Skip to main content
SpringerLink
Log in

Aktuelle Anwendungen der Hypnose auf dem Gebiet der kardialen Elektrophysiologie

Current applications of hypnosis in the field of cardiac electrophysiology

  • Schwerpunkt
  • Published:
Herz Aims and scope Submit manuscript

Zusammenfassung

Mit wachsender Akzeptanz der klinischen Hypnose in der Medizin werden immer neue Anwendungsgebiete erforscht. Aktuelle Studiendaten unterstützen den Einsatz von Hypnose zur Schmerzbehandlung bei Eingriffen wie der Ablation von Herzrhythmusstörungen und Implantationen von subkutanen implantierbaren Kardioverter-Defibrillatoren, zum Management präoperativer Angst sowie zur Reduktion von postoperativem Vorhofflimmern. Das Ziel dieser Übersichtsarbeit ist es, die Ergebnisse von Untersuchungen zusammenzufassen, die die Anwendung von Hypnose im Bereich der kardialen Elektrophysiologie untersucht haben, die rationale Wirksamkeit von Hypnose im Management von Herzrhythmusstörungen zu überprüfen und mögliche klinische Anwendungen und wissenschaftliche Perspektiven aufzuzeigen.

Abstract

With a growing acceptance of clinical hypnosis in medicine, new fields of application are being explored. Data from recent studies support the use of hypnosis for pain management during procedures, such as ablation of arrhythmias and implantation of subcutaneous implantable cardioverter defibrillators, management of preoperative anxiety and reduction of postoperative atrial fibrillation. The aim of this review article is to summarize the findings of investigations showing the application of hypnosis in the field of cardiac electrophysiology, to review the rationale for the efficacy of hypnosis in management of cardiac arrhythmias and to highlight possible future directions in clinical applications and scientific perspectives.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Literatur

  1. Elkins GR, Barabasz AF, Council JR, Spiegel D (2015) Advancing research and practice: the revised APA division 30 definition of hypnosis. Int J Clin Exp Hypn 63(1):1–9. https://doi.org/10.1080/00207144.2014.961870

    Article  PubMed  Google Scholar 

  2. Häuser W, Hagl M, Schmierer A, Hansen E (2016) The efficacy, safety and applications of medical hypnosis: a systematic review of meta-analyses. Dtsch Arztebl Int 113(17):289–296

    PubMed  PubMed Central  Google Scholar 

  3. No Authors listed (1955) Supplement 2622. Br Med J 1(4920):S169–S204. https://doi.org/10.1136/bmj.1.4920.S169

    Article  Google Scholar 

  4. Yüksel R, Ozcan O, Dane S (2013) The effects of hypnosis on heart rate variability. Int J Clin Exp Hypn 61(2):162–171

    Article  Google Scholar 

  5. Shaffer F, Ginsberg JP (2017) An overview of heart rate variability metrics and norms. Front Public Health. https://doi.org/10.3389/fpubh.2017.00258

    Article  PubMed  PubMed Central  Google Scholar 

  6. Tahsili-Fahadan P, Geocadin RG (2017) Heart-brain axis: effects of neurologic injury on cardiovascular function. Circ Res 120(3):559–572

    Article  CAS  Google Scholar 

  7. Chen P‑S, Chen LS, Fishbein MC et al (2014) Role of the autonomic nervous system in atrial fibrillation: pathophysiology and therapy. Circ Res 114(9):1500–1515

    Article  CAS  Google Scholar 

  8. Kenzler W (1963) Kasuistischer Beitrag zur psychotherapie der paroxysmalen tachykardie. Acta Psychother Psychosom 11:333–342

    Article  CAS  Google Scholar 

  9. Collison DR (1970) Cardiological applications of the control of the autonomic nervous system by hypnosis. Am J Clin Hypn 12(3):150–156

    Article  CAS  Google Scholar 

  10. Sepehri Shamloo A, Dagres N, Müssigbrodt A et al (2020) Atrial fibrillation and cognitive impairment: new insights and future directions. Heart Lung Circ 29(1):69–85. https://doi.org/10.1016/j.hlc.2019.05.185

    Article  PubMed  Google Scholar 

  11. Buckley U, Shivkumar K (2016) Stress-induced cardiac arrhythmias: the heart-brain interaction. Trends Cardiovasc Med 26(1):78–80. https://doi.org/10.1016/j.tcm.2015.05.001

    Article  PubMed  Google Scholar 

  12. Rubina KA, Tkachuk VA (2015) Guidance receptors in the nervous and cardiovascular systems. Biochemistry (Mosc) 80(10):1235–1253. https://doi.org/10.1134/s0006297915100041

    Article  CAS  Google Scholar 

  13. Goldberger JJ, Arora R, Buckley U, Shivkumar K (2019) Autonomic nervous system dysfunction: JACC focus seminar. J Am Coll Cardiol 73(10):1189–1206. https://doi.org/10.1016/j.jacc.2018.12.064

    Article  PubMed  PubMed Central  Google Scholar 

  14. Manea MM, Comsa M, Minca A et al (2015) Brain-heart axis—review article. J Med Life 8(3):266–271

    CAS  PubMed  PubMed Central  Google Scholar 

  15. Johnson B, Francis J (2014) Stress and cardiac arrhythmias. Indian Pacing Electrophysiol J 14(5):230–232. https://doi.org/10.1016/s0972-6292(16)30793-8

    Article  PubMed  PubMed Central  Google Scholar 

  16. Skinner JE (1993) Neurocardiology: brain mechanisms underlying fatal cardiac arrhythmias. Neurol Clin 11(2):325–351

    Article  CAS  Google Scholar 

  17. Steinberg JS, Joshi S, Schron EB et al (2008) Psychosocial status predicts mortality in patients with life-threatening ventricular arrhythmias. Heart Rhythm 5(3):361–365

    Article  Google Scholar 

  18. Chen J, Wasmund SL, Hamdan MH (2006) Back to the future: the role of the autonomic nervous system in atrial fibrillation. Pacing Clin Electrophysiol 29(4):413–421

    Article  Google Scholar 

  19. Bettoni M, Zimmermann M (2002) Autonomic tone variations before the onset of paroxysmal atrial fibrillation. Circulation 105(23):2753–2759

    Article  Google Scholar 

  20. Hogue CW Jr, Domitrovich PP, Stein PK et al (1998) RR interval dynamics before atrial fibrillation in patients after coronary artery bypass graft surgery. Circulation 98(5):429–434

    Article  Google Scholar 

  21. Liao TW, Lo LW, Lin YJ et al (2020) Autonomic modulation before and after paroxysmal atrial fibrillation events in patients with ischemic heart disease. Ann Noninvasive Electrocardiol 25(5):e12767

    Article  Google Scholar 

  22. Vikman S, Mäkikallio TH, Yli-Mäyry S et al (1999) Altered complexity and correlation properties of R‑R interval dynamics before the spontaneous onset of paroxysmal atrial fibrillation. Circulation 100(20):2079–2084. https://doi.org/10.1161/01.CIR.100.20.2079

    Article  CAS  PubMed  Google Scholar 

  23. El-Sheikh M (2001) Parental drinking problems and children’s adjustment: vagal regulation and emotional reactivity as pathways and moderators of risk. J Abnorm Psychol 110(4):499

    Article  CAS  Google Scholar 

  24. Hippel CV, Hole G, Kaschka W (2001) Autonomic profile under hypnosis as assessed by heart rate variability and spectral analysis. Pharmacopsychiatry 34(03):111–113

    Article  CAS  Google Scholar 

  25. Grossman P (2017) Comment on heart rate variability and cardiac vagal tone in psychophysiological research-recommendations for experiment planning, data analysis, and data reporting. Front Psychol 8(213):3389

    Google Scholar 

  26. Aubert AE, Verheyden B, Beckers F et al (2009) Cardiac autonomic regulation under hypnosis assessed by heart rate variability: spectral analysis and fractal complexity. Neuropsychobiology 60(2):104–112

    Article  Google Scholar 

  27. Gemignani A, Santarcangelo E, Sebastiani L et al (2000) Changes in autonomic and EEG patterns induced by hypnotic imagination of aversive stimuli in man. Brain Res Bull 53(1):105–111

    Article  CAS  Google Scholar 

  28. Chen X, Yang R, Ge L et al (2017) Hypnosis in the treatment of major depression: an analysis of heart rate variability. Int J Clin Exp Hypn 65(1):52–63

    Article  Google Scholar 

  29. Kekecs Z, Szekely A, Varga K (2016) Alterations in electrodermal activity and cardiac parasympathetic tone during hypnosis. Psychophysiology 53(2):268–277

    Article  Google Scholar 

  30. Sakakibara M, Takeuchi S, Hayano J (1994) Effect of relaxation training on cardiac parasympathetic tone. Psychophysiology 31(3):223–228

    Article  CAS  Google Scholar 

  31. Lucini D, Covacci G, Milani R et al (1997) A controlled study of the effects of mental relaxation on autonomic excitatory responses in healthy subjects. Psychosom Med 59(5):541–552

    Article  CAS  Google Scholar 

  32. Innes K (2005) Bourguignon C2, Taylor AG 3. Risk indices associated with the insulin resistance syndrome, cardiovascular disease, and possible protection with yoga: a systematic review. J Am Board Fam Pract 18:491–519

    Article  Google Scholar 

  33. Kubota Y, Sato W, Toichi M et al (2001) Frontal midline theta rhythm is correlated with cardiac autonomic activities during the performance of an attention demanding meditation procedure. Brain Res Cogn Brain Res 11(2):281–287

    Article  CAS  Google Scholar 

  34. Stefano GB, Fricchione GL, Slingsby BT, Benson H (2001) The placebo effect and relaxation response: neural processes and their coupling to constitutive nitric oxide. Brain Res Brain Res Rev 35(1):1–19

    Article  CAS  Google Scholar 

  35. Khan MF, Wendel CS, Movahed MR (2013) Prevention of post-coronary artery bypass grafting (CABG) atrial fibrillation: efficacy of prophylactic beta-blockers in the modern era: a meta-analysis of latest randomized controlled trials. Ann Noninvasive Electrocardiol 18(1):58–68

    Article  Google Scholar 

  36. Novoa R, Hammonds T (2008) Clinical hypnosis for reduction of atrial fibrillation after coronary artery bypass graft surgery. CCJM 75(2):S44

    Article  Google Scholar 

  37. de Klerk JE, du Plessis WF, Steyn HS, Botha M (2004) Hypnotherapeutic ego strengthening with male South African coronary artery bypass patients. Am J Clin Hypn 47(2):79–92

    Article  Google Scholar 

  38. Saadat H, Drummond-Lewis J, Maranets I et al (2006) Hypnosis reduces preoperative anxiety in adult patients. Anesth Analg 102(5):1394–1396

    Article  Google Scholar 

  39. Adachi T, Fujino H, Nakae A et al (2014) A meta-analysis of hypnosis for chronic pain problems: a comparison between hypnosis, standard care, and other psychological interventions. Int J Clin Exp Hypn 62(1):1–28. https://doi.org/10.1080/00207144.2013.841471

    Article  PubMed  Google Scholar 

  40. Kendrick C, Sliwinski J, Yu Y et al (2016) Hypnosis for acute procedural pain: a critical review. Int J Clin Exp Hypn 64(1):75–115. https://doi.org/10.1080/00207144.2015.1099405

    Article  PubMed  PubMed Central  Google Scholar 

  41. Scaglione M, Battaglia A, Di Donna P et al (2019) Hypnotic communication for periprocedural analgesia during transcatheter ablation of atrial fibrillation. Int J Cardiol Heart Vasc 24:100405. https://doi.org/10.1016/j.ijcha.2019.100405

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Garcia R, Bouleti C, Li A et al (2020) Hypnosis versus placebo during atrial flutter ablation: the PAINLESS study: a randomized controlled trial. JACC Clin Electrophysiol 6(12):1551–1560. https://doi.org/10.1016/j.jacep.2020.05.028

    Article  PubMed  Google Scholar 

  43. Barbero U, Ferraris F, Muro M et al (2018) Hypnosis as an effective and inexpensive option to control pain in transcatheter ablation of cardiac arrhythmias. J Cardiovasc Med (Hagerstown) 19(1):18–21. https://doi.org/10.2459/jcm.0000000000000605

    Article  Google Scholar 

  44. Scaglione M, Peyracchia M, Battaglia A et al (2019) Subcutaneous implantable cardioverter-defibrillator implantation assisted by hypnotic communication in a patient with Brugada syndrome. HeartRhythm Case Rep 6(4):198–201. https://doi.org/10.1016/j.hrcr.2019.12.008

    Article  PubMed  PubMed Central  Google Scholar 

  45. Middeldorp ME, Pathak RK, Meredith M et al (2018) PREVEntion and regReSsive effect of weight-loss and risk factor modification on atrial fibrillation: the REVERSE-AF study. Europace 20(12):1929–1935

    Article  Google Scholar 

  46. Lang EV, Rosen MP (2002) Cost analysis of adjunct hypnosis with sedation during outpatient interventional radiologic procedures. Radiology 222(2):375–382. https://doi.org/10.1148/radiol.2222010528

    Article  PubMed  Google Scholar 

  47. Cuvillon P, Marcou A, Bernard F et al (2020) Hypnose et anesthésie en 2019: de la neuroscience au bloc opératoire. Anesthésie Réanimation 6(2):270–280

    Article  Google Scholar 

  48. Bányai ÉI (2018) Active-alert hypnosis: history, research, and applications. Am J Clin Hypn 61(2):88–107

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Abteilung für Elektrophysiologie, Herzzentrum Leipzig - Universitätsklinik, Strümpellstraße 39, 04289, Leipzig, Deutschland

    Matthias Lerche MD, Alireza Sepehri Shamloo MD & Gerhard Hindricks MD

  2. Department of Electrophysiology, Heart Center Leizpig at Universty of Leipzig, Leipzig, Germany

    Matthias Lerche MD, Alireza Sepehri Shamloo MD & Gerhard Hindricks MD

Authors
  1. Matthias Lerche MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Alireza Sepehri Shamloo MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Gerhard Hindricks MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Matthias Lerche MD.

Ethics declarations

Interessenkonflikt

M. Lerche, A. Sepehri Shamloo und G. Hindricks geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

Additional information

figure qr

QR-Code scannen & Beitrag online lesen

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lerche, M., Sepehri Shamloo, A. & Hindricks, G. Aktuelle Anwendungen der Hypnose auf dem Gebiet der kardialen Elektrophysiologie. Herz 46, 336–341 (2021). https://doi.org/10.1007/s00059-021-05048-9

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00059-021-05048-9

Schlüsselwörter

Keywords

Search

Navigation