Wielgosz T
Act Nerv Super (Praha). 1982;Suppl 3(Pt 1):189-93.
Patients with chest pain and minimal or no coronary disease have a good prognosis for survival, yet many continue to experience chest pain. We analyzed factors related to unimproved chest pain among 548 medically treated patients one year after undergoing angiography at Duke University Medical Center. Variables from the history and catheterization findings were entered in a stepwise logistic regression function with follow-up pain as the dependent variable. For an unbiased subset of 196 patients we entered behavioral variables including 4 MMPI scales and coronary prone behavior type. Hypochondriasis was the most significant predictor of continuing pain. While the etiology of pain in symptomatic patients with insignificant or absent coronary disease has yet to be determined, these findings indicate that an excess identification of personal somatic complaints is prospectively associated with continuing, unimproved pain.
有胸痛症状且冠状动脉疾病轻微或无冠状动脉疾病的患者生存预后良好，但仍有许多人持续经历胸痛。我们分析了杜克大学医学中心548例接受血管造影术后一年接受药物治疗的患者中与胸痛未改善相关的因素。将病史和导管检查结果中的变量输入逐步逻辑回归函数，以随访时的疼痛作为因变量。对于196例无偏倚的患者子集，我们输入了行为变量，包括4个明尼苏达多相人格调查表量表和冠心病易患行为类型。疑病症是持续疼痛的最显著预测因素。虽然有症状但冠状动脉疾病不明显或无冠状动脉疾病的患者疼痛病因尚未确定，但这些发现表明，个人躯体主诉过多与持续未改善的疼痛存在前瞻性关联。
