Effect of mental stress on the heart

Mental stress-induced myocardial ischaemia (MSIMI) is estimated to occur in up to 70% of patients with clinically stable CHD and is associated with increased risk of death and cardiovascular events, according to US research.

Evidence suggests SSRIs may reduce mental stress-induced haemodynamic response, metabolic risk factors and platelet activity, according to the authors, who studied two groups of 56 patients with stable CHD and laboratory-diagnosed MSIMI.

They received escitalopram beginning