Abstract:
Aim of the study: The study is aimed to clear the cycle effect of fear or anxiety and calm or reassurance on electrocardiographic ST-segment depression in patients present with angina with possible coronary artery spasms.
Background: Anxiety and fear have undoubted hazardous effects on cardiovascular disorders. The effect on the coronary artery may be the most significant. The coronary artery spasm is an established cardiovascular disorder that can affect the ST segment with either depression elevation or both. It can end with vascular occlusion or near-occlusion and possibly coronary heart disease and sudden death.
Method of study and patients: My case study was an observational-retrospective 50 case report series. The study was conducted in Kafr El-Bateekh Central Hospital and physician outpatient clinic. The author reported 50 cases of resting acute angina with reversal and cyclic electrocardiographic ST-segment depression over about 44 months, starting on December 09, 2019, and ending on July 18, 2023.
Results: The mean age in the current study is; 50.7 in the range; of 18-82 years, with a female sex predominance (52%). Housewives (34%) and farmers (26%) are the most affected occupations. The main complaint is angina (84%) followed by angina with palpitations (10%). The most common associated risk factors in the study are combined risk factors (56%) followed by single risk factors (44%). The Mean of elapsed time between stage I and II/sec (only group I) is 66.65 in a range; of 17-250 years. The response was complete (only group I; 40%), Partial (only group I; 12%), and Absent (only group II; 48%).
Conclusions: Yasser's Stressor test is a new cardiovascular discovery and psychogenic stress test targeting the ST-segment passing two stages in the form of fear and calm (Fear-Calm Stressor test). Triphasic Yasser's syndrome is a sequel and constellation of the vicious cycle of Yasser's Stressor test passing three stages in the form of fear, calm, and fear (Fear-Calm-Fear Yasser's syndrome). Coronary artery spasm is a possible pathogenesis for interpretation. Both Yasser's Stressor test and its subsequent Triphasic Yasser's syndrome are easy, simple, cheap, and safe non-invasive exercise tests.
Biography:
Dr. Yasser Mohammed Hassanain Elsayed is a scientist, critical care physician, cardiologist, and independent researcher at the Ministry of Health in Egypt. He has (160) publicized articles with (36) Innovations. They included (7) "Yasser’s sign", (8) "Yasser’s phenomenon", (1) "Yasser’s modification", (2) "Yasser’s maneuver", (1) “Yasser’s method”, (1) “Yasser’s test”, (8) “Yasser’s syndrome”, (1) "Yasser’s fibrillation", (1) "Yasser’s procedure", (1) Yasser’s ECG palpitations wave, (1) Factitious Yasser's infarction, (1) "Yasser’s criterion", (1) "Yasser's conversions", (1) "Amiodarone off-phenomenon, and (1) "Yasser’s classification". He was an international speaker in (46) Conferences, (8) Keynote speaker, and reviewed (more than 352 articles) for (105) Journals and (2) Conferences. He was an honorable editor for (275) Journals, (16) Conferences OCM, and was an instructor in (15) official and (150) non-official training. He has accepted abstracts in Conferences with no presentation (28). He has (54) COVID-19 publicized articles; He was nominated for big prizes such as the Breakthrough Prize, the Einstein Prize, the Shoman Award, Mostafa Prize, etc. He gained (more than 191) excellence certificates. The most famous articles are: 1. Wavy triple, an electrocardiographic sign (Yasser’s sign). 2. Wavy double Electrocardiographic sign (Yasser’s sign). 3. Graded phenomenon (Yasser’s phenomenon). 4. Connected aircraft squadron electrocardiographic sign (Yasser’s sign). 5. Electrocardiographic Passing phenomenon (Flying phenomenon or Yasser’s phenomenon). 6. Movable weaning off an electrocardiographic phenomenon (Yasser’s phenomenon of hypocalcemia). 7. Yasser’s COVID-19 discrepancy phenomenon. 8. Yasser’s maneuver in the psychogenic coma. 9. Yasser’s modification or oxygen test. 10. Three and one method (Yasser’s method). 11. Yasser's stressor test (Fear and calm test). 12. Triphasic Yasser's stressor syndrome (Fear, calm, and fear syndrome). 13. Right-to-left angina Yasser’s syndrome (Swinging Yasser’s central heart syndrome) or Dancing Yasser’s heart syndrome. 14. Sinusoidal atrial fibrillation (Yasser’s fibrillation). 15. Yasser’s triple discoloration sign. 16. Yasser’s procedure. 17. Yasser's Wenckebach reversal phenomenon. 18. Yasser’s cup of coffee stress syndrome (Single cup of coffee stress syndrome). 19. Yasser’s ECG palpitations wave. 20. Bilobed apical floating heart Yasser’s syndrome. 21. Amiodarone off-phenomenon. 22. Factitious Yasser's infarction. 23. Yasser’s criterion of Inferior ST-Segment Discrepancy Deviations in AF. 24. Yasser's pressure maneuver in Left Facial Palsy with Monopelgia. 25. Retrograde Yasser's Flushing Phenomenon in Left Facial Palsy with Monopelgia. 26. Yasser's conversions. 27. Yasser's coving sign. 28. Yasser's squaring saddling syndrome. 29. Partial modified Yasser's WPW syndrome. 30. Yasser's lateral halo sign. 31. Ephemeral Yasser's scooping ST-segment depression and giant T-wave phenomenon. 32. Yasser's migration sign. 33. Tail apex syndrome. 34. Yasser’s V1-aVR rhythm syndrome. 35. Diagonal biting compressive radiological Yasser’s sign. 36. Yasser’s classification of QRS fragmentation.
