Maggini C, Guazzelli M, Castrogiovanni P, Mauri M, De Lisio G F, Chierchia S, Cassano G B
Psychother Psychosom. 1976;27(3-6):210-6. doi: 10.1159/000287021.
In this paper the AA have tried to define the relationship between psychopathological characteristics or symptoms and angina attacks in coronary patients. The research plan was agreed upon and carried out as a collaborative program between psychiatrists and internists with the goal of reaching a more comprehensive approach to the psychosomatic patient. In 20 patients suffering from nocturnal angina attacks the polygraphic sleep recording was performed; 10 of them received psychodiagnostic examination (MMPI). In 8 cases during sleep recordings hemodynamic monitoring was also performed. The MMPI data were compared with 82 other individuals who had myocardial infarction (56 ss) and diurnal angina (26 ss) and 34 control subjects without cardiac disease. The results show that the sleep patterns were strongly affected and the most relevant alterations were recorded during the nights with ischemic episodes. No significant correlations were found between ischemic episodes and sleep stages. In no instance did the hemodynamic monitoring show an increase in the parameters related to myocardial oxygen consumption. The psychological data showed that the most severe symptomatology was observed in the nocturnal angina patients where the disease seems to be mostly related to a functional pathogenic mechanism.
在本文中，AA试图界定冠心病患者心理病理特征或症状与心绞痛发作之间的关系。该研究计划经精神科医生和内科医生协商一致后作为一项合作项目开展，目标是对心身疾病患者采取更全面的治疗方法。对20例夜间心绞痛发作患者进行了多导睡眠记录；其中10例接受了心理诊断检查（明尼苏达多相人格调查表）。在8例睡眠记录过程中还进行了血流动力学监测。将明尼苏达多相人格调查表数据与另外82例心肌梗死患者（56例）和日间心绞痛患者（26例）以及34例无心脏病的对照受试者进行了比较。结果表明，睡眠模式受到严重影响，在有缺血发作的夜间记录到了最相关的变化。缺血发作与睡眠阶段之间未发现显著相关性。血流动力学监测在任何情况下均未显示与心肌耗氧量相关的参数增加。心理数据表明，在夜间心绞痛患者中观察到了最严重的症状，该病似乎主要与功能性致病机制有关。
