Biomedical subjects

V E Kollenbaum

Publications and source records attributed to V E Kollenbaum.

6 recordsLinked to original sources

PubMed1996

'Interoception' of heart rate, blood pressure, and myocardial metabolism during ergometric work load in healthy young subjects.

In a laboratory experiment intensities of 25, 50, and 75% of the individual range of a cardiovascular parameter (heart rate, blood pressure, and Robinson-index as an index of myocardial metabolism) were demonstrated during bicycle ergometer testing with healthy young subjects. In a subsequent phase they had to reproduce the same value of the parameter in question by regulating the physical work load of the ergometer. Reproduction accuracy was taken as an interoceptive index. We concluded from our data that subjects reproduced heart rate with high internal consistency but with a systematic bias. There is no linear consistency in blood pressure reproduction, and a moderate one in the reproduction of the index of myocardial metabolism. The physiological processes, upon which the interoception and reproduction is based, remain a question of further research.

Adult↗

PubMed1995

[Psychosomatic aspects of hypertension treatment].

The outlines of doctor-patient relationship are important for the integration of non-drug therapy and drug-therapy in hypertension. Reliable cooperation between patient and physician is an important goal in treatment of hypertensive patients, which implies listening to the patient and a sufficient amount of time. This is especially important for the motivation of these hypertensives, which eventually will take psychotherapy or--and this is the larger group--look for a talk with the doctor and situational relief. An often practised part of this doctor-patient relationship is relaxation therapy.

Antihypertensive Agents↗

PubMed1995

[Psychophysical stress reactions during a psychoanalytic interview].

In 37 young volunteers analytically oriented interviews were taken and their effects being compared to those of conventional stressors using mental arithmetic. Because of their similarity to day-to-day stressors we expected higher cardiovascular reactions (blood pressure, heart rate and catecholamines) under interview situations than in mental arithmetic. Conforming this hypothesis, we found higher reactions in blood pressure regulation, while heart rates were not higher under interview situations compared to laboratory stressors. Epinephrine showed a qualitative difference: Only in interview situations we found a significant rise of 27%. Plasma cortisol also showed a rise in interview situations, however, smaller. We therefore suggest, that analytically oriented interviews are an adequate method to investigate cardiovascular reagibility in young hypertensive-prone persons.

Adult↗

PubMed1995

[Reactions to cardiopulmonary resuscitation: a study on emotions and communication behavior of the resuscitating physician].

Reactions of 20 physicians to cardiopulmonary resuscitation were examined by describing their emotions and communication in over 260 situations of resuscitation. All actions of physicians being helpful for the relatives in their grief change physicians' emotions after resuscitation. Though denial helps the physicians in confrontation with the relatives, it also seems to impair their emotional coping. Coping strategies of physicians are quite different: Young physicians show a pattern of emotional denial and activity in their resuscitation behaviour. Doctors being more experienced tend to deny less in this sense. Physicians with recent loss seem to cope very little emotionally. Active resuscitation behaviour results after resuscitation in being relieved for a short time, but coping is impaired because of the activity pattern. Speaking after resuscitation seems to improve coping.

Adaptation, Psychological↗

PubMed1994

[Assessment of current cardiovascular stress in healthy, young people].

Forty-three young healthy subjects' estimates of their own heart rate, systolic blood pressure, and myocardial oxygen consumption at various intensities of physical work load were investigated. Their estimates were assessed using an ipsative scale, while the physiological parameters were measured continuously and simultaneously. Subjects tended to underestimate their heart rate at every intensity level, men misinterpreting less than women. Blood pressure was underestimated only at moderate physical work loads; with increasing work load blood pressure was overestimated. Estimates of myocardial oxygen consumption were the least biased. This result indicates that parameters other than the heart rate influence cardiac interoception. It seems that estimation of cardiovascular parameters influences the self regulation of physical activities.

Adult↗

PubMed1993

An algorithm establishing a defined ergometric cardiovascular load.

A computer-aided procedure is presented to regulate the workload on an ergometric bicycle to an individually fixed level of heart rate as the criterion, applying an integral controller algorithm. The workload is incremented in a few variable steps asymptotically to the target heart rate. A free parameter of the algorithm has been fixed empirically. In the empirical evaluation of the quality of this procedure, a strictly linear relationship of individual Watt increment and rise in heart rate was found in 27 subjects, with a median correlation of 0.95. The procedure is recommended for specific ergometric workload regulation in which an upper limit of rise in heart rate should not be surpassed, e.g. in cardiac rehabilitation. The procedure can also be generalized to comparable regulation tasks, e.g. in the management of blood pressure to avoid an hypertensive crisis.

Adult↗