geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Prodromal symptoms in myocardial infarction


, : Prodromal symptoms in myocardial infarction. PsychoTherapy and Psychosomatics 74(5): 323-327

Background., Little is known about the prodromal phase of myocardial infarction (MI). The aim of this study was to explore this phase with methodologies which have been standardized in affective disorders. The psychological evaluation of patients with MI diagnosis is currently based on DSM-IV criteria. An alternative diagnostic and conceptual framework has been proposed by an international group of psychosomatic investigators. In this study, we are going to compare these new criteria, i.e. the Diagnostic Criteria for Psychosomatic Research (DCPR), with DSM-IV in a population where a high prevalence of psychological problems is expected. Methods: A semistructured research interview based on Paykel's Clinical Interview for Depression for eliciting prodromal symptoms was administered to a consecutive series of 92 patients with a first episode MI diagnosis. Two interviews for the evaluation of psychological problems were administered according to DSM-IV and DCPR criteria. Results: Most of the patients reported prodromal symptoms. Irritability, depressed mood and somatic anxiety were the most common prodromal symptoms. The results also show that the number of DCPR diagnoses was higher than the number of DSM-IV diagnoses. At least one DCPR diagnosis was found in all patients, whereas at least one DSM-IV diagnosis was present in 42 (46%) patients. Conclusions: The prodromal phase of MI was found to be characterized by prodromal symptoms of affective type. The joint use of DSM-IV and DCPR criteria was found to improve the identification of psychological factors which could affect this phase. The results should alert the physician to the fact that patients presenting with irritability, depressed mood (including demoralization), anxiety and insomnia may be at risk of developing coronary artery disease. Copyright (c) 2005 S. Karger AG, Basel.

US$19.90

PMID: 16088271

DOI: 10.1159/000086324


Other references

Franzen, L.G.; Frank, G.; Zuber, H.; Rochaix, J.D., 1989: Isolation and characterization of complementary dna clones encoding photosystem i subunits with molecular masses 11.0 10.0 and 8.4 kda from chlamydomonas reinhardtii. cDNA clones encoding three photosystem I subunits of Chlamydomonas reinhardtii with apparent molecular masses 13, 5 and 3 kDa (thylakoid polypeptides 28, 35 and 37; P28, P35 and P37, respectively) were isolated using gene specific oligonucleotides...

Reeders, S.T.; Germino, G.G.; Gillespie, G.A., 1989: Recent advances in the genetics of renal cystic disease. Molecular Biology & Medicine 6(1): 81-86

Baxter K.G.; Bergh J.R.; Preston D.F.; Robinson R.G., 1990: Correlation of ca 15 3 ria values in patients with breast cancer with radiologic and clinical evaluations. Journal of Nuclear Medicine 31(5 SUPPL): 938

Shinzawa, M.; Tanaka, S.; Tokumasu, H.; Takada, D.; Tsukamoto, T.; Yanagita, M.; Kawakami, K., 2016: Maternal Smoking during Pregnancy, Household Smoking after the Child's Birth, and Childhood Proteinuria at Age 3 Years. Smoking is a well known risk factor of proteinuria in adults; however, clinical studies in children are limited. The purpose of this study is to clarify the associations of maternal smoking during pregnancy and household smoking after the child&ap...

Bouyoucos, George, 1925: The heat of wetting as a new means of estimating the colloidal material in soils. Soil Science 19(2): 153-162

Conceicao, J.C.S. da; Sao Clemente, S.C. de; Matos, E., 2000: Occurrence of Phagicola longus (Ranson, 1920) Price 1932 in mullets (Mugil sp) marketed in Belem, state of Para. The presence was investigated of metacercaria of Phagicola longus in commercial mullets in the municipal market of Ver-o-Peso, Belem, Para, Brazil. Fish were bought and transported to the research laboratory, where they were measured and examined....

Neves, Maria Helena Campos Baeta, 1993: Study of the marine cyanophytes from the Cabo Frio II Hormogonae. A study of the Bentic Marine Cyanophytes-Hormogonae from Cabo Frio Region (Brazil) (RJ) was made within its natural environment, according to the taxonomic hierarchy and taking into account the ecological data. The distinction among species is mad...

Petrick, M.; Spychalski, G.; Swityk, M.; Tyran, E., 2002: Economic situation and development perspectives of farms in Poland: an analysis based on survey data from selected Polish voivodships and a comparison with German farms. Data were collected in a survey of 464 Polish farms in 2000. Performance indicators of farms in three Polish voivodships are compared with farm accountancy data from Bayern and Mecklenburg. The results show that Polish farms are much less profitab...

Liang, L.; Song, Y.; Li, L.; Li, D.; Qin, M.; Zhao, J.; Xie, C.; Sun, D.; Liu, Y.; Jiao, T.; Liu, N.; Zou, G., 2015: Adipose-derived stem cells combined with inorganic bovine bone in calvarial bone healing in rats with type 2 diabetes. Clinical studies have revealed that patients with type 2 diabetes mellitus (DM) have higher implant and bone grafting failure rates than the general population, likely owing to inferior bone healing. The authors sought to investigate whether adipo...

Chen, You-Hua, 2007: Porownanie sposobow okreslania terenow waznych dla ochrony ptakow na przykladzie Chin. A quantitative process for the conservation analysis of 179 endangered birds of China is presented. At first, for each bird species its conservation priority status was assessed by calculating its conservation priority index (CPI), using six prote...