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Research progress regarding the diagnosis and treatment of mental stress-induced myocardial ischemia [Anatol J Cardiol]
Anatol J Cardiol. 2020; 24(3): 126-136 | DOI: 10.14744/AnatolJCardiol.2020.69447  

Research progress regarding 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-China
2Department of Gynecology of Traditional Chinese Medicine, China-Japan Friendship Hospital; Beijing-China

Myocardial ischemia resulting from psychological stress [mental stress-induced myocardial ischemia (MSIMI)] refers to the condition wherein psychosocial and psychological stimulations cause myocardial ischemia in patients with coronary heart disease, which is different from drug-induced myocardial ischemia. Therefore, this condition 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 recent randomized, controlled trials (RCTs) on MSIMI. These RCTs involved different sample sizes, interventional measures, and detection techniques. Moreover, differences exist regarding the prevalence rate, distribution characteristics, possible pathogenesis, and clinical significance. Nevertheless, currently, the diagnostic criteria, pathogenesis, and treatment of MSIMI are still in the clinical exploration stage. Hence, considering recent RCTs, this paper summarizes the research status of MSIMI from the aspects of pathogenesis, diagnosis, and treatment strategies to provide a theoretical basis for the follow-up diagnostic methods and treatment guidelines for MSIMI.

Keywords: mental stress-induced myocardial ischemia, diagnosis, treatment, review


Na Huan, Yonghui Yu, Peili Wang, Chenglong Wang. Research progress regarding the diagnosis and treatment of mental stress-induced myocardial ischemia. Anatol J Cardiol. 2020; 24(3): 126-136

Corresponding Author: Chenglong Wang, China


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