Psychological Factors in Atypical Chest Pain
نویسندگان
چکیده
Sir, We have read with interest the article on psychological factors in patients with normal and abnormal angiographic findings by Dave and Dhavale (1999) in Indian Journal of Psychiatry. The authors have brought out that patients with atypical chest pain had lower prevalence of type A behaviour and a unique 16-PF profile. However following points require reconsideration. Similar studies by Katon et al. (1988), Bass et al. (1984) and Alexander et al. (1994) have evaluated patients remaining blind to the cardiological status. The authors in the index study have selected two groups of 30 patients on the basis of coronary angiographic findings. The knowledge of these findings might have generated considerable bias during evaluation. The authors have specifically excluded rheumatic heart disease, valvular heart disease, ischaemic cardiomyopathy and congenital heart diseases in the controls (group B) who had abnormal coronary angiography and a diagnosis of ischaemic heart disease. As these disorders were not ruled out in group A it would be difficult to assume that the chest pain in them was atypical. The authors have not mentioned what other major physical illnesses were ruled out. The type of stresses and their severity (according to presumptive stressful life event scale score) may contribute more to the understanding of role of stresses in patients with chest pain than arbitrary groups depending upon only the number of stresses.
منابع مشابه
General Mental Health Status Scores of Patients with Atypical Chest Pain, a Case-Control Study
Objectives: Psychological problems could have some relationship with undetermined chest pain. The aim of this study was to compare the general mental health status of out-patients with atypical chest pain with a reference age and sex matched controls. Materials and Methods: Patients less than 40 years old, with atypical chest pain and low probability of ischemic heart disease were included in t...
متن کاملPapillary fibroelastoma of a mitral valve chordae, presenting with atypical chest pain and palpitation: A case report and the literature
Background: Primary intra cardiac tumors are rare. In this article, we present papillary fibroelastoma of mitral valve chordae. Case Presentation: A 35-year old man presented with atypical chest pain and palpitation. Physical examination and electrocardiogram were normal. Transesophageal echocardiography (TEE) revealed a mass of 1015 mm attached to chordae of anteromedial papillary muscle of ...
متن کاملDiagnostic challenges in an atypical chest pain, Tietze’s syndrome: a case report in Northeast of Iran
Tietze’s syndrome is an inflammatory disorder, which frequently misdiagnosed as the severe life-threating problem. Herein, we reported a case of a 23-year-old male, who complained about the acute chest pain after pneumonia complication. After full examination, he diagnosed as Tietze’s syndrome. Since the precise diagnosis of Tietze’s syndrome has a great importance, our report may raise conscio...
متن کاملCardiac patients perception about psychological risk factors on chest pain intensity and discomfort
متن کامل
Atypical chest pain of cardiac and esophageal origin.
Cardiac and esophageal causes of atypical pain in the chest are often a difficult diagnostic problem. The pain is considered atypical because of its unusual distribution or unusual precipitating and relieving factors. One hundred and five patients with such pain were evaluated by complete esophageal and cardiac investigation. Based on the results of the investigations, 43 patients were found to...
متن کامل