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Stress-induced brain activity linked to chest pain from heart disease

Research we're watching

Doctors have long known that mental or psychological stress can lead to angina (chest pain or discomfort caused by inadequate blood to the heart). Now, new research reveals a direct correlation between angina and stress-related activity in the brain's frontal lobe. The study included 148 people with coronary artery disease with an average age of 62. All underwent brain and heart imaging tests done in conjunction with mental stress testing, which involved mental arithmetic and public speaking. Imaging tests were also done under "control" conditions, which featured simple counting and recalling a neutral event. Researchers monitored the participants for angina during the tests; they also assessed angina rates again after two years.

Activity in the inferior frontal lobe area of the brain during mental stress was linked to the severity of self-reported angina, both during the brain imaging and at the two-year follow-up. A better understanding of how the brain reacts to stress may be an important consideration for doctors who treat angina, according to the study's lead author. The study was published online Aug. 10, 2020, by the journal Circulation: Cardiovascular Imaging.

Talking to your doctor about an abusive relationship

Intimate partner violence can occur between people of any gender or sexual orientation. Abuse can leave people feeling isolated, confused, or hopeless, and talking to a health professional is one way to get help in the form of medical treatment or access to appropriate services.

Trauma-informed care: What it is, and why it's important

Because medical exams are invasive, and because many people have experienced some form of trauma and may be uncomfortable with aspects of the exam, healthcare providers should approach care with consideration for what patients may have experienced.

Stress and the heart: Lessons from the pandemic

Doctors have begun to study the effects of COVID-related stress and anxiety on people. A recent study suggests that stress caused by the pandemic may already be affecting heart health.

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