a heartbeat 20160 times more than a normal person in a night. But even if this smoker suffers from stress, this will reach 54130 hits. Stress rate in working men is 27/0 per million, while in working women, it reaches 49/0 per million. Factors such as family history, age under 45 and being an employee can be involved in making stress. The ratio of toll development in patients with acute infarctus (AMI) in people suffering from stress is specially higher than those who lack stress (42 % vs 26 %).
Stress and heart attack
Stress can cause excitement, increased blood pressure, fatigue, depression, migraine headaches, respiratory and muscle disorders, sexual issues, sleep forms and skin losses. By the way, people with stress lack of your life are happy and happy.
Many studies have shown that stress, in addition to increasing the development of AMI complications to 3 times, increases the duration of hospitalization and treatment of these patients in intensive care sectors, but still doctors have psychological factors in diagnosis and treatment. These patients don’t pay special attention. Many researchers and cardiovascular disease experts have explained that stress is a dangerous cause for coroner vascular diseases by creating atherosclerurs. Furthermore, stress can increase the development of AMI by 2 times through coroner vascular spasm and activate the adrenerigic system, which is considered as an independent factor. Many Clinicians don’t mind that psychological factors and stress are involved in the diagnosis and treatment of AMI, and even the ratio of stress or mental disorders such as excitement, depression, or the complex of the two AMI diseases is very high and even up to 85 Arrive. In another study that in
39 patients with coroner vascular loss caused by psychological stress found that 59 % of these patients had unnatural movements in the myocard wall and 83 % suffered from asymptomatic ischemia In which the heart rate was low and completely different from the heartbeat caused by physical exercises. In an experimental test, it was shown that the relative coroner vascular irritation in the animal tested and produced and anxiety was reduced by coroner blood flow (around 35 percent and for 4 2 minutes) after an anxiety crisis Animal, certain changes appeared in the ECG and the changes in the ST piece were visible in the side of the irritation.
In later studies, cardiovascular effects appear 3 times more than stress-free patients, some scientists know the mortality of these patients to this extent.
According to statistics obtained from Ami patients with stress, cardiac arithmia is the most common symptoms that are specifically seen in them. Of course, other effects such as heart failure, pericarditis, prolonged chest pain and cardiogenic shock happen in these patients. Deaths caused by these complications are also higher in stressed patients. Besides during acute stress, hemodynamic changes and endothelial function disorder can cause ami aggravation in the place of lost lesion and cause death (4). Another interesting fact is that patients suffer from stress are often young people under 45 and Apparently older people are more attention than organic and bodily loss than psychological functions, separating these two requires more precise studies. Thus, it becomes clear that stress not only plays a dangerous factor for coroner vascular disease, but it is also an independent predictive factor that can increase complications and mortality in Ami patients. Thus, de Remord stress is also needed to be more care and control, like other clinical diagnosis factors such as increased blood pressure and diabetes, and if such acted, the effects of Ami and mortality will be reduced during intense medical care.