[Psychovegetative aspects of mechanic failure of the cardiac muscle in an acute period of transmural myocardial infarction].

AIM

To study psychoemotional, typological personality characteristics and vegetative status of patients with mechanical complications of acute transmural myocardial infarction (MI).

MATERIAL AND METHODS

107 patients with acute transmural MI were divided into three groups depending on the kind of mechanical myocardial failure (MMF) or its absence. The control group consisted of 20 healthy patients. The patients were examined for psychoemotional and typological features of personality and vegetative tone.

RESULTS

Introverts were prevalent among MI patients with MMF. A psychological picture of the examinees was made. The study group patients displayed vegetative dysfunction syndrome. A cognitive component of high anxiety in patients with postinfarction MMF was specified.

CONCLUSION

A cognitive component of anxiety in patients with acute transmural MI and MMF differs from that of patients with an uncomplicated course of the disease being hardly responsive to conventional therapy. Somatic component of anxiety in such patients manifests with vegetative dysfunction syndrome and demands prescription of beta-adrenoblockers as early as possible.