Kotake H, Fukuki M, Miyakoda H, Hisatome I, Fujimoto Y, Mashiba H
First Department of Internal Medicine, Tottori University School of Medicine, Yonago, Japan.
J Med. 1992;23(5):303-13.
To investigate interactions between cardiac arrhythmias and subjective complaints and the background, ambulatory electrocardiographic (ECG) monitoring and a mental test [Cornell Medical Index (CMI)] were performed on 32 patients who complained of anxiety due to palpitation and/or tachycardic feelings without organic heart disease. The patients were classified into two groups according to the Holter ECG. In one group symptoms corresponded with cardiac arrhythmias (Group C; n = 15); and the other group lacked corresponding arrhythmias in spite of their significant symptoms (Group B; n = 17). From psychological view points, 65% of Group B and 40% of Group C patients showed grades III or IV of CMI tests, whereas only 5% showed grade III in normal volunteers (Group A; n = 20). Patients suffering symptoms without associated cardiac arrhythmias may have psychophysiologic backgrounds, at least in a part. It might be necessary in the treatment of these patients to pay attention to the factor of cardiac neurosis.
为研究心律失常与主观症状及其背景之间的相互作用，对32例无器质性心脏病但因心悸和/或心动过速感而主诉焦虑的患者进行了动态心电图（ECG）监测和心理测试[康奈尔医学指数（CMI）]。根据动态心电图将患者分为两组。一组症状与心律失常相符（C组；n = 15）；另一组尽管有明显症状但无相应心律失常（B组；n = 17）。从心理学角度看，B组65%的患者和C组40%的患者CMI测试结果为III级或IV级，而正常志愿者（A组；n = 20）中只有5%为III级。有症状但无相关心律失常的患者可能至少部分存在心理生理背景。在治疗这些患者时，可能有必要关注心脏神经症因素。
