Veĭn A M, Syrkin A L, Ibatov A D, Syrkina E A
Ter Arkh. 2003;75(10):30-3.
To study psychovegetative correlations and clinical course of ischemic heart disease (IHD) in men and women.
Personality characteristics (MMPI test), reactive and personal anxiety (Spilberger's questionnaire), severity of depression (Back's questionnaire), vegetative status (vegetative disorders questionnaire), variability of cardiac rhythm (cardiovascular tests) were studied in 60 females and 62 males with IHD.
IHD females vs males were characterized by higher neurotization, personal accentuation, more serious anxiety, depression and vegetative disturbances, lower variability of heart rate. IHD in females is more frequent in postmenopause, is characterized by less severe hemodynamically significant coronary stenoses.
Emotional disorders make a great contribution to a course of ischemic heart disease.
研究男性和女性缺血性心脏病(IHD)的心理植物神经相关性及临床病程。
对60名患有缺血性心脏病的女性和62名男性进行了研究,内容包括人格特征(明尼苏达多项人格测验)、反应性和个人焦虑(斯皮尔伯格问卷)、抑郁严重程度(贝克问卷)、植物神经状态(植物神经功能紊乱问卷)、心律变异性(心血管检查)。
与男性缺血性心脏病患者相比,女性患者具有更高的神经质性、个性突出、更严重的焦虑、抑郁和植物神经紊乱,心率变异性更低。女性缺血性心脏病在绝经后更为常见,其特点是血流动力学显著的冠状动脉狭窄程度较轻。
情绪障碍对缺血性心脏病的病程有很大影响。