急性心筋梗塞再発症例における心身医学的検討

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A psychosomatic case study of 10 patients with recurrent AMI was performed.One was a female and nine others were males. Their ages at the first attack ranged from 38 to 69 years. All patients were in a stressfull situation prior to AMI onset. Nine of them showed the type A and one non-type A behavior pattern identified by interview, JAS and author's questionnaire method. With managing class patients, their emotional stress was concerned with occupational involvement and hard-driving tendencies. Most of them did not make any effort to alter their type A behavior pattern after their first cardiac crisis. Thus it can be expected that is patient did not alter his type A behavior pattern after initial AMI attack, he had a severe risl of recurrent AMI. Psychosomatic risk factors associated with the first AMI attack may become the risk factors for recurrent attacks.Patients with the type A bahavior pattern seemed to have the following tendencies in their daily lives.1. Tendency to make vicious circle between excessive involvement in job and emotional stress by job.2. Tendency to involve and accelerate other coronary risk factors.3. Tendency to have wrong over-confidence, lack of self-awareness of being ill, and of proper self-control to prevent secondary heart attack.The type A behavior pattern should be considered as one of the most important risk factors for recurrence of AMI.Further clinical approach for the secondary prevention of AMI may be promoted by psychosomatic studies of the possible role played by the type A behavior pattern.
日本心身医学会の論文
1986-08-01

急性心筋梗塞再発症例における心身医学的検討

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