Prevalence and Clinical Characteristics of Mental Stress–Induced Myocardial Ischemia in Patients With Coronary Heart Disease

19 Feb 2014Wei Jiang, MD, Zainab Samad, MD, Stephen Boyle, PhD, Richard C. Becker, MD, Redford Williams, MD, Cynthia Kuhn, PhD, Thomas L. Ortel, MD, PhD, Joseph Rogers, MD, Maragatha Kuchibhatla, PhD, Christopher O’Connor, MD, and Eric J. Velazquez, MD

Mental stress-induced ischemia is more common than exercise-induced ischemia in patients with clinically stable coronary heart disease. Women, unmarried men, and individuals living alone are at higher risk for mental stress-induced ischemia.

Case-control study
3 effects
310 subjects

Reported Outcomes

CausesOutcomeCertainty

Marriage Selfcare risk & protective factor
Marriage
Selfcare

Stress Brain outcome
Decreased risk of Stress
Brain system

Moderate evidence
-99.0%

Social Support Selfcare risk & protective factor

Stress Brain outcome
Strong decrease risk of Stress
Brain system

Moderate evidence
-124.0%

Friendships Selfcare risk & protective factor
Friendships
Selfcare

Stress Brain outcome
Strong decrease risk of Stress
Brain system

Moderate evidence
-130.0%