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Proceedings of the 2010 Heart-Brain Summit

Supplement Editor:
Marc S. Penn, MD, PhD

Contents

Depression and Heart Disease

The Bypassing the Blues trial: Collaborative care for post-CABG depression and implications for future research
Bruce L. Rollman, MD, MPH, and Bea Herbeck Belnap, Dr Biol Hum

Type D personality and vulnerability to adverse outcomes in heart disease
Johan Denollet, PhD, and Viviane M. Conraads, MD, PhD

Biofeedback in the treatment of heart disease
Christine S. Moravec, PhD, and Michael G. McKee, PhD

Device-Based Therapies

Electrical vagus nerve stimulation for the treatment of chronic heart failure
Hani N. Sabbah, PhD, FACC, FCCP, FAHA

Treatment of chronic inflammatory diseases with implantable medical devices
Ralph J. Zitnik, MD

Pioneer Lecture

New frontiers in cardiovascular behavioral medicine: Comparative effectiveness of exercise and medication in treating depression
James A. Blumenthal, PhD

Depression and Inflammatory Signaling in Alzheimer Disease

Depression: A shared risk factor for cardiovascular and Alzheimer disease
Dylan Wint, MD

Inflammatory signaling in Alzheimer disease
Robert Barber, PhD

Vascular signaling abnormalities in Alzheimer disease
Paula Grammas, PhD; Alma Sanchez, PhD; Debjani Tripathy, PhD; Ester Luo, PhD; and Joseph Martinez

Stress in Medicine

Stress in medicine: Strategies for cargivers, patients, clinicians—The burdens of caregiver stress
Michael G. McKee, PhD

Stress in medicine: Strategies for cargivers, patients, clinicians—Promoting better outcomes with stress and anxiety reduction
A. Marc Gillinov, MD

Stress in medicine: Strategies for cargivers, patients, clinicians—Addressing the impact of clinician stress
M. Bridget Duffy, MD

Stress in medicine: Strategies for cargivers, patients, clinicians—Biofeedback in the treatment of stress
Richard N. Gevirtz, PhD

Stress in medicine: Strategies for cargivers, patients, clinicians—Biofeedback for extreme stress: Wounded warriors
Carmen V. Russoniello, PhD

Stress in medicine: Strategies for cargivers, patients, clinicians—Panel discussion

Annual Review of Key Publications in Heart-Brain Medicine

Key 2010 publications in behavioral medicine
Laura D. Kubzansky, PhD, MPH

Novel Findings in Heart-Brain Medicine

Imaging for autonomic dysfunction
Stephen E. Jones, MD, PhD

Neurohormonal control of heart failure
Gary S. Francis, MD

Poster Abstracts

Abstract 1: Biofeedback in coronary artery disease, type 2 diabetes, and multiple sclerosis
Matt Baumann, BS; Dana L. Frank, PhDc; Michael Liebenstein, PhD; Jerry Kiffer, MA; Leo Pozuelo, MD; Leslie Cho, MD; Gordon Blackburn, PhD; Francois Bethoux, MD; Mary Rensel, MD; Betul Hatipoglu, MD; Jim Young, MD; Christine S. Moravec, PhD; and Michael G. McKee, PhD

Abstract 2: Biofeedback in heart failure patients awaiting transplantation
Dana L. Frank, PhDc; Matt Baumann, BS; Lamees Khorshid, PsyD; Alex Grossman-McKee; Jerry Kiffer, MA; Wilson Tang, MD; Randall C. Starling, MD; Michael G. McKee, PhD; and Christine S. Moravec, PhD

Abstract 3: Prevalence of anxiety and type D personality in an outpatient ICD clinic
Leo Pozuelo, MD; Melanie Panko, RN; Betty Ching, RN; Denise Kosty-Sweeney, RN; Scott Bea, PhD; Karen Broer, PhD; Julie Thornton, MS; Kathy Wolski, MPH; Karl-Heinz Ladwig, MD; Sam Sears, PhD; Suzanne Pedersen, PhD; Johan Denollet, PhD; and Mina K. Chung, MD

Abstract 4: Sudden unexpected death in epilepsy: Finding the missing cardiac links
Lara Jehi, MD; Thomas Callahan, MD; David Vance, MD; Liang Li, PhD; and Imad Najm, MD

Abstract 5: Low levels of depressive symptoms predict the combined outcome of good health-related quality of life and no cardiac events in patients with heart failure
Kyoung Suk Lee, Terry A. Lennie, Sandra B. Dunbar, Susan J. Pressler, Seongkum Heo, and Debra K. Moser

Abstract 6: Spectral HRV and C-reactive protein in a community-based sample of African Americans
Larry Keen II, MS

Abstract 7: Symptoms of depression and anxiety determine fatigue but not physical fitness in patients with CAD
Adomas Bunevicius, Albinas Stankus, Julija Brozaitiene, and Robertas Bunevicius

Abstract 8: Depression, cardiovascular symptom reporting, and functional status in heart failure patients
Andrew J. Wawrzyniak, Kristie M. Harris, Kerry S. Whittaker, Nadine S. Bekkouche, Sarah M. Godoy, Willem J. Kop, Stephen S. Gottlieb, and David S. Krantz

Abstract 9: Cardiotopic organization of the functionally associated axons within the cervical vagus nerves that project to the ventricles of the cat heart
E. Adetobi-Oladele, S.E. Ekejiuba, M. Shirahata, S. Ruble, A. Caparso, and V.J. Massari

Abstract 10: Significance of carotid intimal thickening in hypertensive patients
Shashi K. Agarwal, MD, and Neil K. Agarwal

Abstract 11: Lacunar infarcts in a hypertensive population and their correlation with systemic vascular resistance
Shashi K. Agarwal, MD, and Neil K. Agarwal

Abstract 12: Age-matched attenuation of both autonomic branches in chronic disease: I. Hypertension
Rohit R. Arora, MD; Samanwoy Ghosh-Dastidar, PhD; and Joseph Colombo, PhD

Abstract 13: Age-matched attenuation of both autonomic branches in chronic disease: II. Diabetes mellitus
Aaron I. Vinik, PhD, MD; Rohit R. Arora, MD; and Joseph Colombo, PhD

Abstract 14: Age-matched attenuation of both autonomic branches in chronic disease: III. Coronary artery disease
Rohit R. Arora, MD; Samanwoy Ghosh-Dastidar, PhD; and Joseph Colombo, PhD

Abstract 15: Age-matched attenuation of both autonomic branches in chronic disease: IV: HIV/AIDS
Patrick Nemechek, DO; Sam Ghosh Dastidar, PhD; and Joe Colombo, PhD

Abstract 16: The existential dilemma of coronary artery disease: Nurse as agent of change in the emerging field of behavioral cardiology
Patricia Baum, RN, BSN

Abstract 17: Phantom shocks as markers of underlying PTSD and depression
Ana Bilanovic, Jane Irvine, Adrienne Kovacs, Ann Hill, Doug Cameron, and Joel Katz

Abstract 18: Psychologic markers of stress, anxiety, and depression are associated with indices of vascular impairment in women with high stress levels and advanced coronary artery disease
U.G. Bronas, R. Lindquist, A. Leon, Y. Song, D. Windenburg, D. Witt, D. Treat-Jacobson, E. Grey, W. Hines, and K. Savik

Abstract 19: Personality dimensions and health-related quality of life in patients with coronary artery disease
Juste Buneviciute, Margarita Staniute, and Robertas Bunevicius

Abstract 20: Behavioral stress results in reversible myocardial dysfunction in a rodent model
Fangping Chen, Sherry Xie, and Mitchell S. Finkel

Abstract 21: Perceived stress, psychosocial stressors, and behavioral factors: Association with inflammatory, immune, and neuroendocrine biomarkers in a cohort of healthy very elderly men and women
Grant D. Chikazawa-Nelson, PhD; Kenna Stephenson, MD; Anna Kurdowska, PhD; Douglas Stephenson, DO; Sanjay Kapur, PhD; and David Zava, PhD

Abstract 22: Prognostic significance of PD2i in heart failure patients
Iwona Cygankiewicz, MD, PhD; Wojciech Zareba, MD, PhD; Scott McNitt, MS; and Antoni Bayes de Luna, MD

Abstract 23: Sympathovagal imbalance assessed by heart rate variability correlates with percent body fat and skeletal muscle, independent of body mass index
David Martinez Duncker R., MD, PhD; Martha Elva Rebolledo Rea, MD, MSc; Ernesto González Rodríguez, MD, MSc; David M. Duncker Rebolledo, MD; and Martha E.M. Duncker Rebolledo, MS

Abstract 24: Trajectory of depressive symptoms in patients with heart failure: Influence on cardiac event-free survival
Rebecca L. Dekker, PhD, ARNP; Terry A. Lennie, PhD, RN; Nancy M. Albert, PhD, CCNS; Mary K. Rayens, PhD; Misook L. Chung, PhD, RN; Jia-Rong Wu, PhD, RN; and Debra K. Moser, DNSc, RN

Abstract 25: Autonomic modulation of ankle brachial index assessed by heart rate variability in healthy young male and female volunteers
David Martinez Duncker R., MD, PhD; Martha Elva Rebolledo Rea, MD, MSc; Ernesto González Rodríguez, MD, MSc; David M. Duncker Rebolledo, MD; and Martha E.M. Duncker Rebolledo, MS

Abstract 26: Toward uncovering key factors in adherence in a post–heart transplant population: A project in the making
Flavio Epstein, PhD, and Parag Kale, MD

Abstract 27: Sympathovagal tone assessed by heart rate variability is directly related to body mass index, percent body fat, and skeletal muscle in healthy male and female young volunteers
David Martinez Duncker R., MD, PhD; Martha Elva Rebolledo Rea, MD, MSc; Ernesto González Rodríguez, MD, MSc; David M. Duncker Rebolledo, MD; and Martha E.M. Duncker Rebolledo, MS

Abstract 28: Biofeedback training to promote ANS resilience in Army ROTC cadets
M. Haney, MS; K. Quigley, PhD; B. Batorsky, PhD; LTC J. Nepute; S. Moore, BS; A. Uhlig, MS; and L. Zambrana, BA

Abstract 29: Trait hostility is associated with endothelial cell apoptosis in healthy adults
Manjunath Harlapur, MD; Leah Rosenberg, MD; Lauren T. Wasson, MD, MPH; Erika Mejia, BA; Shuqing Zhao, MS; Matthew Cholankeril, BA; Matthew Burg, PhD; and Daichi Shimbo, MD

Abstract 30: Vascular depression impairs health-related behavior
K.K. Hegde, B.T. Mast, and P.A. Lichtenbeg

Abstract 31: Detection of acute mild hypovolemia by nonlinear heart rate variability
Pamela L. Jett, MD; James E. Skinner, PhD; Jerry M. Anchin, PhD; Daniel N. Weiss, MD; Douglas E. Parsell, PhD; and James J. Hughes, MD

Abstract 32: Metabolic pathway perturbation of patients with chronic heart failure and comorbid major depressive disorder
Wei Jiang, MD; David Steffens, MD; Edward Karoly, PhD; Maragatha Kuchibhatla, PhD; Michael S. Cuffe, MD; Christopher M. O’Connor, MD; Ranga Krishnan, MD; and Rima Kaddurah-Daouk, PhD

Abstract 33: Headache: An unusual presenting symptom of Guillain-Barré syndrome
Kanchan Kanel, Aisha Chohan, Reza Vaghefi hosseini, Murray Flaster, and Hesham Mohamed

Abstract 34: Effect of stress reduction using the BREATHE technique on inflammatory markers and risk factors for atherosclerosis
John M. Kennedy, MD, FACC, and Donna J. Miller, MSN, FNP-C

Abstract 35: The lite HEARTEN study: How exercise and relaxation techniques affect subclinical markers of heart disease in women: Patterns of change and effect sizes to power future studies of treatment efficacy
R. Lindquist, U. Bronas, A. Leon, Y. Song, D. Windenburg, D. Witt, D. Treat-Jacobson, E. Grey, W. Hines, and K. Savik,

Abstract 36: Cardiovascular effects of spinal cord stimulation in hypertensive patients
Shailesh Musley, Xiaohong Zhou, Ashish Singal, and David Schultz

Abstract 37: Screening for depression and anxiety in patients admitted for coronary artery bypass graft: Comparison of nurses’ reports vs hospital anxiety and depression scale
Ali-Akbar Nejatisafa, Nazila Shahmansouri, and Sina Mazaheri

Abstract 38: Hormonal heart-mind connections: Clinical and research implications
Jan B. Newman, MD, MA, FACS, ABIHM

Abstract 39: Gender differences in longevity and sympathovagal balance
Edward Pereira, MD; Scott Baker, MD; Robert Bulgarelli, DO; Gary L. Murray, MD; Rohit R. Arora, MD; and Joseph Colombo, PhD

Abstract 40: Neuroendocrine, inflammatory, and immune biomarkers associated with body composition, depression, and cognitive impairment in elderly men and women
Jean P. Roux, PhD; Kenna Stephenson, MD; Sanjay Kapur, PhD; David Zava, PhD; Robert Haussman, PhD; Christine Gély-Nargeot; and Courtney Townsend

Abstract 41: Short-term heart rate complexity determined by the PD2i algorithm is reduced in patients with type 1 diabetes mellitus
James E. Skinner, Daniel N. Weiss, Jerry M. Anchin, Zuzana Turianikova, Ingrid Tonhajzerova, Jana Javorkova, Kamil Javorka, Mathias Baumert, and Michal Javorka

Abstract 42: Heart rate variability biofeedback and mindfulness: A functional neuroimaging study
Paula Sigafus

Abstract 43: Heart, brain, and the octopus connection
Nirmal Sunkara

Abstract 44: Relationship between depressive symptoms and cardiovascular risk factors in black individuals
Ali A. Weinstein, PhD; Preetha Abraham; Stacey A. Zeno, MS; Guoqing Diao, PhD; and Patricia A. Deuster, PhD

Abstract 45: History of depression affects patients’ depression scores and inflammatory biomarkers in women hospitalized for acute coronary syndromes
Erica Teng-Yuan Yu, PhD, RN, ARNP

Article PDF
Issue
Cleveland Clinic Journal of Medicine - 78(8)
Publications
Topics
Page Number
S1-S103
Sections
Article PDF
Article PDF

Supplement Editor:
Marc S. Penn, MD, PhD

Contents

Depression and Heart Disease

The Bypassing the Blues trial: Collaborative care for post-CABG depression and implications for future research
Bruce L. Rollman, MD, MPH, and Bea Herbeck Belnap, Dr Biol Hum

Type D personality and vulnerability to adverse outcomes in heart disease
Johan Denollet, PhD, and Viviane M. Conraads, MD, PhD

Biofeedback in the treatment of heart disease
Christine S. Moravec, PhD, and Michael G. McKee, PhD

Device-Based Therapies

Electrical vagus nerve stimulation for the treatment of chronic heart failure
Hani N. Sabbah, PhD, FACC, FCCP, FAHA

Treatment of chronic inflammatory diseases with implantable medical devices
Ralph J. Zitnik, MD

Pioneer Lecture

New frontiers in cardiovascular behavioral medicine: Comparative effectiveness of exercise and medication in treating depression
James A. Blumenthal, PhD

Depression and Inflammatory Signaling in Alzheimer Disease

Depression: A shared risk factor for cardiovascular and Alzheimer disease
Dylan Wint, MD

Inflammatory signaling in Alzheimer disease
Robert Barber, PhD

Vascular signaling abnormalities in Alzheimer disease
Paula Grammas, PhD; Alma Sanchez, PhD; Debjani Tripathy, PhD; Ester Luo, PhD; and Joseph Martinez

Stress in Medicine

Stress in medicine: Strategies for cargivers, patients, clinicians—The burdens of caregiver stress
Michael G. McKee, PhD

Stress in medicine: Strategies for cargivers, patients, clinicians—Promoting better outcomes with stress and anxiety reduction
A. Marc Gillinov, MD

Stress in medicine: Strategies for cargivers, patients, clinicians—Addressing the impact of clinician stress
M. Bridget Duffy, MD

Stress in medicine: Strategies for cargivers, patients, clinicians—Biofeedback in the treatment of stress
Richard N. Gevirtz, PhD

Stress in medicine: Strategies for cargivers, patients, clinicians—Biofeedback for extreme stress: Wounded warriors
Carmen V. Russoniello, PhD

Stress in medicine: Strategies for cargivers, patients, clinicians—Panel discussion

Annual Review of Key Publications in Heart-Brain Medicine

Key 2010 publications in behavioral medicine
Laura D. Kubzansky, PhD, MPH

Novel Findings in Heart-Brain Medicine

Imaging for autonomic dysfunction
Stephen E. Jones, MD, PhD

Neurohormonal control of heart failure
Gary S. Francis, MD

Poster Abstracts

Abstract 1: Biofeedback in coronary artery disease, type 2 diabetes, and multiple sclerosis
Matt Baumann, BS; Dana L. Frank, PhDc; Michael Liebenstein, PhD; Jerry Kiffer, MA; Leo Pozuelo, MD; Leslie Cho, MD; Gordon Blackburn, PhD; Francois Bethoux, MD; Mary Rensel, MD; Betul Hatipoglu, MD; Jim Young, MD; Christine S. Moravec, PhD; and Michael G. McKee, PhD

Abstract 2: Biofeedback in heart failure patients awaiting transplantation
Dana L. Frank, PhDc; Matt Baumann, BS; Lamees Khorshid, PsyD; Alex Grossman-McKee; Jerry Kiffer, MA; Wilson Tang, MD; Randall C. Starling, MD; Michael G. McKee, PhD; and Christine S. Moravec, PhD

Abstract 3: Prevalence of anxiety and type D personality in an outpatient ICD clinic
Leo Pozuelo, MD; Melanie Panko, RN; Betty Ching, RN; Denise Kosty-Sweeney, RN; Scott Bea, PhD; Karen Broer, PhD; Julie Thornton, MS; Kathy Wolski, MPH; Karl-Heinz Ladwig, MD; Sam Sears, PhD; Suzanne Pedersen, PhD; Johan Denollet, PhD; and Mina K. Chung, MD

Abstract 4: Sudden unexpected death in epilepsy: Finding the missing cardiac links
Lara Jehi, MD; Thomas Callahan, MD; David Vance, MD; Liang Li, PhD; and Imad Najm, MD

Abstract 5: Low levels of depressive symptoms predict the combined outcome of good health-related quality of life and no cardiac events in patients with heart failure
Kyoung Suk Lee, Terry A. Lennie, Sandra B. Dunbar, Susan J. Pressler, Seongkum Heo, and Debra K. Moser

Abstract 6: Spectral HRV and C-reactive protein in a community-based sample of African Americans
Larry Keen II, MS

Abstract 7: Symptoms of depression and anxiety determine fatigue but not physical fitness in patients with CAD
Adomas Bunevicius, Albinas Stankus, Julija Brozaitiene, and Robertas Bunevicius

Abstract 8: Depression, cardiovascular symptom reporting, and functional status in heart failure patients
Andrew J. Wawrzyniak, Kristie M. Harris, Kerry S. Whittaker, Nadine S. Bekkouche, Sarah M. Godoy, Willem J. Kop, Stephen S. Gottlieb, and David S. Krantz

Abstract 9: Cardiotopic organization of the functionally associated axons within the cervical vagus nerves that project to the ventricles of the cat heart
E. Adetobi-Oladele, S.E. Ekejiuba, M. Shirahata, S. Ruble, A. Caparso, and V.J. Massari

Abstract 10: Significance of carotid intimal thickening in hypertensive patients
Shashi K. Agarwal, MD, and Neil K. Agarwal

Abstract 11: Lacunar infarcts in a hypertensive population and their correlation with systemic vascular resistance
Shashi K. Agarwal, MD, and Neil K. Agarwal

Abstract 12: Age-matched attenuation of both autonomic branches in chronic disease: I. Hypertension
Rohit R. Arora, MD; Samanwoy Ghosh-Dastidar, PhD; and Joseph Colombo, PhD

Abstract 13: Age-matched attenuation of both autonomic branches in chronic disease: II. Diabetes mellitus
Aaron I. Vinik, PhD, MD; Rohit R. Arora, MD; and Joseph Colombo, PhD

Abstract 14: Age-matched attenuation of both autonomic branches in chronic disease: III. Coronary artery disease
Rohit R. Arora, MD; Samanwoy Ghosh-Dastidar, PhD; and Joseph Colombo, PhD

Abstract 15: Age-matched attenuation of both autonomic branches in chronic disease: IV: HIV/AIDS
Patrick Nemechek, DO; Sam Ghosh Dastidar, PhD; and Joe Colombo, PhD

Abstract 16: The existential dilemma of coronary artery disease: Nurse as agent of change in the emerging field of behavioral cardiology
Patricia Baum, RN, BSN

Abstract 17: Phantom shocks as markers of underlying PTSD and depression
Ana Bilanovic, Jane Irvine, Adrienne Kovacs, Ann Hill, Doug Cameron, and Joel Katz

Abstract 18: Psychologic markers of stress, anxiety, and depression are associated with indices of vascular impairment in women with high stress levels and advanced coronary artery disease
U.G. Bronas, R. Lindquist, A. Leon, Y. Song, D. Windenburg, D. Witt, D. Treat-Jacobson, E. Grey, W. Hines, and K. Savik

Abstract 19: Personality dimensions and health-related quality of life in patients with coronary artery disease
Juste Buneviciute, Margarita Staniute, and Robertas Bunevicius

Abstract 20: Behavioral stress results in reversible myocardial dysfunction in a rodent model
Fangping Chen, Sherry Xie, and Mitchell S. Finkel

Abstract 21: Perceived stress, psychosocial stressors, and behavioral factors: Association with inflammatory, immune, and neuroendocrine biomarkers in a cohort of healthy very elderly men and women
Grant D. Chikazawa-Nelson, PhD; Kenna Stephenson, MD; Anna Kurdowska, PhD; Douglas Stephenson, DO; Sanjay Kapur, PhD; and David Zava, PhD

Abstract 22: Prognostic significance of PD2i in heart failure patients
Iwona Cygankiewicz, MD, PhD; Wojciech Zareba, MD, PhD; Scott McNitt, MS; and Antoni Bayes de Luna, MD

Abstract 23: Sympathovagal imbalance assessed by heart rate variability correlates with percent body fat and skeletal muscle, independent of body mass index
David Martinez Duncker R., MD, PhD; Martha Elva Rebolledo Rea, MD, MSc; Ernesto González Rodríguez, MD, MSc; David M. Duncker Rebolledo, MD; and Martha E.M. Duncker Rebolledo, MS

Abstract 24: Trajectory of depressive symptoms in patients with heart failure: Influence on cardiac event-free survival
Rebecca L. Dekker, PhD, ARNP; Terry A. Lennie, PhD, RN; Nancy M. Albert, PhD, CCNS; Mary K. Rayens, PhD; Misook L. Chung, PhD, RN; Jia-Rong Wu, PhD, RN; and Debra K. Moser, DNSc, RN

Abstract 25: Autonomic modulation of ankle brachial index assessed by heart rate variability in healthy young male and female volunteers
David Martinez Duncker R., MD, PhD; Martha Elva Rebolledo Rea, MD, MSc; Ernesto González Rodríguez, MD, MSc; David M. Duncker Rebolledo, MD; and Martha E.M. Duncker Rebolledo, MS

Abstract 26: Toward uncovering key factors in adherence in a post–heart transplant population: A project in the making
Flavio Epstein, PhD, and Parag Kale, MD

Abstract 27: Sympathovagal tone assessed by heart rate variability is directly related to body mass index, percent body fat, and skeletal muscle in healthy male and female young volunteers
David Martinez Duncker R., MD, PhD; Martha Elva Rebolledo Rea, MD, MSc; Ernesto González Rodríguez, MD, MSc; David M. Duncker Rebolledo, MD; and Martha E.M. Duncker Rebolledo, MS

Abstract 28: Biofeedback training to promote ANS resilience in Army ROTC cadets
M. Haney, MS; K. Quigley, PhD; B. Batorsky, PhD; LTC J. Nepute; S. Moore, BS; A. Uhlig, MS; and L. Zambrana, BA

Abstract 29: Trait hostility is associated with endothelial cell apoptosis in healthy adults
Manjunath Harlapur, MD; Leah Rosenberg, MD; Lauren T. Wasson, MD, MPH; Erika Mejia, BA; Shuqing Zhao, MS; Matthew Cholankeril, BA; Matthew Burg, PhD; and Daichi Shimbo, MD

Abstract 30: Vascular depression impairs health-related behavior
K.K. Hegde, B.T. Mast, and P.A. Lichtenbeg

Abstract 31: Detection of acute mild hypovolemia by nonlinear heart rate variability
Pamela L. Jett, MD; James E. Skinner, PhD; Jerry M. Anchin, PhD; Daniel N. Weiss, MD; Douglas E. Parsell, PhD; and James J. Hughes, MD

Abstract 32: Metabolic pathway perturbation of patients with chronic heart failure and comorbid major depressive disorder
Wei Jiang, MD; David Steffens, MD; Edward Karoly, PhD; Maragatha Kuchibhatla, PhD; Michael S. Cuffe, MD; Christopher M. O’Connor, MD; Ranga Krishnan, MD; and Rima Kaddurah-Daouk, PhD

Abstract 33: Headache: An unusual presenting symptom of Guillain-Barré syndrome
Kanchan Kanel, Aisha Chohan, Reza Vaghefi hosseini, Murray Flaster, and Hesham Mohamed

Abstract 34: Effect of stress reduction using the BREATHE technique on inflammatory markers and risk factors for atherosclerosis
John M. Kennedy, MD, FACC, and Donna J. Miller, MSN, FNP-C

Abstract 35: The lite HEARTEN study: How exercise and relaxation techniques affect subclinical markers of heart disease in women: Patterns of change and effect sizes to power future studies of treatment efficacy
R. Lindquist, U. Bronas, A. Leon, Y. Song, D. Windenburg, D. Witt, D. Treat-Jacobson, E. Grey, W. Hines, and K. Savik,

Abstract 36: Cardiovascular effects of spinal cord stimulation in hypertensive patients
Shailesh Musley, Xiaohong Zhou, Ashish Singal, and David Schultz

Abstract 37: Screening for depression and anxiety in patients admitted for coronary artery bypass graft: Comparison of nurses’ reports vs hospital anxiety and depression scale
Ali-Akbar Nejatisafa, Nazila Shahmansouri, and Sina Mazaheri

Abstract 38: Hormonal heart-mind connections: Clinical and research implications
Jan B. Newman, MD, MA, FACS, ABIHM

Abstract 39: Gender differences in longevity and sympathovagal balance
Edward Pereira, MD; Scott Baker, MD; Robert Bulgarelli, DO; Gary L. Murray, MD; Rohit R. Arora, MD; and Joseph Colombo, PhD

Abstract 40: Neuroendocrine, inflammatory, and immune biomarkers associated with body composition, depression, and cognitive impairment in elderly men and women
Jean P. Roux, PhD; Kenna Stephenson, MD; Sanjay Kapur, PhD; David Zava, PhD; Robert Haussman, PhD; Christine Gély-Nargeot; and Courtney Townsend

Abstract 41: Short-term heart rate complexity determined by the PD2i algorithm is reduced in patients with type 1 diabetes mellitus
James E. Skinner, Daniel N. Weiss, Jerry M. Anchin, Zuzana Turianikova, Ingrid Tonhajzerova, Jana Javorkova, Kamil Javorka, Mathias Baumert, and Michal Javorka

Abstract 42: Heart rate variability biofeedback and mindfulness: A functional neuroimaging study
Paula Sigafus

Abstract 43: Heart, brain, and the octopus connection
Nirmal Sunkara

Abstract 44: Relationship between depressive symptoms and cardiovascular risk factors in black individuals
Ali A. Weinstein, PhD; Preetha Abraham; Stacey A. Zeno, MS; Guoqing Diao, PhD; and Patricia A. Deuster, PhD

Abstract 45: History of depression affects patients’ depression scores and inflammatory biomarkers in women hospitalized for acute coronary syndromes
Erica Teng-Yuan Yu, PhD, RN, ARNP

Supplement Editor:
Marc S. Penn, MD, PhD

Contents

Depression and Heart Disease

The Bypassing the Blues trial: Collaborative care for post-CABG depression and implications for future research
Bruce L. Rollman, MD, MPH, and Bea Herbeck Belnap, Dr Biol Hum

Type D personality and vulnerability to adverse outcomes in heart disease
Johan Denollet, PhD, and Viviane M. Conraads, MD, PhD

Biofeedback in the treatment of heart disease
Christine S. Moravec, PhD, and Michael G. McKee, PhD

Device-Based Therapies

Electrical vagus nerve stimulation for the treatment of chronic heart failure
Hani N. Sabbah, PhD, FACC, FCCP, FAHA

Treatment of chronic inflammatory diseases with implantable medical devices
Ralph J. Zitnik, MD

Pioneer Lecture

New frontiers in cardiovascular behavioral medicine: Comparative effectiveness of exercise and medication in treating depression
James A. Blumenthal, PhD

Depression and Inflammatory Signaling in Alzheimer Disease

Depression: A shared risk factor for cardiovascular and Alzheimer disease
Dylan Wint, MD

Inflammatory signaling in Alzheimer disease
Robert Barber, PhD

Vascular signaling abnormalities in Alzheimer disease
Paula Grammas, PhD; Alma Sanchez, PhD; Debjani Tripathy, PhD; Ester Luo, PhD; and Joseph Martinez

Stress in Medicine

Stress in medicine: Strategies for cargivers, patients, clinicians—The burdens of caregiver stress
Michael G. McKee, PhD

Stress in medicine: Strategies for cargivers, patients, clinicians—Promoting better outcomes with stress and anxiety reduction
A. Marc Gillinov, MD

Stress in medicine: Strategies for cargivers, patients, clinicians—Addressing the impact of clinician stress
M. Bridget Duffy, MD

Stress in medicine: Strategies for cargivers, patients, clinicians—Biofeedback in the treatment of stress
Richard N. Gevirtz, PhD

Stress in medicine: Strategies for cargivers, patients, clinicians—Biofeedback for extreme stress: Wounded warriors
Carmen V. Russoniello, PhD

Stress in medicine: Strategies for cargivers, patients, clinicians—Panel discussion

Annual Review of Key Publications in Heart-Brain Medicine

Key 2010 publications in behavioral medicine
Laura D. Kubzansky, PhD, MPH

Novel Findings in Heart-Brain Medicine

Imaging for autonomic dysfunction
Stephen E. Jones, MD, PhD

Neurohormonal control of heart failure
Gary S. Francis, MD

Poster Abstracts

Abstract 1: Biofeedback in coronary artery disease, type 2 diabetes, and multiple sclerosis
Matt Baumann, BS; Dana L. Frank, PhDc; Michael Liebenstein, PhD; Jerry Kiffer, MA; Leo Pozuelo, MD; Leslie Cho, MD; Gordon Blackburn, PhD; Francois Bethoux, MD; Mary Rensel, MD; Betul Hatipoglu, MD; Jim Young, MD; Christine S. Moravec, PhD; and Michael G. McKee, PhD

Abstract 2: Biofeedback in heart failure patients awaiting transplantation
Dana L. Frank, PhDc; Matt Baumann, BS; Lamees Khorshid, PsyD; Alex Grossman-McKee; Jerry Kiffer, MA; Wilson Tang, MD; Randall C. Starling, MD; Michael G. McKee, PhD; and Christine S. Moravec, PhD

Abstract 3: Prevalence of anxiety and type D personality in an outpatient ICD clinic
Leo Pozuelo, MD; Melanie Panko, RN; Betty Ching, RN; Denise Kosty-Sweeney, RN; Scott Bea, PhD; Karen Broer, PhD; Julie Thornton, MS; Kathy Wolski, MPH; Karl-Heinz Ladwig, MD; Sam Sears, PhD; Suzanne Pedersen, PhD; Johan Denollet, PhD; and Mina K. Chung, MD

Abstract 4: Sudden unexpected death in epilepsy: Finding the missing cardiac links
Lara Jehi, MD; Thomas Callahan, MD; David Vance, MD; Liang Li, PhD; and Imad Najm, MD

Abstract 5: Low levels of depressive symptoms predict the combined outcome of good health-related quality of life and no cardiac events in patients with heart failure
Kyoung Suk Lee, Terry A. Lennie, Sandra B. Dunbar, Susan J. Pressler, Seongkum Heo, and Debra K. Moser

Abstract 6: Spectral HRV and C-reactive protein in a community-based sample of African Americans
Larry Keen II, MS

Abstract 7: Symptoms of depression and anxiety determine fatigue but not physical fitness in patients with CAD
Adomas Bunevicius, Albinas Stankus, Julija Brozaitiene, and Robertas Bunevicius

Abstract 8: Depression, cardiovascular symptom reporting, and functional status in heart failure patients
Andrew J. Wawrzyniak, Kristie M. Harris, Kerry S. Whittaker, Nadine S. Bekkouche, Sarah M. Godoy, Willem J. Kop, Stephen S. Gottlieb, and David S. Krantz

Abstract 9: Cardiotopic organization of the functionally associated axons within the cervical vagus nerves that project to the ventricles of the cat heart
E. Adetobi-Oladele, S.E. Ekejiuba, M. Shirahata, S. Ruble, A. Caparso, and V.J. Massari

Abstract 10: Significance of carotid intimal thickening in hypertensive patients
Shashi K. Agarwal, MD, and Neil K. Agarwal

Abstract 11: Lacunar infarcts in a hypertensive population and their correlation with systemic vascular resistance
Shashi K. Agarwal, MD, and Neil K. Agarwal

Abstract 12: Age-matched attenuation of both autonomic branches in chronic disease: I. Hypertension
Rohit R. Arora, MD; Samanwoy Ghosh-Dastidar, PhD; and Joseph Colombo, PhD

Abstract 13: Age-matched attenuation of both autonomic branches in chronic disease: II. Diabetes mellitus
Aaron I. Vinik, PhD, MD; Rohit R. Arora, MD; and Joseph Colombo, PhD

Abstract 14: Age-matched attenuation of both autonomic branches in chronic disease: III. Coronary artery disease
Rohit R. Arora, MD; Samanwoy Ghosh-Dastidar, PhD; and Joseph Colombo, PhD

Abstract 15: Age-matched attenuation of both autonomic branches in chronic disease: IV: HIV/AIDS
Patrick Nemechek, DO; Sam Ghosh Dastidar, PhD; and Joe Colombo, PhD

Abstract 16: The existential dilemma of coronary artery disease: Nurse as agent of change in the emerging field of behavioral cardiology
Patricia Baum, RN, BSN

Abstract 17: Phantom shocks as markers of underlying PTSD and depression
Ana Bilanovic, Jane Irvine, Adrienne Kovacs, Ann Hill, Doug Cameron, and Joel Katz

Abstract 18: Psychologic markers of stress, anxiety, and depression are associated with indices of vascular impairment in women with high stress levels and advanced coronary artery disease
U.G. Bronas, R. Lindquist, A. Leon, Y. Song, D. Windenburg, D. Witt, D. Treat-Jacobson, E. Grey, W. Hines, and K. Savik

Abstract 19: Personality dimensions and health-related quality of life in patients with coronary artery disease
Juste Buneviciute, Margarita Staniute, and Robertas Bunevicius

Abstract 20: Behavioral stress results in reversible myocardial dysfunction in a rodent model
Fangping Chen, Sherry Xie, and Mitchell S. Finkel

Abstract 21: Perceived stress, psychosocial stressors, and behavioral factors: Association with inflammatory, immune, and neuroendocrine biomarkers in a cohort of healthy very elderly men and women
Grant D. Chikazawa-Nelson, PhD; Kenna Stephenson, MD; Anna Kurdowska, PhD; Douglas Stephenson, DO; Sanjay Kapur, PhD; and David Zava, PhD

Abstract 22: Prognostic significance of PD2i in heart failure patients
Iwona Cygankiewicz, MD, PhD; Wojciech Zareba, MD, PhD; Scott McNitt, MS; and Antoni Bayes de Luna, MD

Abstract 23: Sympathovagal imbalance assessed by heart rate variability correlates with percent body fat and skeletal muscle, independent of body mass index
David Martinez Duncker R., MD, PhD; Martha Elva Rebolledo Rea, MD, MSc; Ernesto González Rodríguez, MD, MSc; David M. Duncker Rebolledo, MD; and Martha E.M. Duncker Rebolledo, MS

Abstract 24: Trajectory of depressive symptoms in patients with heart failure: Influence on cardiac event-free survival
Rebecca L. Dekker, PhD, ARNP; Terry A. Lennie, PhD, RN; Nancy M. Albert, PhD, CCNS; Mary K. Rayens, PhD; Misook L. Chung, PhD, RN; Jia-Rong Wu, PhD, RN; and Debra K. Moser, DNSc, RN

Abstract 25: Autonomic modulation of ankle brachial index assessed by heart rate variability in healthy young male and female volunteers
David Martinez Duncker R., MD, PhD; Martha Elva Rebolledo Rea, MD, MSc; Ernesto González Rodríguez, MD, MSc; David M. Duncker Rebolledo, MD; and Martha E.M. Duncker Rebolledo, MS

Abstract 26: Toward uncovering key factors in adherence in a post–heart transplant population: A project in the making
Flavio Epstein, PhD, and Parag Kale, MD

Abstract 27: Sympathovagal tone assessed by heart rate variability is directly related to body mass index, percent body fat, and skeletal muscle in healthy male and female young volunteers
David Martinez Duncker R., MD, PhD; Martha Elva Rebolledo Rea, MD, MSc; Ernesto González Rodríguez, MD, MSc; David M. Duncker Rebolledo, MD; and Martha E.M. Duncker Rebolledo, MS

Abstract 28: Biofeedback training to promote ANS resilience in Army ROTC cadets
M. Haney, MS; K. Quigley, PhD; B. Batorsky, PhD; LTC J. Nepute; S. Moore, BS; A. Uhlig, MS; and L. Zambrana, BA

Abstract 29: Trait hostility is associated with endothelial cell apoptosis in healthy adults
Manjunath Harlapur, MD; Leah Rosenberg, MD; Lauren T. Wasson, MD, MPH; Erika Mejia, BA; Shuqing Zhao, MS; Matthew Cholankeril, BA; Matthew Burg, PhD; and Daichi Shimbo, MD

Abstract 30: Vascular depression impairs health-related behavior
K.K. Hegde, B.T. Mast, and P.A. Lichtenbeg

Abstract 31: Detection of acute mild hypovolemia by nonlinear heart rate variability
Pamela L. Jett, MD; James E. Skinner, PhD; Jerry M. Anchin, PhD; Daniel N. Weiss, MD; Douglas E. Parsell, PhD; and James J. Hughes, MD

Abstract 32: Metabolic pathway perturbation of patients with chronic heart failure and comorbid major depressive disorder
Wei Jiang, MD; David Steffens, MD; Edward Karoly, PhD; Maragatha Kuchibhatla, PhD; Michael S. Cuffe, MD; Christopher M. O’Connor, MD; Ranga Krishnan, MD; and Rima Kaddurah-Daouk, PhD

Abstract 33: Headache: An unusual presenting symptom of Guillain-Barré syndrome
Kanchan Kanel, Aisha Chohan, Reza Vaghefi hosseini, Murray Flaster, and Hesham Mohamed

Abstract 34: Effect of stress reduction using the BREATHE technique on inflammatory markers and risk factors for atherosclerosis
John M. Kennedy, MD, FACC, and Donna J. Miller, MSN, FNP-C

Abstract 35: The lite HEARTEN study: How exercise and relaxation techniques affect subclinical markers of heart disease in women: Patterns of change and effect sizes to power future studies of treatment efficacy
R. Lindquist, U. Bronas, A. Leon, Y. Song, D. Windenburg, D. Witt, D. Treat-Jacobson, E. Grey, W. Hines, and K. Savik,

Abstract 36: Cardiovascular effects of spinal cord stimulation in hypertensive patients
Shailesh Musley, Xiaohong Zhou, Ashish Singal, and David Schultz

Abstract 37: Screening for depression and anxiety in patients admitted for coronary artery bypass graft: Comparison of nurses’ reports vs hospital anxiety and depression scale
Ali-Akbar Nejatisafa, Nazila Shahmansouri, and Sina Mazaheri

Abstract 38: Hormonal heart-mind connections: Clinical and research implications
Jan B. Newman, MD, MA, FACS, ABIHM

Abstract 39: Gender differences in longevity and sympathovagal balance
Edward Pereira, MD; Scott Baker, MD; Robert Bulgarelli, DO; Gary L. Murray, MD; Rohit R. Arora, MD; and Joseph Colombo, PhD

Abstract 40: Neuroendocrine, inflammatory, and immune biomarkers associated with body composition, depression, and cognitive impairment in elderly men and women
Jean P. Roux, PhD; Kenna Stephenson, MD; Sanjay Kapur, PhD; David Zava, PhD; Robert Haussman, PhD; Christine Gély-Nargeot; and Courtney Townsend

Abstract 41: Short-term heart rate complexity determined by the PD2i algorithm is reduced in patients with type 1 diabetes mellitus
James E. Skinner, Daniel N. Weiss, Jerry M. Anchin, Zuzana Turianikova, Ingrid Tonhajzerova, Jana Javorkova, Kamil Javorka, Mathias Baumert, and Michal Javorka

Abstract 42: Heart rate variability biofeedback and mindfulness: A functional neuroimaging study
Paula Sigafus

Abstract 43: Heart, brain, and the octopus connection
Nirmal Sunkara

Abstract 44: Relationship between depressive symptoms and cardiovascular risk factors in black individuals
Ali A. Weinstein, PhD; Preetha Abraham; Stacey A. Zeno, MS; Guoqing Diao, PhD; and Patricia A. Deuster, PhD

Abstract 45: History of depression affects patients’ depression scores and inflammatory biomarkers in women hospitalized for acute coronary syndromes
Erica Teng-Yuan Yu, PhD, RN, ARNP

Issue
Cleveland Clinic Journal of Medicine - 78(8)
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Cleveland Clinic Journal of Medicine - 78(8)
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S1-S103
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S1-S103
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Proceedings of the 2010 Heart-Brain Summit
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Proceedings of the 2010 Heart-Brain Summit
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Cleveland Clinic Journal of Medicine 2011 August;78(8 suppl 1):S1-S103
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