焦虑症误诊为冠心病30例临床分析

目的:探讨焦虑症误诊为冠心病的常见原因。方法:对30例误诊为冠心病的焦虑症患者的临床资料进行回顾性分析。结果:患者年龄相对年轻,30~45岁,女性是男性1.5倍,并且大部分患者社会和精神压力较大;治疗后汉密顿焦虑量表评分明显低于治疗前(P<0.01);痊愈6例,显著好转18例,好转5例,无效1例。结论:焦虑症和冠心病有很多相似或相同症状,易误诊误治,临床医生要具有丰富的相关专业知识,在仔细询问病史和体格检查后,综合分析评估病情,减少误诊误治。

Reasons for misdiagnosis of anxiety disorders as coronary heart disease:an analysis of 30 cases

Objective：To explore the reasons for misdiagnosis of anxiety disorders as coronary heart disease.Methods：Thirty cases with anxiety disorders misdiagnosed as coronary heart disease were analyzed retrospectively.Results：The patients were relatively young at age（30 to 45）;female were more easily affected,accounting for 1.5 times more than the male;most of the victims endured great social and mental pressure.The mark of HAMA after treatment was obviously lower than that before treatment（P0.01）.Six cases recovered completely,18 improved significantly,5 improved and 1 had no response.Conclusions：As anxiety disorders and coronary heart disease present many similar or the same symptoms,it is easy to be misdiagnosed.Besides possessing rich professional knowledge,clinical doctors should ask about the case history of the patients in detail and make comprehensive analysis to decrease the incidence of misdiagnosis.