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Isquemia silenciosa del miocardio. ¿Es la persona o el evento silencioso?
A J Barsky1, B Hochstrasser, N A Coles
1Psychiatry Service, Massachusetts General Hospital, Boston, MA 02114.
JAMA
|September 5, 1990
Resumen
La percepción del paciente influye significativamente en la experiencia de los síntomas. La isquemia miocárdica puede presentarse como isquemia silenciosa debido a la hiposensibilidad sensorial, la negación o la atribución errónea de los síntomas.
Área de la Ciencia:
- Cardiología Cardiología.
- La medicina psicosomática es una medicina psicosomática.
- La percepción médica es la percepción médica.
Sus antecedentes:
- La presentación de los síntomas en la enfermedad orgánica es altamente individualizada.
- El vínculo entre la isquemia miocárdica y el dolor torácico es inconsistente, con casos de dolor sin isquemia y isquemia asintomática.
Objetivo del estudio:
- Para explorar la variabilidad en la experiencia de los síntomas en pacientes con isquemia miocárdica.
- Investigar los factores que contribuyen a la percepción de las sensaciones cardíacas.
Principales métodos:
- El estudio revisa la literatura existente sobre la percepción del paciente y la notificación de síntomas en enfermedades cardiovasculares.
- Análisis de factores que influyen en la experiencia subjetiva de las sensaciones viscerales.
Principales resultados:
- El estilo perceptivo y cognitivo del paciente moldea significativamente la experiencia de los síntomas.
- La isquemia asintomática puede ser el resultado de la hiposensibilidad visceral, la negación psicológica de la enfermedad o la atribución errónea de las sensaciones cardíacas.
Conclusiones:
- La percepción individual del paciente es un factor crítico para comprender la manifestación de la isquemia miocárdica.
- Se necesita más investigación para comprender el papel del individuo en la percepción de los eventos cardíacos y los síntomas asociados.
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