Young L D, Barboriak J J, Anderson A J
General Hospital Psychiatry, Milwaukee.
Cardiology. 1988;75(1):10-6. doi: 10.1159/000174344.
This study assessed behavioral activity, dietary and emotional variables among patient cohorts with angina pectoris, atypical chest pain, and no chest pain in whom coronary disease is suspected. Questionnaire responses of 3,899 employed male patients at the time of coronary arteriography were analyzed. Patients with angina pectoris had high levels of coronary-prone and neurotic attitudes, and fatigue variables including feeling unrested on awakening, easy fatiguability, reducing activity at work and arriving home tired. Atypical chest pain patients showed coronary-prone and neurotic attitudes similar to the angina pectoris group but had less coronary occlusion and lower levels of fatigue variables. Compared to the other groups, atypical chest pain patients were more likely to skip breakfast and showed a trend to eat fast. These findings suggest that including assessment of activity levels, fatiguability, eating behavior, neurotic traits and coronary-prone attitudes at time of coronary arteriography can have some limited value for patients with chest pain who may seek cardiac treatment but could benefit from alternative approaches.
本研究评估了疑似冠心病的心绞痛、非典型胸痛和无胸痛患者队列中的行为活动、饮食及情绪变量。分析了3899名在职男性患者在冠状动脉造影时的问卷回复。心绞痛患者具有较高水平的冠心病倾向和神经质态度，以及疲劳变量，包括醒来时感觉未休息好、容易疲劳、工作时减少活动以及回家时疲惫。非典型胸痛患者表现出与心绞痛组相似的冠心病倾向和神经质态度，但冠状动脉阻塞较少，疲劳变量水平较低。与其他组相比，非典型胸痛患者更有可能不吃早餐，且有进食速度快的趋势。这些发现表明，在冠状动脉造影时评估活动水平、易疲劳性、饮食行为、神经质特征和冠心病倾向态度，对于可能寻求心脏治疗但可能从替代方法中受益的胸痛患者可能具有一定的有限价值。
