Psychopathologic disorders and coronary heart disease.

被引：4

作者：

Boisseau, R ^{[1
]}

Servant, D ^{[1
]}

Parquet, PJ ^{[1
]}

机构：

[1] CHU LILLE, CLIN ANXIETE, F-59037 LILLE, FRANCE

来源：

REVUE DE MEDECINE INTERNE | 1997年 / 18卷 / 04期

关键词：

myocardial infarction; coronary heart disease; panic attack; depression;

D O I：

10.1016/S0248-8663(97)84015-5

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The role of psychological factors in the genesis of coronary diseases has been considered for a long time. Friedman took it upon himself to describe a personality profile (pattern A) Constituting a risk factor for coronary heart disease of which, however, the practical interest seem; limited. The association of phychopathological conditions and coronary heart disease has on the other hand not been extensivly studied. Recent-epidemiblogical data show-that anxiety and depressive states represent a high comorbidity with coronary heart diseases. Panic attacks remain underestimated; they seem to participate in a complex physiopathological mechanism along with ischemic coronary heart diseases. Recent studies have shown that the existence of a depressive illness during coronary heart disease and particularly in the time period following a myocardial infarction, constitutes an independant risk factor, thus increasing the mortality rate. The evolution of coronary heart disease seems greatly influenced by the existence of anxious or depressive states, the diagnosis and the treatement of these states represent a major interest towards a better management of coronary patients.

引用

页码：303 / 310

页数：8

共 69 条

[1] BIOBEHAVIORAL VARIABLES AND MORTALITY OR CARDIAC-ARREST IN THE CARDIAC-ARRHYTHMIA PILOT-STUDY (CAPS) [J].