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روان شناسی و مشاوره::
ایسکمی میوکارد
Anger especially can trigger or increase vulnerability to serious clinical events, including myocardial ischemia, coronary thrombosis, myocardial infarction and sudden arrhythmic cardiac death in CAD patients (Mittleman, Maclure, & Sherwood, 1995; Reich, SeSilva, Lown, & Murawski, 1981; Verrier & Mittleman, 1996).
Associated increases in heart rate and blood pressure, and increases in systemic and coronary vascular tone, lead to myocardial ischemia through a mismatch of increased myocardial metabolic demand and decreased myocardial perfusion (Kop et al.
Mental stressors such as anger recall, public speaking, Stroop colour-word testing and mental arithmetic can induce myocardial ischemia in patients with CAD (Scho� der et al.
Furthermore, patients with mental stress induced myocardial ischemia are at increased risk of daily life myocardial ischemia and of subsequent cardiac events over a three year period (Stone et al.
The objective of the present study was to evaluate the effectiveness of a forgiveness program on angerrecall stress induced myocardial perfusion defects, using 99mTc-Tetrofosmin psychological stress SPECT imaging, on associated anger-recall induced haemodynamic responses contributing to myocardial ischemia, and on modification of psychometric profiles in patients with CAD.
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