title: [Silent myocardial ischemia. Psychosomatic viewpoint].
abstract: 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.
authors.affiliation: Service de médecine psychosomatique de l'UCL, Mont-Godinne.
authors.forename: P
authors.initials: P
authors.lastname: Janne
authors.forename: C
authors.initials: C
authors.lastname: Reynaert
authors.forename: R
authors.initials: R
authors.lastname: Kremer
authors.forename: M
authors.initials: M
authors.lastname: Vause
authors.forename: L
authors.initials: L
authors.lastname: Cassiers
authors.forename: W
authors.initials: W
authors.lastname: Huber
authors.forename: J
authors.initials: J
authors.lastname: Costermans
mesh_terms: 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
chemical_list: D004723:Endorphins
vernacular_title: L'ischémie myocardique silencieuse. Le point de vue psychosomatique.