@ARTICLE{Jurczyk_Michał_Past_2020,
 author={Jurczyk, Michał and Boryczko, Andrzej and Furgała, Agata and Poniatowski, Adrian and Surdacki, Andrzej and Gil, Krzysztof},
 volume={Vol. 60},
 number={No 4},
 journal={Folia Medica Cracoviensia},
 pages={79-95},
 howpublished={online},
 year={2020},
 publisher={Oddział PAN w Krakowie; Uniwersytet Jagielloński – Collegium Medicum},
 abstract={B a c k g r o u n d: Stress is a major risk factor for cardiovascular (CV) disease. We hypothesized that past strong experiences might modulate acute CV autonomic responses to an unexpected acoustic stimulus. A i m: The study’s aim was to compare acute CV autonomic responses to acoustic stress between students with and without a past strong experience associated with the acoustic stimulus. M a t e r i a l s and M e t h o d s: Twenty five healthy young volunteers — medical and non-medical students — were included in the study. CV hemodynamic parameters, heart rate (HR), and blood pressure (BP) variability were assessed for 10 min at rest and for 10 min after two different acoustic stimuli: a standard sound signal and a specific sound signal used during a practical anatomy exam (so-called “pins”). R e s u l t s: Both sounds stimulated the autonomic nervous system. The “pins” signal caused a stronger increase in HR in medical students (69 ± 10 vs. 73 ± 13 bpm, p = 0.004) when compared to non-medical students (69 ± 6 vs. 70 ± 10, p = 0.695). Rises in diastolic BP, observed 15 seconds after sound stressors, were more pronounced after the “pins” sound than after the standard sound signal only in medical students (3.1% and 1.4% vs. 3% and 4.4%), which was also reflected by low-frequency diastolic BP variability (medical students: 6.2 ± 1.6 vs. 4.1 ± 0.8 ms2, p = 0.04; non-medical students: 6.0 ± 4.3 vs. 4.1 ± 2.6 ms2, p = 0.06). C o n c l u s i o n s: The “pins” sound, which medical students remembered from their anatomy practical exam, provoked greater sympathetic activity in the medical student group than in their non-medical peers. Thus, past strong experiences modulate CV autonomic responses to acute acoustic stress.},
 type={Article},
 title={Past strong experiences determine acute cardiovascular autonomic responses to acoustic stress},
 URL={http://www.czasopisma.pan.pl/Content/119095/PDF/2020-04-FMC-07-Jurczyk.pdf},
 doi={10.24425/fmc.2020.136206},
 keywords={stress, students, autonomic system activity, heart rate variability, blood pressure variability},
}