Effects of daily stress on autonomic cardiac control in patients with coronary artery disease
Abstract
Emotional stress has been implicated in the development and progression of coronary artery disease, with 1 proposed causal pathway being changes in cardiac autonomic tone. One hundred thirty-five patients with coronary artery disease underwent 48 hours of ambulatory electrocardiographic monitoring and completed activity and mood diaries every 20 minutes while awake. Random-effects model analyses associated higher levels of negative emotions (e.g., anger, stress, sadness) with decreases in high- and low-frequency power, whereas higher levels of positive emotion were related to an increase in low-frequency power, independent of age, posture, and medications.
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Positive psychological factors, including the capacity to regulate emotions effectively, are associated with and plausibly mechanistically responsible for healthier basal levels of autonomic parameters such as heart rate and heart rate variability, greater vagal tone, and healthier biological stress responses.
“Positive psychological factors, including the capacity to regulate emotions effectively, are associated with and plausibly mechanistically responsible for healthier basal levels of autonomic parameters such as heart rate and heart rate variability, greater vagal tone, and healthier biological stress responses. 126-131”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [131]
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- Authors
- Bacon, S. L., Watkins, L. L., Babyak, M., Sherwood, A., Hayano, J., Hinderliter, A. L., Waugh, R., & Blumenthal, J. A.
- Affiliations
- Duke University (US)
- Duke Medical Center (US)
- Nagoya City University (JP)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Bacon, Simon L
- ORCID
- Venue
- The American Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 2004-05
- Volume
- 93
- Issue
- 10
- Pages
- 1292-1294
- ISSN
- 0002-9149 (ISSN-L)
- OpenAlex
- W2024104925
- Cited by
- 57
- References
- 0
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 1 · 2022: 4 · 2021: 5 · 2019: 1 · 2017: 4 · 2016: 3 · 2015: 3 · 2014: 3 · 2013: 3 · 2012: 5
- FWCI
- 2.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (HL59672, R01HL059672)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Life Sciences › Neuroscience › Neurology › Vagus Nerve Stimulation Research
- Keywords
- emotional stress, coronary artery disease, cardiac autonomic control, heart rate variability, negative emotions, positive emotions, Holter monitoring, mood diary, autonomic tone
- MeSH terms
- Coronary Artery Disease, Female, Humans, Male, Middle Aged, Stress, Psychological, Electrocardiography, Ambulatory, Randomized Controlled Trials as Topic, Myocardial Ischemia
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