| Psychological distress and exertional angina in men and women undergoing thallium scintigraphy. | |
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MedLine Citation:
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PMID: 16228694 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Karine St-Jean; Bianca D'Antono; Gilles Dupuis |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2005-10-15 |
Journal Detail:
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Title: Journal of behavioral medicine Volume: 28 ISSN: 0160-7715 ISO Abbreviation: J Behav Med Publication Date: 2005 Dec |
Date Detail:
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Created Date: 2006-02-23 Completed Date: 2006-05-17 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7807105 Medline TA: J Behav Med Country: United States |
Other Details:
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Languages: eng Pagination: 527-36 Citation Subset: IM |
Affiliation:
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Montreal Heart Institute, Belanger Street East, Montreal, Quebec, H1T 1C8, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Analysis of Variance Angina Pectoris / physiopathology, psychology* Exercise Test / psychology* Female Heart / radionuclide imaging* Humans Logistic Models Male Middle Aged Quebec Risk Factors Severity of Illness Index Sex Factors Stress, Psychological / physiopathology* Tomography, Emission-Computed, Single-Photon / psychology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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