Occupational stress and myocardial infarction.

[Occupational stress and myocardial infarction]. Presse Med. 2015 Jul 3; Authors: Consoli SM Abstract Besides the best-known role of depressed mood, occupational stress deserves to be taken as a coronary risk factor. There are two basic models to define occupational stress: Karasek's model (high job psychological demands associated with low decision latitude, or even low social support at work) and Siegrist's model (imbalance between efforts and rewards received). The combination of the two models better reflects the coronary risk than each model alone. Occupational stress appears both as a risk factor and a prognostic factor after the occurrence of myocardial infarction. The relevance of the models is best in men or in younger age subjects. In women, role conflicts (occupational/domestic), the existence of excessive "intrinsic" efforts (job over investment) and association with marital stress provide more specific information. Burnout, particularly among health professionals, and bullying at work are also linked to cardiovascular risk. Occupational stress is a collective indicator of health at work, valuable to the employer. At an individual level, it can lead to therapeutic preventive approaches. PMID: 26150284 [PubMed - as supplied by publisher]
Source: Presse Medicale - Category: Journals (General) Authors: Tags: Presse Med Source Type: research

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The headline in a main Finnish newspaper on 16 November announced: “Trust and interest for published science has increased in Finland”. I would have hypothesized that evidence-based knowledge was losing the game against the rush of non-scientific and commercial information – but I was wrong. A 3-year follow-up survey among the Finland population was clear on this. Could the growth in electronic and social media information actually be causing people to search for knowledge based on scientific facts? Forty-five years have passed since the publication of the first issue of the Scandinavian Journal of Work...
Source: Scandinavian Journal of Work, Environment and Health - Category: Occupational Health Tags: Editorial Source Type: research
An elderly woman with a h/o myocardial infarction presented with 2 hours of burning substernal chest pain.Here is her ECG:Is there an OMI?What is the best next strategy to assess for OMI?ECG description:There is sinus rhythm.  There are well-formed Q-waves in inferior leads, with some minimal ST Elevation, and reciprocal ST depression in aVL.  The STE with STD in aVL is typical of inferior OMI, right?Exceptfor the well-formed Q-waves, which suggest anold inferior MI.There is also anearly R/S transition in precordial leads, with alarge R-wave in V2.  This suggestsprevious posterior MI as well.  (Bayes de...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs
Kai‑Xin‑San suppresses matrix metalloproteinases and myocardial apoptosis in rats with myocardial infarction and depression. Mol Med Rep. 2019 Nov 06;: Authors: Hu Y, Dong X, Zhang T, Ma H, Yang W, Wang Y, Liu P, Chen Y Abstract Depression is often triggered by prolonged exposure to psychosocial stressors and associated with coronary heart disease (CHD). Matrix metalloproteinases (MMPs) are involved in the pathogenesis of various emotional and cardiovascular disorders. The purpose of this study was to investigate whether Kai‑Xin‑San (KXS), which may terminate the signaling of MMPs, exerts antid...
Source: Molecular Medicine Reports - Category: Molecular Biology Tags: Mol Med Rep Source Type: research
ConclusionsIn our study cohort, IST predominately affects young females with structurally normal hearts and modest co ‐existent psychiatric disease. In most cases of IST, a major event occurring just before or at the time of diagnosis could not be identified, although nearly 8% of patients first noted symptoms during or shortly after pregnancy. In our cohort, there was no evidence of cardiomyopathy or mortality r elated to IST.This article is protected by copyright. All rights reserved.
Source: Journal of Cardiovascular Electrophysiology - Category: Cardiology Authors: Tags: ORIGINAL ‐ CLINICAL Source Type: research
Written by Pendell Meyers, submitted by Siva Vittozzi-WongA man in his 30s with history of hypertension, hyperlipidemia, and diabetes presented with chest pain which started 12 hours prior to presentation. The pain was described as pressure, constant for 12 hours, radiating to the jaw, with left arm numbness. Initial vitals were significant for bradycardia at 45 beats per minute.Here is his presenting ECG with active pain:What do you think?Here was the prior EKG on file:The emergency medicine resident (who has received lectures from me on hyperacute T-waves, suble OMI, etc) documented the following interpretation:" In...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs
Say the word. Suicide. Say it aloud. Say it more than once. Say it until it sounds like any other word.  Our minds give words power, connotations, and destructive or healing qualities. Words, alone, can attack the body with symptoms of fear and uncertainty and, at the same time, be inexact and open to interpretation. What if you could rob a word like “suicide” of some of its isolating effect and control?  Words are serious business. What they represent – true or not – are real problems that need real solutions. Taking control of the power of words is one strategy that places the focus wher...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Communication Stigma Suicide crisis Power of words Semantics Source Type: blogs
ConclusionsA history of MST is common among older women veterans and associated with a range of medical and mental health diagnoses. These findings call attention to the need for additional research in this understudied population, and the importance of trauma-informed care approaches for women across the lifespan.
Source: Journal of General Internal Medicine - Category: Internal Medicine Source Type: research
In conclusion, high-dose NR induces the onset of WAT dysfunction, which may in part explain the deterioration of metabolic health. Towards a Rigorous Definition of Cellular Senescence https://www.fightaging.org/archives/2019/11/towards-a-rigorous-definition-of-cellular-senescence/ The accumulation of lingering senescent cells is a significant cause of aging, disrupting tissue function and generating chronic inflammation throughout the body. Even while the first senolytic drugs capable of selectively destroying these cells already exist, and while a number of biotech companies are working on the productio...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
Conclusions: Among post-MI and post-stroke patients, inadequate MDD care was associated with a significantly higher economic burden. PMID: 31665949 [PubMed - as supplied by publisher]
Source: Journal of Medical Economics - Category: Health Management Tags: J Med Econ Source Type: research
Conclusion These data provide preliminary evidence that probiotic supplementation in patients with percutaneous coronary intervention post-MI has beneficial effects on depressive symptoms and markers of oxidative stress and inflammation. Multicenter studies with larger sample sizes are needed to replicate these findings and identify patient subgroups with the most benefit from probiotic supplementation. Trial Registration:www.irct.ir identifier: IRCT20121028011288N15.
Source: Psychosomatic Medicine - Category: Psychiatry & Psychology Tags: ORIGINAL ARTICLES Source Type: research
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