Orth-Gomér K, Edwards M E, Erhardt L, Sjögren A, Theorell T
Acta Med Scand. 1980;207(1-2):31-6. doi: 10.1111/j.0954-6820.1980.tb09671.x.
The association between psychological characteristics and ventricular arrhythmias was investigated in 150 men (50 with manifest IHD, 50 with risk indicators of IHD and 50 healthy men). Arrhythmias were recorded with 24-hour Holter monitoring. Psychological characteristics were assessed by the Emotions Profile Index and the Structured Interview for pattern A behaviour. A depressive emotional state was associated with prognostically severe ventricular arrhythmia in healthy men, but not in men with overt IHD or risk indicators of IHD. When clinical characteristics and age were taken into account, depressiveness was-among healthy men-the second most important factor after high age. The results suggest that-in absence of IHD or other cardiovascular disease-a depressive emotional state may participate in the formation of ventricular arrhythmia.
在150名男性（50名患有明显缺血性心脏病、50名有缺血性心脏病风险指标者以及50名健康男性）中研究了心理特征与室性心律失常之间的关联。通过24小时动态心电图监测记录心律失常情况。采用情绪剖面指数和A型行为结构化访谈对心理特征进行评估。抑郁情绪状态与健康男性中预后严重的室性心律失常相关，但在患有明显缺血性心脏病或有缺血性心脏病风险指标的男性中则不然。在考虑临床特征和年龄后，在健康男性中，抑郁是仅次于高龄的第二大重要因素。结果表明，在没有缺血性心脏病或其他心血管疾病的情况下，抑郁情绪状态可能参与室性心律失常的形成。
