Zaĭtsev V P, Khramelashvili V V, Nikolaeva L F
Kardiologiia. 1983 Jan;23(1):86-9.
Patients who have survived 3 and more myocardial infarctions (MI) were found to exhibit psychopathologic symptoms twice as frequently as compared to patients with a history of 1-2 MIs. It is the duration (over 5 years) of angina pectoris or arterial hypertension, rather than mere presence of these diseases that appears to be essential for the development of anxiety and depression. Psychopathologic manifestations were about twice as frequent following life-threatening complications (shock, cardiac arrest, repeat MI) during the acute stage of infarction, as compared to uncomplicated clinical course of the disease. Possible causes underlying the established relationship are analysed. The more advantageous approaches to the study of psychosomatic cause--effect relationships in coronary disease are discussed.
研究发现，经历过3次及以上心肌梗死（MI）的患者出现精神病理症状的频率是有1 - 2次心肌梗死病史患者的两倍。心绞痛或动脉高血压的病程（超过5年），而非仅仅是这些疾病的存在，似乎对焦虑和抑郁的发展至关重要。与疾病无并发症的临床病程相比，在梗死急性期出现危及生命的并发症（休克、心脏骤停、再次心肌梗死）后，精神病理表现的出现频率约为两倍。分析了已确立关系背后的可能原因。讨论了研究冠心病心身因果关系的更有利方法。
