Pain-induced peripheral artery tonometry scores in the control arm are impaired in patients with apical ballooning syndrome.

Abstract:

:Mental and physical stress is thought to play an important causative factor in apical ballooning syndrome (ABS) likely secondary to the vasomotor dysfunction. However, there are currently few data related to the impact of physical stress in this unique cardiomyopathy.A total 18 patients, including 8 females with history of ABS and 10 post-menopausal controls, underwent physical and mental tests. Assessments included the pain-induced peripheral artery tonometry scores (PIPATs) and mental stress peripheral artery tonometry scores (PATs).Compared with control group, PIPATs were significantly attenuated in patients with ABS in both baseline and post-mental stress (0.94 ± 0.08 vs1.30 ± 0.54, P <.05 and 0.87 ± 0.19 vs1.24 ± 0.21 P = .01, respectively); mental stress PATs were significantly lower in patients with ABS, both in Stroop test (0.79 ± 0.30 vs 1.24 ± 0.43, P = .01) and arithmetic test (0.91 ± 0.27 vs 1.36 ± 0.57, P = .01). PIPATs correlated significantly with mental stress PATs, both in arithmetic and Stroop test (P <.05).The PIPATs were attenuated in female with history of ABS and the vascular response to pain may provide a different pathogenesis mechanism on detecting patients with ABS.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Sun T,Widmer RJ,Matsuzawa Y,Lennon RJ,Park KH,Lerman LO,Lerman A

doi

10.1097/MD.0000000000013841

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

e13841

issue

1

eissn

0025-7974

issn

1536-5964

pii

00005792-201901040-00020

journal_volume

98

pub_type

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