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Heart rate never lies: interventional cardiologist and Braude's quote revised

BACKGROUND: Interventional cardiologists may be immune to stress, allowing them to perform complex percutaneous interventions under pressure. OBJECTIVES: To assess heart rate (HR) variations as a surrogate marker of stress of interventional cardiologists during percutaneous cardiac procedures and in...

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Autores principales: Cook, Stéphane, Stauffer, Jean-Christophe, Goy, Jean-Jacques, Graf, Denis, Puricel, Serban, Frobert, Aurélien, Muller, Olivier, Togni, Mario, Arroyo, Diego
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4716451/
https://www.ncbi.nlm.nih.gov/pubmed/26835145
http://dx.doi.org/10.1136/openhrt-2015-000373
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author Cook, Stéphane
Stauffer, Jean-Christophe
Goy, Jean-Jacques
Graf, Denis
Puricel, Serban
Frobert, Aurélien
Muller, Olivier
Togni, Mario
Arroyo, Diego
author_facet Cook, Stéphane
Stauffer, Jean-Christophe
Goy, Jean-Jacques
Graf, Denis
Puricel, Serban
Frobert, Aurélien
Muller, Olivier
Togni, Mario
Arroyo, Diego
author_sort Cook, Stéphane
collection PubMed
description BACKGROUND: Interventional cardiologists may be immune to stress, allowing them to perform complex percutaneous interventions under pressure. OBJECTIVES: To assess heart rate (HR) variations as a surrogate marker of stress of interventional cardiologists during percutaneous cardiac procedures and in every-day life. DESIGN: This is a single-centre observational study including a total of six male interventional cardiologists performing coronary interventions and pacemaker implantations. Participants were asked to record their HR with the Apple Watch Device during procedures, every-day life and control activities such as outpatient consultations, sport, marital conflicts and sexual intercourse. RESULTS: Average daily HR was 88±17 bpm. During work days, HR increased significantly during procedures (90±17 bpm) compared with days outside the cathlab (87±17 bpm, p=0.02). The average HR was higher during a regular week working (88±16 bpm) compared with weekends off (84±18 bpm, p=0.002). Complex cardiac procedures were associated with higher HR up to 122 bpm. Peak HR were higher during physical exertion. Of note, participants complained of hypersexuality and mania after night shifts. CONCLUSIONS: Work and especially percutaneous cardiac procedures increase HR independently of physical exertion suggesting that interventional cardiologists experience mental stress and emotions.
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spelling pubmed-47164512016-01-29 Heart rate never lies: interventional cardiologist and Braude's quote revised Cook, Stéphane Stauffer, Jean-Christophe Goy, Jean-Jacques Graf, Denis Puricel, Serban Frobert, Aurélien Muller, Olivier Togni, Mario Arroyo, Diego Open Heart Interventional Cardiology BACKGROUND: Interventional cardiologists may be immune to stress, allowing them to perform complex percutaneous interventions under pressure. OBJECTIVES: To assess heart rate (HR) variations as a surrogate marker of stress of interventional cardiologists during percutaneous cardiac procedures and in every-day life. DESIGN: This is a single-centre observational study including a total of six male interventional cardiologists performing coronary interventions and pacemaker implantations. Participants were asked to record their HR with the Apple Watch Device during procedures, every-day life and control activities such as outpatient consultations, sport, marital conflicts and sexual intercourse. RESULTS: Average daily HR was 88±17 bpm. During work days, HR increased significantly during procedures (90±17 bpm) compared with days outside the cathlab (87±17 bpm, p=0.02). The average HR was higher during a regular week working (88±16 bpm) compared with weekends off (84±18 bpm, p=0.002). Complex cardiac procedures were associated with higher HR up to 122 bpm. Peak HR were higher during physical exertion. Of note, participants complained of hypersexuality and mania after night shifts. CONCLUSIONS: Work and especially percutaneous cardiac procedures increase HR independently of physical exertion suggesting that interventional cardiologists experience mental stress and emotions. BMJ Publishing Group 2016-01-11 /pmc/articles/PMC4716451/ /pubmed/26835145 http://dx.doi.org/10.1136/openhrt-2015-000373 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Interventional Cardiology
Cook, Stéphane
Stauffer, Jean-Christophe
Goy, Jean-Jacques
Graf, Denis
Puricel, Serban
Frobert, Aurélien
Muller, Olivier
Togni, Mario
Arroyo, Diego
Heart rate never lies: interventional cardiologist and Braude's quote revised
title Heart rate never lies: interventional cardiologist and Braude's quote revised
title_full Heart rate never lies: interventional cardiologist and Braude's quote revised
title_fullStr Heart rate never lies: interventional cardiologist and Braude's quote revised
title_full_unstemmed Heart rate never lies: interventional cardiologist and Braude's quote revised
title_short Heart rate never lies: interventional cardiologist and Braude's quote revised
title_sort heart rate never lies: interventional cardiologist and braude's quote revised
topic Interventional Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4716451/
https://www.ncbi.nlm.nih.gov/pubmed/26835145
http://dx.doi.org/10.1136/openhrt-2015-000373
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