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- W1978548621 abstract "In this issue ofThe Journal, Gullette et al 1 report on the relationship between mental stress and myocardial ischemia among patients with documented coronary artery disease and recent evidence of exercise-induced myocardial ischemia. The risk of silent myocardial ischemia within 1 hour of experiencing negative emotions (tension, sadness, and frustration) was elevated between 2 and 3 times compared with periods when the subjects were not experiencing these emotions. Not surprisingly, episodes of heavy physical activity were associated with a much higher (13-fold) increase in risk of ischemia. Unlike prior studies that evaluated the relationship between laboratory-based mental stress tasks and myocardial ischemia, 2-5 this study used innovative methods to evaluate the relationship between reallife stressors and episodes of ischemia in free-living subjects. See also p 1521. Gullette et al 1 used a case-crossover design 6,7 to evaluate the change in risk of an episode of myocardial ischemia associated with" @default.
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- W1978548621 date "1997-05-21" @default.
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- W1978548621 title "Mental Stress During Daily Life Triggers Myocardial Ischemia" @default.
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- W1978548621 doi "https://doi.org/10.1001/jama.1997.03540430070036" @default.
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