Research progress regarding the diagnosis and treatment of mental stress-induced myocardial ischemia

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 i...

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Bibliographic Details
Published in:Anatolian journal of cardiology 2020-09, Vol.24 (3), p.126-136
Main Authors: Huan, Na, Yu, Yonghui, Wang, Peili, Wang, Chenglong
Format: Article
Language:English
Subjects:
diagnosis
mental stress-induced myocardial ischemia
Review
treatment
Online Access:Get full text
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Summary: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.
ISSN:2149-2263
2149-2271
2149-2263
DOI:10.14744/AnatolJCardiol.2020.69447