دانلود مقاله ISI انگلیسی شماره 77915
عنوان فارسی مقاله

آنژین صدری در طول فعالیت های روزانه و تست ورزش: نقش ایسکمی میوکارد القایی و پریشانی روانی

کد مقاله سال انتشار مقاله انگلیسی ترجمه فارسی تعداد کلمات
77915 2008 11 صفحه PDF سفارش دهید محاسبه نشده
خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.
عنوان انگلیسی
Angina pectoris during daily activities and exercise stress testing: The role of inducible myocardial ischemia and psychological distress
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : PAIN, Volume 139, Issue 3, 31 October 2008, Pages 551–561

کلمات کلیدی
وضعیت سلامت؛ کیفیت زندگی؛ بیماری کرونری قلب؛ افسردگی؛ اضطراب؛ جسمانی؛ علائم؛ درد قفسه سینه؛ درد احشایی
پیش نمایش مقاله
پیش نمایش مقاله آنژین صدری در طول فعالیت های روزانه و تست ورزش: نقش ایسکمی میوکارد القایی و پریشانی روانی

چکیده انگلیسی

Physicians often consider angina pectoris to be synonymous with myocardial ischemia. However, the relationship between angina and myocardial ischemia is highly variable and we have little insight into the sources of this variability. We investigated the relationship of inducible myocardial ischemia on SPECT stress perfusion imaging to angina reported with routine daily activities during the previous four weeks (N = 788) and to angina reported during an exercise stress test (N = 371) in individuals with confirmed or suspected coronary disease referred for clinical testing. We found that angina experienced during daily life is more strongly and consistently associated with psychological distress and the personal threat associated with angina than with inducible myocardial ischemia. In multivariable models, the presence of any angina during routine activities over the prior month was significantly associated with age, perceived risk of myocardial infarction, and anxiety when compared to those with no reported angina in the past month. Angina during daily life was not significantly associated with inducible myocardial ischemia on stress perfusion imaging in bivariate or multivariable models. In contrast, angina experienced during exercise stress testing was significantly related to image and ECG ischemia, though it was also significantly associated with anxiety. These results suggest that angina frequency over the previous four weeks is more strongly associated with personal threat and psychosocial distress than with inducible myocardial ischemia. These results lend support to angina treatment strategies that aim to reduce threat and distress as well as to reduce myocardial ischemia.

خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.