The pathogenesis of mental stress-induced myocardial ischemia: a review
10.3760/cma.j.issn.0254-9026.2021.04.024
- VernacularTitle:精神应激性心肌缺血发病机制探讨
- Author:
Na HUAN
;
Chenglong WANG
- From:
Chinese Journal of Geriatrics
2021;40(4):519-523
- CountryChina
- Language:Chinese
-
Abstract:
At present, diagnostic standards and treatment guidelines for mental stress-induced myocardial ischemia have not been established.Clinical symptoms are often seen in patients, but clinical evidence of myocardial ischemia is lacking.With increasing research closely related to mental stress-induced ischemia and adverse cardiovascular outcomes, more and more attention has been paid to coronary microcirculation in stenosis or coronary microvasospasm.With mental stress as a starting point, this article analyzes the incidence and characteristics of mental stress-induced myocardial ischemia and reviews its pathological mechanisms from the perspectives of myocardial inflammatory reaction, vasoconstriction, endothelial dysfunction, sympathetic nerve conduction and genetic factors.
