Bloch A, Girod M, Bersier A L, Beurret L, Marc F, Maeder J P, Coulet B, Ecklin G
Schweiz Med Wochenschr. 1979 Dec 22;109(49):1963-6.
Psychosocial and standard risk factors were assessed in 21 young males aged 32--45 admitted for acute myocardial infarction. All patients underwent extensive clinical, dietary and psychosocial investigation by a team of cardiologists, psychiatrists, dieticians, social workers and physiotherapists both during hospitalization and later at home. Most standard risk factors were found infrequently and the estimated risk of coronary disease would have been low. Heavy smokers (1--4 packs of cigarettes per day) totalled 20/21 patients. In every case the patients, before myocardial infarction, had sustained severe long-term stress in their professional, social and/or familial environments. With rigid and obsessive personality patterns, they appeared to be the prisoners of their problem situations and totally unable to relax. Severe psychosocial stress and heavy smoking appear to be almost constant findings in young males admitted with acute myocardial infarction.
对21名年龄在32至45岁之间因急性心肌梗死入院的年轻男性进行了心理社会和标准风险因素评估。所有患者在住院期间以及随后在家中都接受了由心脏病专家、精神科医生、营养师、社会工作者和物理治疗师组成的团队进行的广泛临床、饮食和心理社会调查。大多数标准风险因素很少出现，估计冠心病风险较低。重度吸烟者（每天1至4包香烟）共有20/21例患者。在每一个病例中，患者在心肌梗死之前，在其职业、社会和/或家庭环境中都承受了严重的长期压力。他们有着刻板和强迫性的人格模式，似乎成为了自身问题情境的囚徒，完全无法放松。严重的心理社会压力和重度吸烟似乎是因急性心肌梗死入院的年轻男性中几乎恒定不变的表现。
