Heart Rate Recovery After Exercise in Outpatients with Coronary Heart Disease: Role of Depressive Symptoms and Positive Affect |
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Authors: | Stefanie Stauber Tina Rohrbach Hugo Saner Jean Paul Schmid Johannes Grolimund Roland von Känel |
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Affiliation: | 1.Division of Psychosomatic Medicine, Department of Neurology,Inselspital, Bern University Hospital,Bern,Switzerland;2.Department of Gynecology and Obstetrics,Thun Hospital,Thun,Switzerland;3.Preventive Cardiology and Sports Medicine, Swiss Cardiovascular Centre,Inselspital, Bern University Hospital,Bern,Switzerland;4.Department of Cardiology,Clinic Barmelweid,Barmelweid,Switzerland;5.Division of Psychosomatic Medicine, Department of Neurology, Inselspital,Bern University Hospital, and University of Bern,Bern,Switzerland;6.Department of Psychosomatic Medicine,Clinic Barmelweid,Barmelweid,Switzerland |
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Abstract: | Heart rate recovery after 1 min of exercise cessation (HRR-1) is an important prognostic factor in patients with cardiovascular disease (CVD). We aimed to further elucidate the association between HRR-1 and known psychosocial risk factors in patients referred for comprehensive cardiac rehabilitation. We examined 521 patients with coronary heart disease in the first week of an outpatient cardiac rehabilitation program. Depressive and anxiety symptoms were measured with the Hospital Anxiety and Depression Scale, and positive (PA) and negative affect were rated with the Global Mood Scale. Depressive symptoms showed a significant inverse relationship with HRR-1 (p?.05), controlling for sociodemographic and medical covariates, whereas anxiety symptoms did not show a significant association. PA made a significant contribution to HRR-1 as well (p?.05). Our findings suggest an independent association between HRR-1 and psychosocial risk factors of CVD. |
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