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神经和精神因素是室性心律失常和猝死的危险因素。临床经验提示,精神紧张与心绞痛、充血性心力衰竭和心律失常发作有关,高级神经活动与心源性猝死有关。动物实验提示自主神经系统在许多心律失常的发生中起有作用。然而,这些因素和心律失常的关系迄今尚未系统阐明。本文旨在探讨精神负荷是否系患者发生心律失常的一个重要因素。方法:19例患者,男17例,女2例,年龄18～67岁。12例为冠心病,有心绞痛、心肌梗塞史或经冠状动脉造影证实,其中2例曾作冠状动脉旁路手术,但未能控制心室颤动复发;4例心导管检查和心血管造影未见明显血液动力学、心肌或冠状动脉异常;另3
Neurological and psychiatric factors are risk factors for ventricular arrhythmias and sudden death. Clinical experience suggests that stress is associated with angina, congestive heart failure and arrhythmia episodes, and that advanced neuronal activity is associated with sudden cardiac death. Animal experiments suggest that the autonomic nervous system plays a role in the occurrence of many arrhythmias. However, the relationship between these factors and arrhythmia has not yet been systematically elucidated. This article aims to investigate whether mental stress is an important factor in patients with arrhythmias. Methods: 19 patients, 17 males and 2 females, aged 18 to 67 years. Twelve patients were diagnosed with coronary heart disease, angina pectoris, history of myocardial infarction, or confirmed by coronary angiography. Two of them had coronary artery bypass surgery, but failed to control the recurrence of ventricular fibrillation. No significant cardiac catheterization and cardiac angiography were found in 4 patients Hemodynamic, myocardial or coronary abnormalities; another 3