以胸闷为表现的抑郁／焦虑症误诊为冠心病456例临床分析  

Misdiagnosis of patients with depression/anxiety and chest tension by coronary heart disease

作　　者：史冬梅[1] 郭敏[1] 姜明明[1] 李月平[1] 刘宇扬[1] 周玉杰[1] 

机构地区：[1]首都医科大学附属北京安贞医院老年心内科,北京市100029

出　　处：《中国心血管病研究》2013年第1期6-8,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的探讨抑郁／焦虑症在心血管系统的临床表现，提高医生的识别能力。方法总结和分析456例误诊为冠心病的以胸闷为表现的抑郁／焦虑症患者的症状、体征等』临床特点。结果456例患者均表现为典型或类似的心绞痛症状，并都接受冠心病治疗，但是客观检查未见明显异常。进行汉密尔顿抑郁量表（HAMD）和焦虑量表（HAMA）评分，患者均不同程度地存在抑郁或焦虑症状，经过抗抑郁／焦虑治疗症状均得到缓解。结论对于以胸闷为l临床表现的患者，在进行心血管系统检查治疗的同时，不能忽视是抑郁或焦虑所致。提高医生识别意识是诊断抑郁或焦虑症的关键。Objective To investigate the clinical characteristics of patients with depression/anxiety and chest tension. Methods A total of 456 patients with depression/anxiety who were misdiagnosed by coronary heart disease （CHD） because of chest tension were analyzed. Results All the patients showed typical symptom similar with angina, received anti-ischemic treatment, but were excluded from CHD by objective examination. Hamilton Depression Scale and Anxiety Scale were performed and showed that all these patients have variety degree of de- pression or anxiety. The symptoms of chest tension were improved ＇after anti-depression or anti-anxiety therapy. Conclusion Depression/anxiety should not be neglected for patients presented with chest tension symptoms.

关 键 词：抑郁症 焦虑症 胸闷 冠状动脉疾病 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R541.4[医药卫生—临床医学]