[Silent myocardial ischemia. Psychosomatic viewpoint].
Recent research has shown that myocardial ischemia, even in a severe form, may occur without anginal symptoms. The pathophysiology of such silent ischemic episodes and cardiac ischemic pain in general remain unclear. The aim of this study is to investigate the possible interaction between undercomplaining and denial mechanisms with pain acceptance, in order to see if such psychological factors may be of value in understanding the clinical difference between silent and painful ischemia in coronary artery diseased patients. The psychosomatic approach appears to be relevant for the study of cardiac pain and a new understanding of silent myocardial ischemia is thus proposed and discussed.
Janne
P
P
Service de médecine psychosomatique de l'UCL, Mont-Godinne.
Reynaert
C
C
Kremer
R
R
Vause
M
M
Cassiers
L
L
Huber
W
W
Costermans
J
J
D000787:Angina Pectoris / Q000378:metabolism / Q000523:psychology*; D003717:Denial, Psychological; D004723:Endorphins / Q000378:metabolism; D006801:Humans; D010146:Pain / Q000523:psychology; D010551:Personality; D011602:Psychophysiologic Disorders / Q000523:psychology
D004723:Endorphins
L'ischémie myocardique silencieuse. Le point de vue psychosomatique.