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High Job Burnout Predicts Low Heart Rate Variability in the Working Population after a First Episode of Acute Coronary Syndrome

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  • Yunke Shi

    (Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China)

  • Ruxin Jiang

    (Cardiology Department, Baoshan People’s Hospital, Baoshan 678000, China)

  • Caifeng Zhu

    (Cardiology Department, The People’s Hospital of Chuxiong Yi Autonomous Prefecture, Chuxiong 675000, China)

  • Min Zhang

    (Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China)

  • Hongyan Cai

    (Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China)

  • Zhao Hu

    (Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China)

  • Yujia Ye

    (Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China)

  • Yixi Liu

    (Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China)

  • Huang Sun

    (Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China)

  • Yiming Ma

    (Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China)

  • Xingyu Cao

    (Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China)

  • Dan Yang

    (Cardiology Department, Kunming Medical University, Kunming 650504, China)

  • Mingqiang Wang

    (Cardiology Department, Kunming Medical University, Kunming 650504, China)

  • Adrian Loerbroks

    (Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, University of Düsseldorf, 40225 Düsseldorf, Germany)

  • Jian Li

    (Department of Environmental Health Sciences, Fielding School of Public Health, School of Nursing, University of California Los Angeles, Los Angeles, CA 90095, USA)

Abstract

(1) Background: Job burnout may affect the prognosis of patients with acute coronary syndrome (ACS) through mechanisms involving heart rate variability (HRV). However, no study has yet examined those potential associations. Hence, we conducted the present study to investigate this issue. (2) Method: Participants included patients who presented with a first episode of ACS and who were employed. The Copenhagen Burnout Inventory (CBI) was used to assess job burnout. Twenty-four-hour ambulatory electrocardiography recorded HRV on four occasions, i.e., during the hospitalization and follow-ups at one, six, and 12 months, respectively. (3) Results: A total of 120 participants who at least completed three Holter examinations throughout the study were enrolled in the final analysis. Job burnout scores at baseline were inversely associated with LnSDNN, LnTP, LnHF, LnLF, LnULF, and LnVLF during the consequent one-year follow-up. Each 1 SD increase in job burnout scores predicted a decline ranging from 0.10 to 0.47 in the parameters described above (all p < 0.05), and all relationships were independent of numerous confounders, including anxiety and depression. (4) Conclusion: High job burnout predicted reduced HRV parameters during the one-year period post-ACS in the working population.

Suggested Citation

  • Yunke Shi & Ruxin Jiang & Caifeng Zhu & Min Zhang & Hongyan Cai & Zhao Hu & Yujia Ye & Yixi Liu & Huang Sun & Yiming Ma & Xingyu Cao & Dan Yang & Mingqiang Wang & Adrian Loerbroks & Jian Li, 2021. "High Job Burnout Predicts Low Heart Rate Variability in the Working Population after a First Episode of Acute Coronary Syndrome," IJERPH, MDPI, vol. 18(7), pages 1-11, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3431-:d:524396
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    References listed on IDEAS

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    1. Isuru Ranasinghe & Yongfei Wang & Kumar Dharmarajan & Angela F Hsieh & Susannah M Bernheim & Harlan M Krumholz, 2014. "Readmissions after Hospitalization for Heart Failure, Acute Myocardial Infarction, or Pneumonia among Young and Middle-Aged Adults: A Retrospective Observational Cohort Study," PLOS Medicine, Public Library of Science, vol. 11(9), pages 1-18, September.
    2. P C de Looff & L J M Cornet & P J C M Embregts & H L I Nijman & H C M Didden, 2018. "Associations of sympathetic and parasympathetic activity in job stress and burnout: A systematic review," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-24, October.
    3. Mittag, O. & Kolenda, K. -D. & Nordmann, K. -J. & Bernien, J. & Maurischat, C., 2001. "Return to work after myocardial infarction/coronary artery bypass grafting: patients' and physicians' initial viewpoints and outcome 12 months later," Social Science & Medicine, Elsevier, vol. 52(9), pages 1441-1450, May.
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    Cited by:

    1. Chiara Consiglio & Greta Mazzetti & Wilmar B. Schaufeli, 2021. "Psychometric Properties of the Italian Version of the Burnout Assessment Tool (BAT)," IJERPH, MDPI, vol. 18(18), pages 1-21, September.

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