A long-term perspective on cardiovascular job stress research

J Occup Health. 2019 Jan;61(1):3-9. doi: 10.1002/1348-9585.12032.

Abstract

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.

Keywords: DHEA-s; critical life change; heart contractility; ischemic heart disease; job strain; myocardial infarction; testosterone; urinary excretion of adrenaline.

Publication types

  • Review

MeSH terms

  • Cardiovascular Physiological Phenomena*
  • Decision Making
  • Epinephrine / physiology
  • Epinephrine / urine
  • Humans
  • Life Change Events
  • Myocardial Infarction / physiopathology
  • Myocardial Infarction / psychology*
  • Myocardial Ischemia / physiopathology
  • Myocardial Ischemia / psychology
  • Occupational Stress / physiopathology*
  • Occupational Stress / psychology*
  • Risk Factors
  • Workplace / psychology*

Substances

  • Epinephrine