title: [Effect of somatic factors on the mental state of patients who have had an acute myocardial infarct].
abstract: Patients who have survived 3 and more myocardial infarctions (MI) were found to exhibit psychopathologic symptoms twice as frequently as compared to patients with a history of 1-2 MIs. It is the duration (over 5 years) of angina pectoris or arterial hypertension, rather than mere presence of these diseases that appears to be essential for the development of anxiety and depression. Psychopathologic manifestations were about twice as frequent following life-threatening complications (shock, cardiac arrest, repeat MI) during the acute stage of infarction, as compared to uncomplicated clinical course of the disease. Possible causes underlying the established relationship are analysed. The more advantageous approaches to the study of psychosomatic cause--effect relationships in coronary disease are discussed.
mesh_terms: D000328:Adult; D000368:Aged; D000787:Angina Pectoris / Q000523:psychology; D001008:Anxiety Disorders / Q000209:etiology / Q000523:psychology; D002319:Cardiovascular System / Q000503:physiopathology; D003866:Depressive Disorder / Q000209:etiology / Q000523:psychology; D006801:Humans; D006973:Hypertension / Q000523:psychology; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000523:psychology*; D011599:Psychopathology; D013997:Time Factors
vernacular_title: Vliianie nekotorykh somaticheskikh faktorov na psikhicheskoe sostoianie bol'nykh, perenesshikh ostryĭ infarkt miokarda.