Kane F J, Wittels E, Harper R G
Baylor College of Medicine, Houston, TX 77030.
Tex Med. 1990 Jul;86(7):104-10.
Chest pain is a common clinical expression of coronary artery disease. Less well known is that chest pain is far more frequently a somatic expression of inner stress. This study reports on data gathered from all patients with completely normal angiograms studied in the Catheterization Laboratory of The Methodist Hospital in the years 1984 and 1985. Questionnaires were sent to 570 patients, and there were 371 replies. Of those who replied, 26% qualified for a diagnosis of "generalized anxiety disorder" only, while an additional 43% qualified for a diagnosis of "panic attacks" or "panic disorder." Stress was frequently diagnosed, but seldom treated. This article includes suggestions about identification of these disorders and their treatment.
胸痛是冠状动脉疾病常见的临床症状。鲜为人知的是，胸痛更常是内心压力的躯体表现。本研究报告了1984年和1985年在卫理公会医院导管实验室对所有血管造影完全正常的患者收集的数据。向570名患者发送了问卷，收到371份回复。在回复者中，26%仅符合“广泛性焦虑障碍”的诊断标准，另有43%符合“惊恐发作”或“惊恐障碍”的诊断标准。压力常常被诊断出来，但很少得到治疗。本文包括关于识别这些疾病及其治疗的建议。
