Your browser doesn't support javascript.
loading
Psychiatric Characteristics of the Cardiac Outpatients with Chest Pain
Korean Circulation Journal ; : 169-178, 2016.
Article in English | WPRIM | ID: wpr-221730
ABSTRACT
BACKGROUND AND

OBJECTIVES:

A cardiologist's evaluation of psychiatric symptoms in patients with chest pain is rare. This study aimed to determine the psychiatric characteristics of patients with and without coronary artery disease (CAD) and explore their relationship with the intensity of chest pain. SUBJECTS AND

METHODS:

Out of 139 consecutive patients referred to the cardiology outpatient department, 31 with atypical chest pain (heartburn, acid regurgitation, dyspnea, and palpitation) were excluded and 108 were enrolled for the present study. The enrolled patients underwent complete numerical rating scale of chest pain and the symptom checklist for minor psychiatric disorders at the time of first outpatient visit. The non-CAD group consisted of patients with a normal stress test, coronary computed tomography angiogram, or coronary angiogram, and the CAD group included those with an abnormal coronary angiogram.

RESULTS:

Nineteen patients (17.6%) were diagnosed with CAD. No differences in the psychiatric characteristics were observed between the groups. "Feeling tense", "self-reproach", and "trouble falling asleep" were more frequently observed in the non-CAD (p=0.007; p=0.046; p=0.044) group. In a multiple linear regression analysis with a stepwise selection, somatization without chest pain in the non-CAD group and hypochondriasis in the CAD group were linearly associated with the intensity of chest pain (β=0.108, R2=0.092, p=0.004; β= -0.525, R2=0.290, p=0.010).

CONCLUSION:

No differences in psychiatric characteristics were observed between the groups. The intensity of chest pain was linearly associated with somatization without chest pain in the non-CAD group and inversely linearly associated with hypochondriasis in the CAD group.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Outpatients / Psychology / Thorax / Chest Pain / Coronary Artery Disease / Cardiology / Linear Models / Coronary Disease / Dyspnea / Exercise Test Type of study: Prognostic study Limits: Humans Language: English Journal: Korean Circulation Journal Year: 2016 Type: Article

Similar

MEDLINE

...
LILACS

LIS

Full text: Available Index: WPRIM (Western Pacific) Main subject: Outpatients / Psychology / Thorax / Chest Pain / Coronary Artery Disease / Cardiology / Linear Models / Coronary Disease / Dyspnea / Exercise Test Type of study: Prognostic study Limits: Humans Language: English Journal: Korean Circulation Journal Year: 2016 Type: Article