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生活变化事件、心冲击图与冠状动脉性死亡。

Life change events, ballistocardiography and coronary death.

作者信息

Theorell T, Rahe C R

出版信息

J Human Stress. 1975 Sep;1(3):18-24. doi: 10.1080/0097840X.1975.9939543.

Abstract

Thirty-six men and women who experienced a documented myocardial infarction, half of whom ultimately died from their disease and half of whom survived over a six-year period, provided longitudinal recent life changes and ballistocardiographic data. The 18 patients who died from their coronary disease indicated a significant buildup in life changes which peaked approximately one year prior to death; their serial ballistocardiograms indicated a significant buildup in average force of contraction which was seen to peak approximately six months prior to death. The 18 post-infarction patients who survived the six-year follow-up showed neither a buildup in life change nor a buildup in the ballistocardiographic index of cardiac contraction force. These findings of a life change peak preceding ballistocardiographic evidence of an "overworked" heart are discussed in terms of their possible medical and psychophysiological significances.

摘要

36名曾有过心肌梗死记录的男性和女性提供了近期生活变化情况和心冲击图数据,他们中有一半最终死于该疾病,另一半在六年期间存活下来。18名死于冠心病的患者显示,生活变化显著增加,在死亡前约一年达到峰值;他们的系列心冲击图显示,平均收缩力显著增加,在死亡前约六个月达到峰值。在六年随访中存活下来的18名心肌梗死后患者,生活变化和心冲击图心脏收缩力指数均未增加。根据这些发现可能具有的医学和心理生理学意义,对在“过度劳累”心脏的心冲击图证据之前出现的生活变化峰值进行了讨论。

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