NOSOGENY IN SILENT-MYOCARDIAL-ISCHEMIA

Psychical reactions to ischemic cardiac disease (ICD) without angina p ectoris in 29 patients with ''silent'' myocardial ishemia were investi gated. It was demostrated that both hypo- and hypernosognosias were ob served in such patients. The former were presented by antihypochondria in individuals with hyperthymic or expansive schizoid personal Featur es meanwhile the latter - by neurotic hypochondria in patients with hy sterical characteristics. The severity of somatic state as well as myo cardial ischemia manifestation were the same both in hypo- and hyperno sognosias patients. There were no syndromal differences in reactions b oth to ''silent'' ischemia and on manifested forms of ICD. Psychologic al studies resulted in conclusion that hypernosognosias were associate d with high personal anxiety as far as hyponosognosias were not bound with such individual feature. It was supposed that low preoccupation a bout own health may be associated with different combinations of other individual features as well as with functioning of psychological prot ection mechanisms.