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Research Progress on the Diagnosis and Treatment of Mental Stress-induced Myocardial Ischemia [Anatol J Cardiol]
Anatol J Cardiol. Ahead of Print: AJC-69447 | DOI: 10.14744/AnatolJCardiol.2020.69447  

Research Progress on the Diagnosis and Treatment of Mental Stress-induced Myocardial Ischemia

Na Huan1, Yonghui Yu2, Peili Wang1, Chenglong Wang1
1Department of Cardiology, Xiyuan Hospital, Cardiovascular Disease Center, Chinese Academy of Traditional Chinese Medicine, Beijing, P.R. China
2Department of Gynecology of Traditional Chinese Medicine, China-Japan Friendship Hospital, Beijing, P.R. China

The psychological stress myocardial ischemia (getting mental stress-induced myocardial ischemia, MSIMI) refers to the condition when patients with coronary heart disease expose to psychosocial and psychological stimulation of myocardial ischemia, different from the drug-induced myocardial ischemia. Therefore, it often escapes diagnosis, portends clinical risk, and affects the quality of life of MSIMI survivors. MSIMI is closely related to the poor prognosis of cardiovascular diseases, especially in young women according to the recent Clinical randomized controlled trials (RCTs) on MSIMI. These RCTs contain different sample sizes, intervention measures and detection techniques. There are also differences in prevalence rate, distribution characteristics, possible pathogenesis and clinical significance. At present, the diagnostic criteria, pathogenesis and treatment of MSIMI are still in the stage of clinical exploration. Based on RCTs in recent years, this paper summarizes the research status of MSIMI from the aspects of pathogenesis, diagnosis and treatment strategies, so as to provide a theoretical basis for the follow-up diagnostic methods and treatment guidelines for MSIMI.

Keywords: MSIMI, Diagnosis, Treatment, Review




Corresponding Author: Chenglong Wang, China


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