| 1. |
- Kronander, Håkan, et al.
(författare)
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Analysis of ST/HR hysteresis improves long-term prognostic value of exercise ECG test.
- 2011
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Ingår i: International Journal of Cardiology. - : Elsevier BV. - 0167-5273 .- 1874-1754. ; 148:1, s. 64-9
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: ST/HR hysteresis is one of the better diagnostic exercise ECG variables for coronary artery disease. This study evaluates the long-term prognostic value of ST/HR hysteresis in predicting acute myocardial infarction (AMI) and all-cause mortality in men and women. METHODS: The study population consisted of 8317 patients who had undergone routine exercise test on bicycle ergometer at one Swedish centre. Information on AMI and all-cause mortality was obtained from national Swedish registers covering a mean follow-up period of 9.5 years. RESULTS: The adjusted hazard ratio for AMI at a diagnostic cut point of ≤-20 µV for ST/HR hysteresis was 1.88 (95% CI, 1.62-2.17) in men and 2.31 (95% CI, 1.83-2.91) in women. For all-cause death the adjusted hazard ratio was 1.72 (95% CI, 1.52-1.96) in men and 1.90 (95% CI, 1.57-2.29) in women. The corresponding hazard ratios for ST-segment depression with horizontal or down-sloping ST-segment, ST-segment depression, ST/HR index, and ST/HR slope were lower. For comparison, the adjusted hazard ratio for AMI using maximal workload in percent of predicted was 2.02 (95% CI, 1.77-2.32) in men and 2.14 (95% CI, 1.71-2.67) in women. Area under the ROC curves for prediction of AMI was significantly larger using ST/HR hysteresis than using any of three other evaluated ECG indicators. CONCLUSIONS: ST/HR hysteresis appears to improve the prognostic ability of an exercise ECG test for AMI and all-cause mortality in a long-term perspective compared to conventional ST-segment and ST/HR indicators in both genders and clearly more markedly in women.
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| 2. |
- Kronander, Håkan, et al.
(författare)
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Diagnostic performance and partition values of exercise electrocardiographic variables in the detection of coronary artery disease - improved accuracy by using ST/HR hysteresis
- 2010
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Ingår i: Clinical Physiology and Functional Imaging. - 1475-0961 .- 1475-097X. ; 30:2, s. 98-106
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Tidskriftsartikel (refereegranskat)abstract
- P>Exercise electrocardiography is widely used for initial identification of patients with coronary artery disease (CAD). This study compares the measurements of ST-segment changes during exercise and during early postexercise recovery in terms of diagnostic discrimination capacity and optimal partition values. Data from 1876 patients undergoing a routine bicycle exercise test were analysed. CAD was angiographically verified in 668 patients, and excluded by angiography (n = 119), myocardial scintigraphy (n = 250), and on clinical grounds (n = 839) in 1208 patients. Postexercise ST/HR hysteresis was calculated as normalized for heart rate (HR) ST/HR loop area during the first 3 min of recovery. ST/HR index was obtained by dividing the overall ST amplitude change during exercise by exercise-induced HR change, and ST/HR slope was calculated using linear regression analysis of ST/HR data pairs during exercise. ST-segment depression was measured during, and for 3 min after the exercise. Discriminating capacity of the methods was evaluated in terms of receiver operating characteristic areas and optimal partition values providing the combination of the best sensitivity and specificity were established. The best diagnostic discrimination was provided by ST/HR hysteresis at optimal partition value of -15 mu V, followed by postexercise ST amplitude measurements at gender-specific partition values of -10 to -90 mu V, ST/HR slope [partition value 2 center dot 4 mu V (beats/min)-1], ST/HR index [partition value 1 center dot 6 mu V (beats/min)-1], and ST-segment depression during exercise (partition value 70 mu V in men and 90 mu V in women). The results demonstrate that analysis of postexercise ST/HR hysteresis offers the most accurate and gender indifferent identification of patients with CAD.
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| 3. |
- Brehmer, Yvonne, et al.
(författare)
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Neural correlates of training-related working-memory gains in old age
- 2011
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Ingår i: NeuroImage. - : Elsevier BV. - 1053-8119 .- 1095-9572. ; 58:4, s. 1110-1120
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Tidskriftsartikel (refereegranskat)abstract
- Working memory (WM) functioning declines in old age. Due to its impact on many higher-order cognitive functions, investigating whether training can modify WM performance has recently been of great interest. We examined the relationship between behavioral performance and neural activity following five weeks of intensive WM training in 23 healthy older adults (M = 63.7 years). 12 participants received adaptive training (i.e. individually adjusted task difficulty to bring individuals to their performance maximum), whereas the others served as active controls (i.e. fixed low-level practice). Brain activity was measured before and after training, using fMRI, while subjects performed a WM task under two difficulty conditions. Although there were no training-related changes in WM during scanning, neocortical brain activity decreased post training and these decreases were larger in the adaptive training group than in the controls under high WM load. This pattern suggests intervention-related increases in neural efficiency. Further, there were disproportionate gains in the adaptive training group in trained as well as in non-trained (i.e. attention, episodic memory) tasks assessed outside the scanner, indicating the efficacy of the training regimen. Critically, the degree of training-related changes in brain activity (i.e. neocortical decreases and subcortical increases) was related to the maximum gain score achieved during the intervention period. This relationship suggests that the decreased activity, but also specific activity increases, observed were functionally relevant.
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| 4. |
- Bäckman, Lars, et al.
(författare)
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Dopamine D(1) receptors and age differences in brain activation during working memory
- 2011
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Ingår i: Neurobiology of Aging. - Fayetteville, N.Y : Elsevier. - 0197-4580 .- 1558-1497. ; 32:10, s. 1849-1856
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Tidskriftsartikel (refereegranskat)abstract
- In an fMRI study, 20 younger and 20 healthy older adults were scanned while performing a spatial working-memory task under two levels of load. On a separate occasion, the same subjects underwent PET measurements using the radioligand [(11)C] SCH23390 to determine dopamine D(1) receptor binding potential (BP) in caudate nucleus and dorsolateral prefrontal cortex (DLPFC). The fMRI study revealed a significant load modulation of brain activity (higher load>lower load) in frontal and parietal regions for younger, but not older, adults. The PET measurements showed marked age-related reductions of D(1) BP in caudate and DLPFC. Statistical control of caudate and DLPFC D(1) binding eliminated the age-related reduction in load-dependent BOLD signal in left frontal cortex, and attenuated greatly the reduction in right frontal and left parietal cortex. These findings suggest that age-related alterations in dopaminergic neurotransmission may contribute to underrecruitment of task-relevant brain regions during working-memory performance in old age.
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| 5. |
- Ebner, Natalie C., et al.
(författare)
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Emotion and Aging : Evidence from Brain and Behavior
- 2014
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Ingår i: Frontiers in Psychology. - : Frontiers Media SA. - 1664-1078. ; 5
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Tidskriftsartikel (refereegranskat)abstract
- Emotions play a central role in every human life from the moment we are born until we die. They prepare the body for action, highlight what should be noticed and remembered, and guide decisions and actions. As emotions are central to daily functioning, it is important to understand how aging affects perception, memory, experience, as well as regulation of emotions. The Frontiers research topic Emotion and Aging: Evidence from Brain and Behavior takes a step into uncovering emotional aging considering both brain and behavioral processes. The contributions featured in this issue adopt innovative theoretical perspectives and use novel methodological approaches to target a variety of topics that can be categorized into three overarching questions: How do cognition and emotion interact in aging in brain and behavior? What are behavioral and brain-related moderators of emotional aging? Does emotion-regulatory success as reflected in brain and behavior change with age? In this perspective paper we discuss theoretical innovation, methodological approach, and scientific advancement of the thirteen papers in the context of the broader literature on emotional aging. We conclude by reflecting on topics untouched and future directions to take.
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| 6. |
- Ebner, Natalie C., et al.
(författare)
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Neural mechanisms of reading facial emotions in young and older adults
- 2012
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Ingår i: Frontiers in Psychology. - : Frontiers Media SA. - 1664-1078. ; 3:19
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Tidskriftsartikel (refereegranskat)abstract
- The ability to read and appropriately respond to emotions in others is central for successful social interaction. Young and older adults are better at identifying positive than negative facial expressions and also expressions of young than older faces. Little, however, is known about the neural processes associated with reading different emotions, particularly in faces of different ages, in samples of young and older adults. During fMRI, young and older participants identified expressions in happy, neutral, and angry young and older faces. The results suggest a functional dissociation of ventromedial prefrontal cortex (vmPFC) and dorsomedial prefrontal cortex (dmPFC) in reading facial emotions that is largely comparable in young and older adults: Both age groups showed greater vmPFC activity to happy compared to angry or neutral faces, which was positively correlated with expression identification for happy compared to angry faces. In contrast, both age groups showed greater activity in dmPFC to neutral or angry than happy faces which was negatively correlated with expression identification for neutral compared to happy faces. A similar region of dmPFC showed greater activity for older than young faces, but no brain-behavior correlations. Greater vmPFC activity in the present study may reflect greater affective processing involved in reading happy compared to neutral or angry faces. Greater dmPFC activity may reflect more cognitive control involved in decoding and/or regulating negative emotions associated with neutral or angry than happy, and older than young, faces.
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| 7. |
- Ebner, N. C., et al.
(författare)
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Oxytocin and socioemotional aging: Current knowledge and future trends
- 2013
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Ingår i: Frontiers in Human Neuroscience. - : Frontiers Media SA. - 1662-5161. ; 7
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Tidskriftsartikel (refereegranskat)abstract
- The oxytocin (OT) system is involved in various aspects of social cognition and prosocial behavior. Specifically, OT has been examined in the context of social memory, emotion recognition, cooperation, trust, empathy, and bonding, and-though evidence is somewhat mixed-intranasal OT appears to benefit aspects of socioemotional functioning. However, most of the extant data on aging and OT is from animal research and human OT research has focused largely on young adults. As such, though we know that various socioemotional capacities change with age, we know little about whether age-related changes in the OT system may underlie age-related differences in socioemotional functioning. In this review, we take a genetic-neuro-behavioral approach and evaluate current evidence on age-related changes in the OT system as well as the putative effects of these alterations on age-related socioemotional functioning. Looking forward, we identify informational gaps and propose an Age-Related Genetic, Neurobiological, Sociobehavioral Model of Oxytocin (AGeNeS-OT model) which may structure and inform investigations into aging-related genetic, neural, and sociocognitive processes related to OT. As an exemplar of the use of the model, we report exploratory data suggesting differences in socioemotional processing associated with genetic variation in the oxytocin receptor gene (OXTR) in samples of young and older adults. Information gained from this arena has translational potential in depression, social stress, and anxiety-all of which have high relevance in aging-and may contribute to reducing social isolation and improving well-being of individuals across the lifespan.
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| 8. |
- Ebner, Natalie C., et al.
(författare)
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Processing own-age vs. other-age faces : Neuro-behavioral correlates and effects of emotion
- 2013
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Ingår i: NeuroImage. - : Elsevier BV. - 1053-8119 .- 1095-9572. ; 78, s. 363-371
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Tidskriftsartikel (refereegranskat)abstract
- Age constitutes a salient feature of a face and signals group membership. There is evidence of greater attention to and better memory for own-age than other-age faces. However, little is known about the neural and behavioral mechanisms underlying processing differences for own-age vs. other-age faces. Even less is known about the impact of emotion expressed in faces on such own-age effects. Using fMRI, the present study examined brain activity while young and older adult participants identified expressions of neutral, happy, and angry young and older faces. Across facial expressions, medial prefrontal cortex, insula, and (for older participants) amygdala showed greater activity to own-age than other-age faces. These own-age effects in ventral medial prefrontal cortex and insula held for neutral and happy faces, but not for angry faces. This novel and intriguing finding suggests that processing of negative facial emotions under some conditions overrides age-of-face effects.
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| 9. |
- Ebner, Natalie C., et al.
(författare)
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Studying the various facets of emotional aging
- 2014
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Ingår i: Frontiers in Psychology. - : Frontiers Media SA. - 1664-1078. ; 5
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- To study emotional aging is to study a very multi-faceted concept. In particular, the study of emotion and aging covers a wide range of topics. Taking a closer look, domains of functioning can be differentiated such as pertaining to the experiential nature of emotion or its regulation, as well as social-cognitive processes associated with the perception of emotion in others or emotion-related attention and memory retrieval. Importantly, evidence over the last two decades suggests that not all of these functional domains are negatively affected by the aging process. Rather late-life development in emotion-related functional domains is characterized by multi-directionality, in that aging seems to be associated with deterioration in abilities related to emotion perception and increased difficulty remembering (particularly negative compared to positive) emotional information, while emotional experience and emotion-regulatory capacities appear to remain relatively preserved or even improve with age.
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| 10. |
- Fischer, Håkan, et al.
(författare)
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Age-related differences in brain regions supporting successful encoding of emotional faces.
- 2010
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Ingår i: Cortex. - Milano : Elsevier BV. - 0010-9452 .- 1973-8102. ; 46:4, s. 490-497
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Tidskriftsartikel (refereegranskat)abstract
- In an event-related functional Magnetic Resonance Imaging (fMRI) study, younger and older adults were presented with negative emotional (i.e., fearful) and neutral face pictures under incidental learning conditions. They were subsequently given a test of face recognition outside the scanner. Both age groups activated amygdala bilaterally as well as the right hippocampus during successful encoding of the fearful faces. Direct age comparisons revealed greater activation in right amygdala and bilateral hippocampus in the young, whereas older adults showed greater activation in the left insular and right prefrontal cortices. None of these brain areas was activated during successful encoding of neutral faces, suggesting specificity of these brain activation patterns. The results indicate an age-related shift in the neural underpinnings of negative emotional face processing from medial-temporal to neocortical regions.
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