Document Detail

Psychological distress and exertional angina in men and women undergoing thallium scintigraphy.
MedLine Citation:
PMID:  16228694     Owner:  NLM     Status:  MEDLINE    
The relation between psychological factors and angina has mostly been studied in male patients with confirmed CAD and few have evaluated this relation during actual provocation of ischemia. This study evaluated gender differences in the association between psychological distress and angina pain experience in 907 Caucasian patients (479 women, mean age = 60 years) undergoing exercise stress testing with thallium scintigraphy. Data were analyzed separately for patients with and without exercise related ischemia using a series of 2 (low/high distress) x 2 (gender) ANOVAs as well as binary logistic regressions. Among all patients, distress and gender were associated with greater risk and intensity of angina pain during testing (p < 0.05) and more angina following exertion (p < 0.05) or stress (p < 0.05) at home. Conclusion: angina pain was more severe in women and individuals with high levels of distress, regardless of their ischemic status. A generalized hypersensitivity to pain/symptoms may be indicated in these patients.
Karine St-Jean; Bianca D'Antono; Gilles Dupuis
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2005-10-15
Journal Detail:
Title:  Journal of behavioral medicine     Volume:  28     ISSN:  0160-7715     ISO Abbreviation:  J Behav Med     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2006-02-23     Completed Date:  2006-05-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7807105     Medline TA:  J Behav Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  527-36     Citation Subset:  IM    
Montreal Heart Institute, Belanger Street East, Montreal, Quebec, H1T 1C8, Canada.
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MeSH Terms
Analysis of Variance
Angina Pectoris / physiopathology,  psychology*
Exercise Test / psychology*
Heart / radionuclide imaging*
Logistic Models
Middle Aged
Risk Factors
Severity of Illness Index
Sex Factors
Stress, Psychological / physiopathology*
Tomography, Emission-Computed, Single-Photon / psychology*

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