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Psychosomatic Medicine 29:621-633 (1967)
© 1967 American Psychosomatic Society

Determinants of Angina Pectoris

CORNELIS B. BAKKER M.D.1 and ROBERT M. LEVENSON M.D.1

1 Departments of Psychiatry and Medicine, University of Washington School of Medicine, and the Seattle Cardiac Work Evaluation Unit, Seattle, Wash.

In a study on 256 patients with arteriosclerotic heart disease, a comparison was made between the patients with angina pectoris and those without it. Patients of lower socioeconomic status and with a number of specific personality characteristics, such as compulsivity, tenseness, conflictuousness, and emotional ability, showed a higher incidence of angina pectoris. Follow-up indicated that the anxiety of both patient and doctor aroused by angina pectoris resulted in much delay in the rehabilitation of the patients in this group, even though for the period in which they were followed they had no greater mortality or morbidity than the group without angina pectoris.

Submitted on October 28, 1966




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