Bengtson A, Herlitz J, Karlsson T, Hjalmarson A
Department of Heart and Lung Diseases, Sahlgrenska Hospital, University Göteborg, Sweden.
Heart. 1996 Mar;75(3):257-60. doi: 10.1136/hrt.75.3.257.
To describe various symptoms other than pain among consecutive patients on the waiting list for possible coronary revascularisation in relation to estimated severity of chest pain.
All patients were sent a postal questionnaire for symptom evaluation.
All patients in western Sweden on the waiting list in September 1990 who had been referred for coronary angiography or coronary revascularisation (n = 904).
88% of the patients reported chest pain symptoms that limited their daily activities to a greater or lesser degree. Various psychological symptoms including anxiety and depression were strongly associated with the severity of pain (P < 0.001), as were sleep disturbances (P < 0.001), and dyspnoea and various psychosomatic symptoms (P < 0.001). Nevertheless only 44% of the patients reported chest pain as the major disruptive symptom, whereas the remaining 56% reported uncertainty about the future, fear, or unspecified symptoms as being the most disturbing.
In a consecutive series of patients on the waiting list for possible coronary revascularisation, half the participants reported that uncertainty and fear were more disturbing than chest pain.
描述在等待可能的冠状动脉血运重建治疗的连续患者中，除疼痛外与估计的胸痛严重程度相关的各种症状。
向所有患者发送邮寄问卷以进行症状评估。
1990年9月瑞典西部等待冠状动脉造影或冠状动脉血运重建治疗的所有患者（n = 904）。
88%的患者报告胸痛症状在一定程度上限制了他们的日常活动。包括焦虑和抑郁在内的各种心理症状与疼痛严重程度密切相关（P < 0.001），睡眠障碍（P < 0.001）、呼吸困难和各种心身症状也是如此（P < 0.001）。然而，只有44%的患者报告胸痛是主要的干扰症状，而其余56%的患者报告对未来的不确定性、恐惧或未明确的症状是最困扰他们的。
在等待可能的冠状动脉血运重建治疗的连续患者系列中，一半的参与者报告不确定性和恐惧比胸痛更令人困扰。
