Document Detail

Psychosocial factors associated with noncardiac chest pain and cardiac syndrome X.
MedLine Citation:
PMID:  15754156     Owner:  NLM     Status:  MEDLINE    
Cardiac syndrome X, the triad of angina pectoris, positive exercise electrocardiogram (ECG) for myocardial ischemia and angiographically smooth coronary arteries, is associated with increased psychological morbidity, debilitating symptomatology and a poor quality of life. Patients with noncardiac chest pain (NCCP) are often similarly affected. The psychological morbidity noted among this patient population has been linked with a number of psychosocial factors, including impaired social support, traumatic life events, the negative impact of menopause among female sufferers, and an awareness of a family history of coronary heart disease (CHD). Cognitive behavioral therapy (CBT), group support, physical activity and relaxation techniques have been investigated as treatments for psychological morbidity among this patient group with varying degrees of success. While clinicians should be aware of the psychological aspect of patients with NCCP and cardiac syndrome X, further research is needed in order to establish a comprehensive physiological and psychological treatment regimen.
Elizabeth A Asbury; Peter Collins
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Herz     Volume:  30     ISSN:  0340-9937     ISO Abbreviation:  Herz     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-03-08     Completed Date:  2005-11-03     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7801231     Medline TA:  Herz     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  55-60     Citation Subset:  IM    
Department of Cardiac Medicine, National Heart and Lung Institute, Imperial College London, UK.
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MeSH Terms
Clinical Trials as Topic
Cognitive Therapy / methods*
Exercise Therapy / methods*
Mental Disorders / epidemiology,  psychology,  therapy*
Microvascular Angina / epidemiology,  psychology*,  therapy*
Relaxation Therapy*
Risk Assessment / methods
Risk Factors

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