中国临床心理学杂志

A型行为对心肌梗死范围及近期预后的影响

作者：夏大胜¹ 胡随瑜¹ 2 刘书坤¹ 郭倩玉¹

单位：1. 天津市第一中心医院天津 300073
2. 湖南医科大学附属湘雅医院

关键词：

分类号：R395.1

出版年,卷(期):页码：2000,8(2):116-117

摘要：

A型行为(TypeABehavior,TAB)已被认为是冠心病的独立危险因素[1],影响冠心病的发生、发展。

Objective: To study the influence of type A behavior (TAB) on infarct size and short-term prognosis of patients with acute myocardial infarction (AMI). Methods: 90 AMI patients were divided into TAB group (46 cases) and non-TAB group (34 cases) according to the TAB questionnaire. The infarct size was determined by peak level of CK and CK-MB as well as a QRS scoring system. The incidence rates of cardiac events during 4 weeks were also analyzed. Results: The peak value of CK and CK-MB as well as QRS score in TAB group were significantly higher than corresponding measures in non-TAB group (p<0.05). Rates of malignant ventricular arrythmia, post-infarction angina, reinfarction, heart failure and mortality were markedly higher in TAB group than in non-TAB group (26% versus 5.9%; 32.6% versus 8.8%; 19.6% versus 0%; 23.9% versus 2.9%; 17.4% versus 0%). Conclusion: TAB constituted a potentially contributing factor to enlargement of infarct size, affecting unfavorably the prognosis of patients with first AMI.

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作者简介：

参考文献：

1.The Review Panel on Coronary prone Behavior and coronary Heart Disease.Coronary-prone hehavior and coronary heart disease: A critical review.Circulation 1981,63:1199-1215
2.Friedman M.Type A behavior: Its diagnosis,cardiovascular relation and the effect of its modifi cation on recurrence of coronary artery disease.Am J cardiol,1989,64:12c-19c
3.Report of the oint International Society and Federation of Cardiology/World Health Organization Task Force on Standardization of Clinical Nomenclature. Nomenclature and criteria for diagnosis of ischemic heart disease. Circulation,1979,59:607-609
4.张伯源.心血管病人的心身反应特点的研究.心理学报,1985，(3)：314-319
5.Hindmen NB, Schocken DD, Widmman M et al.Evaluation of a QRS scoring system for estimating myocardial infarct size V: Specificity and method of application of the complete system. Am J cardiol,1985,55:1485-1490
6.Frank KA, Heller SS,kornfeld DS et al. Type A behavior pattern and coronary angiogrophic findings. JAMA,1978,240:761-763
7.Brackeff CD, Powell LH. Psychosocial and physiological,predictors of sudden cardiac death after healing of acute myocardial infarction.Am J cardiol,1998,61:979-983
8.Reich P,DeSilva RA, Lown B et al. Acute psychologic disturbances preceding life threatening ventricular arrhythmias.JAMA 1981,246:233-237
9.Kahn JP, Perumal AS, Gully RJ et al.Correlation of type A behavior with adrenergic receptor density:Implications for coronary artery disease pathogenesis. Lancet,1987,Ⅱ:937-939
10.吴爱勤，吴彩云，汪康平等.心理应激、A型行为与冠心病病人某些生化指标相关性研究.实用内科杂志,1992，12(6)：293-295

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