Dumitrascu D L, Hopulele S, Baban A
Third Medical Clinic, School of Medicine, Cluj Romania.
Med War. 1993 Jan-Mar;9(1):45-51. doi: 10.1080/07488009308409076.
The cardiovascular system may react to stress either by coronary events, such as angina pectoris or myocardial infarction, or by non-coronary responses, such as rises in blood pressure or non-specific circulatory disorders and chest pain. There is contradictory information about the cardiovascular reactions to war stress. The aim of this study was to investigate the effects of stress produced by the uprising of December 1989 in Romania on the cardiovascular system. Cases referred from 21 to 31 December 1989 to the emergency department of the largest university clinic of the Cluj district, and those admitted there, were analysed and compared with cases referred in the same periods in 1988, 1990 and 1991 and from 1 to 10 January 1990. There was a significant increase in non-coronary cardiovascular complaints referred for consultation in the first 10 days from the beginning of the uprising in Cluj and a non-significant increase in the following 10 days, but no increase in consultations for complaints of coronary origin due to unstable angina and acute myocardial infarction or changes in hospital admissions. In conclusion, the stress produced by the uprising in Romania was correlated with a higher incidence of non-coronary cardiovascular complaints but no alteration in coronary events (unstable angina, acute myocardial infarction), or in hospital admissions for cardiovascular complaints.
心血管系统对压力的反应可能表现为冠状动脉事件，如心绞痛或心肌梗死，也可能表现为非冠状动脉反应，如血压升高、非特异性循环系统紊乱和胸痛。关于战争压力对心血管系统的反应，存在相互矛盾的信息。本研究的目的是调查1989年12月罗马尼亚起义所产生的压力对心血管系统的影响。对1989年12月21日至31日转诊至克卢日地区最大的大学诊所急诊科的病例以及在该诊所住院的病例进行了分析，并与1988年、1990年和1991年同期以及1990年1月1日至10日转诊的病例进行了比较。在克卢日起义开始后的前10天，因非冠状动脉心血管疾病前来咨询的病例显著增加，在接下来的10天里有不显著的增加，但因不稳定型心绞痛和急性心肌梗死导致的冠状动脉源性疾病的咨询病例没有增加，住院人数也没有变化。总之，罗马尼亚起义所产生的压力与非冠状动脉心血管疾病的较高发病率相关，但冠状动脉事件（不稳定型心绞痛、急性心肌梗死）或心血管疾病住院人数没有改变。
