Crestani Carlos C
Faculdade de Ciências Farmacêuticas, UNESP - Univ Estadual Paulista Araraquara, Brasil.
Front Physiol. 2016 Jun 24;7:251. doi: 10.3389/fphys.2016.00251. eCollection 2016.
Emotional stress has been recognized as a modifiable risk factor for cardiovascular diseases. The impact of stress on physiological and psychological processes is determined by characteristics of the stress stimulus. For example, distinct responses are induced by acute vs. chronic aversive stimuli. Additionally, the magnitude of stress responses has been reported to be inversely related to the degree of predictability of the aversive stimulus. Therefore, the purpose of the present review was to discuss experimental research in animal models describing the influence of stressor stimulus characteristics, such as chronicity and predictability, in cardiovascular dysfunctions induced by emotional stress. Regarding chronicity, the importance of cardiovascular and autonomic adjustments during acute stress sessions and cardiovascular consequences of frequent stress response activation during repeated exposure to aversive threats (i.e., chronic stress) is discussed. Evidence of the cardiovascular and autonomic changes induced by chronic stressors involving daily exposure to the same stressor (predictable) vs. different stressors (unpredictable) is reviewed and discussed in terms of the impact of predictability in cardiovascular dysfunctions induced by stress.
情绪应激已被公认为心血管疾病的一个可改变的风险因素。应激对生理和心理过程的影响取决于应激刺激的特征。例如,急性与慢性厌恶刺激会引发不同的反应。此外,据报道应激反应的强度与厌恶刺激的可预测程度呈负相关。因此,本综述的目的是讨论动物模型中的实验研究,这些研究描述了应激源刺激特征(如慢性和可预测性)对情绪应激诱发的心血管功能障碍的影响。关于慢性,讨论了急性应激期间心血管和自主神经调节的重要性以及在反复暴露于厌恶威胁(即慢性应激)期间频繁激活应激反应的心血管后果。回顾并讨论了由慢性应激源引起的心血管和自主神经变化的证据,这些应激源包括每天暴露于相同应激源(可预测)与不同应激源(不可预测),并探讨了可预测性对应激诱发的心血管功能障碍的影响。