Stockholm University - Institute for Stress Research Frescati Hagvag, Stockholm, Sweden.
J Occup Health. 2019 Jan;61(1):3-9. doi: 10.1002/1348-9585.12032.
This review provides perspectives on cardiovascular occupational stress research since the 1960s until now. The author argues for closer links between basic science and clinical follow-up examinations of patients. In an excellent way urinary excretion of adrenaline and noradrenaline during wake hours mirrors day to day or week to week variations in sympathomedullary activity which could be related to variations in the patient's and cardiovascular and psychosocial situation. Modern methods for following variations over time in heart contractility should also be related to the patients' psychosocial situation. In addition the author argues for more extensive use of the increasing knowledge regarding regeneration and vagal activity in relation to variations in job conditions and development or prevention of cardiovascular disease.
这篇综述提供了自 20 世纪 60 年代至今心血管职业应激研究的观点。作者主张在基础科学和对患者的临床随访检查之间建立更紧密的联系。在这方面，清醒期间尿中肾上腺素和去甲肾上腺素的排泄极好地反映了交感-肾上腺髓质活动的日常或每周变化，这种变化可能与患者的心血管和心理社会状况的变化有关。随着时间的推移，跟踪心脏收缩力变化的现代方法也应该与患者的心理社会状况有关。此外，作者还主张更多地利用关于再生和迷走神经活动的日益增加的知识，以了解工作条件的变化以及心血管疾病的发生或预防。
