Incidence of myocardial ischemia induced by mental stress and conventional stress in patients with stable coronary atherosclerotic heart disease and the difference between gender: a meta-analysis
Xi Meng
Zhou Rong
Ren Yanping
Abstract：Objective To assess the incidence of myocardial ischemia induced by mental stress and conventional stress in patients with stable coronary atherosclerotic heart disease (CHD) and to analyze the difference between gender.Methods Self-controlled literatures related to mental stress-induced myocardial ischemia(MSIMI) and conventional stress-related myocardial ischemia (CSIMI) were identified using Wanfang Medical Network,China National Knowledge Infrastructure,VIP Database,Ovid and Pubmed.Valid data were retrieved in compliance with the inclusion and exclusion criteria.Risk of bias of the studies was evaluated.Meta-analysis was performed using RevMan 5.3 software.Results Eight literatures were included,including 4 371 patients,of whom 4 371 were treated with mental stress and 4 364 were treated with conventional stress.Meta-analysis showed that the incidence of MSIMI was lower than that of CSIMI [15.2％ (664/4 371) vs 32.4％ (1 414/4 364)],with significant difference (odds ratio =0.37,95％ confidence interval:0.34-0.41,P ＜ 0.05).No significant difference was observed in the incidences of MSIMI and CSMI between males and females (risk difference =1.10,95％ confidence interval:0.79-1.53,P =0.57;risk difference =0.00,95％ confidence interval:-0.10-0.11,P =0.98).Conclusions The incidence of MSIMI in patients with CHD is lower than that of CSIMI.There is no significant difference in the incidence of MSIMI and CSMI between genders.
Keywords：Stable coronary atherosclerotic heart diseaseMental stress-induced myocardial ischemiaConventional stress-induced myocardial ischemia
Publication Date：2019-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：5( 1289-1293 )