ECG Signatures of Psychological Stress

Overview

Journal J Electrocardiol

Specialty Cardiology & Vascular Diseases

Date 2015 Sep 15

PMID 26364755

Citations 14

Authors

Rachel Lampert

Affiliations

Soon will be listed here.

Abstract

Psychological stress can lead to atrial and ventricular arrhythmias, but the physiological pathways have not been fully elucidated. Signal processing techniques can provide insight into electrophysiological mechanisms of stress-induced arrhythmia. T-wave alternans, as well as other ECG measures of heterogeneity of repolarization, increases with emotional and cognitive stress in the laboratory setting, and may also in "real life" settings. In the atrium, stress impacts components of the signal-averaged ECG. These changes suggest mechanisms by which everyday stressors can lead to arrhythmia.

Citing Articles

Frontiers of Wearable Biosensors for Human Health Monitoring.

Xian X Biosensors (Basel). 2023; 13(11).

PMID: 37998139 PMC: 10669529. DOI: 10.3390/bios13110964.

Academic stress detection on university students during COVID-19 outbreak by using an electronic nose and the galvanic skin response.

Duran Acevedo C, Carrillo Gomez J, Albarracin Rojas C Biomed Signal Process Control. 2022; 68:102756.

PMID: 36570516 PMC: 9760229. DOI: 10.1016/j.bspc.2021.102756.

Wearable Flexible Electronics Based Cardiac Electrode for Researcher Mental Stress Detection System Using Machine Learning Models on Single Lead Electrocardiogram Signal.

Bin Heyat M, Akhtar F, Abbas S, Al-Sarem M, Alqarafi A, Stalin A Biosensors (Basel). 2022; 12(6).

PMID: 35735574 PMC: 9221208. DOI: 10.3390/bios12060427.

Parent Stress and Trauma, Autonomic Responses, and Negative Child Behaviors.

Fogelman N, Schwartz J, Chaplin T, Jastreboff A, Silverman W, Sinha R Child Psychiatry Hum Dev. 2022; 54(6):1779-1788.

PMID: 35674991 PMC: 9729425. DOI: 10.1007/s10578-022-01377-w.

Multi-Parameter Physiological State Monitoring in Target Detection Under Real-World Settings.

Chang Y, He C, Tsai B, Ko L Front Hum Neurosci. 2022; 15:785562.

PMID: 35002658 PMC: 8727696. DOI: 10.3389/fnhum.2021.785562.

References

Raitt M, Ingram K, Thurman S . Signal-averaged P wave duration predicts early recurrence of atrial fibrillation after cardioversion. Pacing Clin Electrophysiol. 2000; 23(2):259-65. DOI: 10.1111/j.1540-8159.2000.tb00808.x. View

Dilaveris P, Farbom P, Batchvarov V, Ghuran A, Malik M . Circadian behavior of P-wave duration, P-wave area, and PR interval in healthy subjects. Ann Noninvasive Electrocardiol. 2001; 6(2):92-7. PMC: 7027634. DOI: 10.1111/j.1542-474x.2001.tb00092.x. View

Zipes D, Mihalick M, Robbins G . Effects of selective vagal and stellate ganglion stimulation of atrial refractoriness. Cardiovasc Res. 1974; 8(5):647-55. DOI: 10.1093/cvr/8.5.647. View

PETER R, Gracey J, Beach T . A clinical profile of idiopathic atrial fibrillation. A functional disorder of atrial rhythm. Ann Intern Med. 1968; 68(6):1288-95. DOI: 10.7326/0003-4819-68-6-1288. View

Steinberg J, Arshad A, Kowalski M, Kukar A, Suma V, Vloka M . Increased incidence of life-threatening ventricular arrhythmias in implantable defibrillator patients after the World Trade Center attack. J Am Coll Cardiol. 2004; 44(6):1261-4. DOI: 10.1016/j.jacc.2004.06.032. View

Kop W, Krantz D, Nearing B, Gottdiener J, Quigley J, OCallahan M . Effects of acute mental stress and exercise on T-wave alternans in patients with implantable cardioverter defibrillators and controls. Circulation. 2004; 109(15):1864-9. DOI: 10.1161/01.CIR.0000124726.72615.60. View

Lampert R, Joska T, Burg M, Batsford W, McPherson C, Jain D . Emotional and physical precipitants of ventricular arrhythmia. Circulation. 2002; 106(14):1800-5. DOI: 10.1161/01.cir.0000031733.51374.c1. View

Rashba E, Cooklin M, MacMurdy K, Kavesh N, Kirk M, Sarang S . Effects of selective autonomic blockade on T-wave alternans in humans. Circulation. 2002; 105(7):837-42. DOI: 10.1161/hc0702.104127. View

Meisel S, Kutz I, Dayan K, Pauzner H, Chetboun I, Arbel Y . Effect of Iraqi missile war on incidence of acute myocardial infarction and sudden death in Israeli civilians. Lancet. 1991; 338(8768):660-1. DOI: 10.1016/0140-6736(91)91234-l. View

10.

Bergovec M, Mihatov S, Prpic H, Rogan S, Batarelo V, Sjerobabski V . Acute myocardial infarction among civilians in Zagreb city area. Lancet. 1992; 339(8788):303. DOI: 10.1016/0140-6736(92)91370-n. View

11.

Guidera S, Steinberg J . The signal-averaged P wave duration: a rapid and noninvasive marker of risk of atrial fibrillation. J Am Coll Cardiol. 1993; 21(7):1645-51. DOI: 10.1016/0735-1097(93)90381-a. View

12.

Cheema A, Ahmed M, KADISH A, Goldberger J . Effects of autonomic stimulation and blockade on signal-averaged P wave duration. J Am Coll Cardiol. 1995; 26(2):497-502. DOI: 10.1016/0735-1097(95)80028-f. View

13.

Leor J, Poole W, Kloner R . Sudden cardiac death triggered by an earthquake. N Engl J Med. 1996; 334(7):413-9. DOI: 10.1056/NEJM199602153340701. View

14.

Liu L, Nattel S . Differing sympathetic and vagal effects on atrial fibrillation in dogs: role of refractoriness heterogeneity. Am J Physiol. 1997; 273(2 Pt 2):H805-16. DOI: 10.1152/ajpheart.1997.273.2.H805. View

15.

Toivonen L, Helenius K, Viitasalo M . Electrocardiographic repolarization during stress from awakening on alarm call. J Am Coll Cardiol. 1997; 30(3):774-9. DOI: 10.1016/s0735-1097(97)00222-2. View

16.

Dimsdale J, Pierce C, Schoenfeld D, Brown A, Zusman R, Graham R . Suppressed anger and blood pressure: the effects of race, sex, social class, obesity, and age. Psychosom Med. 1986; 48(6):430-6. DOI: 10.1097/00006842-198607000-00005. View

17.

Sarma J, Venkataraman S, Samant D, Gadgil U . Hysteresis in the human RR-QT relationship during exercise and recovery. Pacing Clin Electrophysiol. 1987; 10(3 Pt 1):485-91. DOI: 10.1111/j.1540-8159.1987.tb04510.x. View

18.

Houghton J, Devlin C, Besson 3rd W, Crawford W, Fincher R, FLOWERS N . Possible triggering of paroxysmal atrial fibrillation in normal hearts by psychological stressors: a report of two cases. Am J Med Sci. 1990; 300(4):234-6. DOI: 10.1097/00000441-199010000-00007. View

19.

Nearing B, Huang A, Verrier R . Dynamic tracking of cardiac vulnerability by complex demodulation of the T wave. Science. 1991; 252(5004):437-40. DOI: 10.1126/science.2017682. View

20.

Hohnloser S, Klingenheben T, Zabel M, Li Y, Albrecht P, Cohen R . T wave alternans during exercise and atrial pacing in humans. J Cardiovasc Electrophysiol. 1997; 8(9):987-93. DOI: 10.1111/j.1540-8167.1997.tb00621.x. View