心因が関与せる狭心症の1症例

書誌事項

タイトル別名
  • A Case of Angina Pectoris to be influenced by Psychic Factor.

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While a patient was being telemetered by radioelectrocardiogram and was watching a wrestling match on TV, he was attacked by angina pectoris. In regard to this patient, psychosomatic study was perfomed and the following result was obtained. 1) As the match proceeded, the number of pulse of the patient increased more by 55% than that of before the match began and lowering of ST on ECG was acknowledged. At the same time, the rise of blood pressure was accompanied. Furthermore, this change on ECG became more outstanding when the Japanese wrestler of the patient's favourite was losing the match. 5 minutes later he was attacked by angina pectoris and extrasystole was also found on ECG. 2) Under hypnosis, tachycardia and lowering of ST on ECG were observed when it was suggested the patient that he was really watching a TV wrestling programme. When it was additionally suggested him that the wrestler was losing the mateh, he complained angina pectoris. The change on ECG under hypnosis was not so marked as when he was actually watching TV. This change on ECG became normal by therapeutic suggestion under hypnosis. 3) In both cases of watching TV and giving a suggestion under hypnosis, the number of pulse increased before the patient suffered from angina pectoris, but decreased when he was attacked by angina pectoris. 4) Pain of angina pectoris had no special relation with lowering of ST, T on ECG. From this result, I conclude that, in case of diagnosis of angina pectoris, influence by emotional stress must be carefully examined and when psychic factor has a close relation with the cause of angina pectoris like this case, active psychosomatic therapy must be carried out.

収録刊行物

  • 精神身体医学

    精神身体医学 9 (1), 41-46, 1969-02

    一般社団法人日本心身医学会

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