[Characteristics of the pathogenesis, manifestations and clinical course of psychogenically induced myocardial infarctions].
With the purpose of investigating peculiarities of psychogenically induced myocardial infarction (PIMI) 82 patients with primary myocardial infarction (MI) were chosen as the subjects of the given controlled study and divided into two groups. The main group consisted of 33 patients, the rest 49 formed the control group. The study showed that coronary atherosclerosis was more pronounced in the patients of the main group, among whom cases of exertional angina in past history were more frequent, and who had more pronounced coronary calcinosis compared to the patients of the control group. At the same time, the clinical course of MI in such patients is relatively benign, but it is more often complicated by early postinfarction angina. All this suggests that the pathogenesis of PIMI differs from that of "classic" MI. In particular, PIMI may be associated with the involvement of more distant parts of coronary vessels. Patients with PIMI seem to need to be regarded as having high risk of repeated coronary disasters.
Syrkin
A L
AL
Smulevich
A B
AB
Drobizhëv
M Iu
MIu
Doletskiĭ
A A
AA
Fominykh
E V
EV
Dobrovol'skiĭ
A V
AV
Shornikov
S B
SB
Ageëva
I V
IV
D000328:Adult; D000368:Aged; D000787:Angina Pectoris / Q000209:etiology; D002114:Calcinosis / Q000150:complications / Q000503:physiopathology; D009202:Cardiomyopathies / Q000150:complications / Q000503:physiopathology; D003324:Coronary Artery Disease / Q000150:complications / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology / Q000503:physiopathology* / Q000523:psychology*; D018570:Risk Assessment; D012307:Risk Factors