Association between pressure pain sensitivity and autonomic function as assessed by a tilt table test
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Association between pressure pain sensitivity and autonomic function as assessed by a tilt table test. / Ballegaard, Søren; Bergmann, Natasha; Karpatschof, Benny; Kristiansen, Jesper; Gyntelberg, Finn; Arendt-Nielsen, Lars; Bech, Per; Hjalmarson, Åke; Faber, Jens.
In: Scandinavian Journal of Clinical & Laboratory Investigation, Vol. 75, No. 5, 2015, p. 345-54.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Association between pressure pain sensitivity and autonomic function as assessed by a tilt table test
AU - Ballegaard, Søren
AU - Bergmann, Natasha
AU - Karpatschof, Benny
AU - Kristiansen, Jesper
AU - Gyntelberg, Finn
AU - Arendt-Nielsen, Lars
AU - Bech, Per
AU - Hjalmarson, Åke
AU - Faber, Jens
PY - 2015
Y1 - 2015
N2 - BACKGROUND: We tested the hypothesis that pressure sensitivity of the sternum (PPS) is associated with autonomic nervous system (ANS) function as assessed by tilt table test (TTT). in patients with stable ischemic heart disease.OBJECTIVES: (1) To evaluate an association between PPS and systolic blood pressure (SBP) and heart rate (HR) responses to TTT; and (2) to test the hypothesis that a reduction of resting PPS raises the PPS, SBP and HR responses to TTT response and lowers risk factors for ANS dysfunction (ANSD).METHODS: Cross-sectional study: In 361 patients with stable ischemic heart disease we measured PPS, SBP, and HR during TTT. Intervention study: We reassessed subjects with persistent stress who concluded a stress intervention trial by a second TTT.RESULTS: Cross-sectional study: Resting PPS and the PPS response to TTT were correlated (r = - 0.37). The PPS response to TTT was correlated with that of SBP (r = 0.44) and HR (r = 0.49), and with the number of risk factors for ANSD (r = - 0.21) (all p < 0.0001). Intervention study: A reduction in resting PPS was associated with an increment in PPS response to TTT (r = - 0.52, p < 0.0001). The greater this increment, the greater was the reduction in ANSD risk factors (r = - 0.23; p = 0.003).CONCLUSION: The results are consistent with the hypothesis that PPS at rest and in response to TTT reflects ANS function.
AB - BACKGROUND: We tested the hypothesis that pressure sensitivity of the sternum (PPS) is associated with autonomic nervous system (ANS) function as assessed by tilt table test (TTT). in patients with stable ischemic heart disease.OBJECTIVES: (1) To evaluate an association between PPS and systolic blood pressure (SBP) and heart rate (HR) responses to TTT; and (2) to test the hypothesis that a reduction of resting PPS raises the PPS, SBP and HR responses to TTT response and lowers risk factors for ANS dysfunction (ANSD).METHODS: Cross-sectional study: In 361 patients with stable ischemic heart disease we measured PPS, SBP, and HR during TTT. Intervention study: We reassessed subjects with persistent stress who concluded a stress intervention trial by a second TTT.RESULTS: Cross-sectional study: Resting PPS and the PPS response to TTT were correlated (r = - 0.37). The PPS response to TTT was correlated with that of SBP (r = 0.44) and HR (r = 0.49), and with the number of risk factors for ANSD (r = - 0.21) (all p < 0.0001). Intervention study: A reduction in resting PPS was associated with an increment in PPS response to TTT (r = - 0.52, p < 0.0001). The greater this increment, the greater was the reduction in ANSD risk factors (r = - 0.23; p = 0.003).CONCLUSION: The results are consistent with the hypothesis that PPS at rest and in response to TTT reflects ANS function.
KW - Autonomic Nervous System
KW - Cross-Sectional Studies
KW - Demography
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Pain
KW - Pressure
KW - Regression Analysis
KW - Risk Factors
KW - Tilt-Table Test
U2 - 10.3109/00365513.2015.1028095
DO - 10.3109/00365513.2015.1028095
M3 - Journal article
C2 - 25833816
VL - 75
SP - 345
EP - 354
JO - Scandinavian Journal of Clinical & Laboratory Investigation
JF - Scandinavian Journal of Clinical & Laboratory Investigation
SN - 0036-5513
IS - 5
ER -
ID: 162348954