Gorodezky M, Rotberg T, Pérez de Francisco C
Arch Inst Cardiol Mex. 1977 May-Jun;47(3):277-80.
One-hundred records taken at chance from the archives of the Instituto Nacional de Cardiología de México, with the diagnosis of healthy heart, were studied. The following factors of these patients were analyzed: age, sex, civil status, socio-economic level, occupation, family antecedents, personal antecedents, smoking, alcoholism, presence of cardiac murmurs, arrhythmias, and electrocardiogram. In 80 of these patients there existed a clear neurotic alteration. The main symptoms which they suffered were: dyspnea, pain, palpitations, dizziness, and headaches. We found that the influence of the medical environment and living with cardiac patients in a neurotic individual were predisposing factors of a cardiac neurosis. In many cases the physician is responsable if he hesitates or does not advice properly. It can be concluded that it is necessary to establish a rehabilitation program for these patients since the illness is serious and invalidating and very frecuent, with repercussions at the familiar, social, and economic levels.
从墨西哥国家心脏病学研究所的档案中随机抽取了100份诊断为心脏健康的记录进行研究。分析了这些患者的以下因素：年龄、性别、婚姻状况、社会经济水平、职业、家族病史、个人病史、吸烟、酗酒、心脏杂音、心律失常和心电图。在这些患者中有80人存在明显的神经症性改变。他们主要的症状有：呼吸困难、疼痛、心悸、头晕和头痛。我们发现，医疗环境的影响以及与心脏病患者生活在一起，对于神经症患者而言是心脏神经症的诱发因素。在许多情况下，如果医生犹豫不决或给出不当建议，他是有责任的。可以得出结论，有必要为这些患者制定康复计划，因为这种疾病严重且使人丧失劳动能力，而且非常常见，会对家庭、社会和经济层面产生影响。
