Psychological correlates of coronary angiographic findings.
Psychological correlates of coronary angiographic findings.
复制标题
冠状动脉造影结果的心理相关性。
DOI：
10.1001/archinte.1976.03630110010006
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发表时间：
1976
影响因子：
--
通讯作者：
M. Everist
中科院分区：
文献类型：
--
作者：
S. Zyzanski;C. D. Jenkins;T. Ryan;A. Flessas;M. Everist
在接受诊断性冠状动脉造影术之前，94名男性接受了冠状动脉倾向行为模式、焦虑、抑郁和神经质测试。心脏病专家们分别根据四条主要冠状动脉粥样硬化性管腔阻塞的百分比对电影血管造影片进行评分。在A型冠状动脉倾向行为模式测试的所有四个量表上，动脉粥样硬化性阻塞程度较大的患者得分显著高于病变较轻的患者。那些血管病变更严重的人在焦虑和抑郁量表上的得分也明显更高，但在否认量表上的得分明显更低。被评定为有更频繁和强烈心绞痛的男性在低血糖、抑郁和症状入院方面的得分显著高于缺血性疼痛较少的男性。多变量统计分析显示，动脉粥样硬化程度的研究结果是独立的心绞痛或充血性心力衰竭。
Prior to undergoing diagnostic coronary angiography, 94 men responded to tests for the coronary-prone behavior pattern, anxiety, depression, and neuroticism. Independently, cardiologists rated cineangiograms by the percent of atheromatous luminal obstruction in four major coronary arteries. The patients with greater atheromatous obstruction scored significantly higher than those with lesser disease on all four scales of the test for the type A coronary-prone behavior pattern. Those with more seriously diseased vessels also scored significantly higher on anxiety and depression scales but significantly lower on a denial scale. Men rated as having more frequent and intense angina pain scored significantly higher on hypochondriasis, depression, and admission of symptoms than men less subject to ischemic pain. Multivariate statistical analyses revealed that the findings regarding extent of atherosclerosis are independent of anginal pain or congestive heart failure.