摘要
对８０例ＡＭＩ患者进行发病前２小时应激事件回顾性调查、性格类型调查、血小板聚集测定及Ｈｏｌｔｅｒ检查，结果显示ＡＭＩ患者Ａ型性格者占８５％，诱发ＡＭＩ患者的应激事件主要为情绪激动。Ａ型行为组血小板聚集及值恶性室性心律失常的检出方面均高于Ｂ型行为组，提示Ａ型行为类型的ＡＭＩ者的心理应激可增加血小板聚集，增加心室易损性并具有一定的危险性。
The behavior pattern and stressful events experienced 2 hours before the onset of acute myocardic in-farction(AMI)were investigated in 80 patients admitted to a CCU.The platelet aggregation and blood viscosity were mea-sured immediately after patient's admission and the EEG changes were monitored continually with Holter for 48 hours.It is found that 68 AMI patients were with type A behavior pattern and 68%patients experienced intense emotional arouse within 2 hours prior to onset of AM I.The value of platelet aggregation and in cidnece of serious ventricular ar-rhythmia were significantly higher in patients with type A behavior pattern than those in patients with typo B behavior pattern.The results suggested that stressful event and type A behavior pattern might be risk factors to increase platelet ag-gregation and ventricular vulnerability to damage.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
1994年第1期10-12,共3页
Chinese Mental Health Journal
关键词
心肌梗塞
应激
血小板聚焦
AMI,stress,behavior pattern,platelet aggregation.arrhythmia.
