Psychological stress and silent XXXX .

@entity1 @entity63 @entity701 @entity158 @entity741 @entity2701 @entity1063
Episodes of transient @entity741 during daily life were investigated in 30 @entity1 on two separate occasions, by ambulatory Holter ST monitoring. The first occasion was at a time of uncertainty in the @entity1 ' lives, when the results of coronary angiography and the need for surgery were to be discussed. The second was at a later date, when there had been time to adjust to the decision-making process. There were 515 episodes of @entity741 of which 174 were associated with @entity158 and 341 were asymptomatic. Silent @entity63 was significantly more frequent during the first period of monitoring compared to the second (p less than 0.02). @entity1 who had more @entity63 on the first occasion also entered more self reports of "emotional upset" ( @entity2701 , worry, etc.,) in their diaries compared to the second occasion. The level of urinary @entity701 was taken as a measure of uncertainty and worry, and was significantly higher on the first occasion (p less than 0.03). Differences in urinary @entity1063 excretion were taken as a measure of subjective stress. @entity1 who excreted more @entity1063 on the first compared to the second occasion had significantly more @entity63 (p less than 0.007) and longer total ischemic time (p less than 0.01). We suggest that psychological stress may exacerbate @entity741 which is frequently painless.
