Department of Internal Medicine, Yale School of Medicine.
Department of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan Medical School.
Am Heart J. 2021 Nov;241:1-5. doi: 10.1016/j.ahj.2021.06.003. Epub 2021 Jun 23.
Symptoms in atrial fibrillation are generally assumed to correspond to heart rhythm; however, patient affect - the experience of feelings, emotion or mood - is known to frequently modulate how patients report symptoms but this has not been studied in atrial fibrillation. In this study, we investigated the relationship between affect, symptoms and heart rhythm in patients with paroxysmal or persistent atrial fibrillation. We found that presence of negative affect portended reporting of more severe symptoms to the same or greater extent than heart rhythm.
心房颤动的症状通常被认为与心律相对应;然而,众所周知,患者的情感——对感觉、情绪或情绪的体验——经常调节患者报告症状的方式,但这在心房颤动中尚未得到研究。在这项研究中,我们调查了阵发性或持续性心房颤动患者的情感、症状和心律之间的关系。我们发现,负面情感的存在预示着报告的症状比心律更严重或更严重。