{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:54:23Z","timestamp":1760028863844,"version":"3.44.0"},"reference-count":4,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Open Heart"],"accepted":{"date-parts":[[2015,12,14]]},"published-print":{"date-parts":[[2016,1]]},"abstract":"\n Background<\/jats:title>\n Interventional cardiologists may be immune to stress, allowing them to perform complex percutaneous interventions under pressure.<\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n To assess heart rate (HR) variations as a surrogate marker of stress of interventional cardiologists during percutaneous cardiac procedures and in every-day life.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n This is a single-centre observational study including a total of six male interventional cardiologists performing coronary interventions and pacemaker implantations. Participants were asked to record their HR with the Apple Watch Device during procedures, every-day life and control activities such as outpatient consultations, sport, marital conflicts and sexual intercourse.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Average daily HR was 88\u00b117\u2005bpm. During work days, HR increased significantly during procedures (90\u00b117\u2005bpm) compared with days outside the cathlab (87\u00b117\u2005bpm, p=0.02). The average HR was higher during a regular week working (88\u00b116\u2005bpm) compared with weekends off (84\u00b118\u2005bpm, p=0.002). Complex cardiac procedures were associated with higher HR up to 122\u2005bpm. Peak HR were higher during physical exertion. Of note, participants complained of hypersexuality and mania after night shifts.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Work and especially percutaneous cardiac procedures increase HR independently of physical exertion suggesting that interventional cardiologists experience mental stress and emotions.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/openhrt-2015-000373","type":"journal-article","created":{"date-parts":[[2016,1,11]],"date-time":"2016-01-11T22:39:29Z","timestamp":1452551969000},"page":"e000373","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Heart rate never lies: interventional cardiologist and Braude's quote revised"],"prefix":"10.1136","volume":"3","author":[{"given":"St\u00e9phane","family":"Cook","sequence":"first","affiliation":[{"name":"Department of Cardiology, University & Hospital, Fribourg, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Christophe","family":"Stauffer","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University & Hospital, Fribourg, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Jacques","family":"Goy","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University & Hospital, Fribourg, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denis","family":"Graf","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University & Hospital, Fribourg, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serban","family":"Puricel","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University & Hospital, Fribourg, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aur\u00e9lien","family":"Frobert","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University & Hospital, Fribourg, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Muller","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University & Hospital, Fribourg, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Togni","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University & Hospital, Fribourg, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego","family":"Arroyo","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University & Hospital, Fribourg, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,1,11]]},"reference":[{"key":"2025081612200596000_3.1.e000373.1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehl259"},{"key":"2025081612200596000_3.1.e000373.2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kws139"},{"key":"2025081612200596000_3.1.e000373.3","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.0704025105"},{"key":"2025081612200596000_3.1.e000373.4","doi-asserted-by":"publisher","DOI":"10.1016\/0924-977X(95)00023-I"}],"container-title":["Open Heart"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/openhrt-2015-000373","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,16]],"date-time":"2025-08-16T19:20:15Z","timestamp":1755372015000},"score":1,"resource":{"primary":{"URL":"https:\/\/openheart.bmj.com\/lookup\/doi\/10.1136\/openhrt-2015-000373"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1]]},"references-count":4,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2016,1,11]]},"published-print":{"date-parts":[[2016,1]]}},"alternative-id":["10.1136\/openhrt-2015-000373"],"URL":"https:\/\/doi.org\/10.1136\/openhrt-2015-000373","relation":{},"ISSN":["2053-3624"],"issn-type":[{"type":"electronic","value":"2053-3624"}],"subject":[],"published":{"date-parts":[[2016,1]]}}}