[Stress-induced atrial fibrillation].

Abstract

AIM\nTo study clinical types of psychosomatic reactions with stress-induced atrial fibrillation (AF) and their contribution to personality disorders and characteristics of stressors.\n\n\nMATERIAL AND METHODS\nThe sample consisted of 34 patients with a stress-induced AF. A clinical/psychopathological method and psychometric scales were used.\n\n\nRESULTS AND CONCLUSION\nTwo groups of stress-induced psychosomatic reactions were identified. The first group somatic reactions led to a somatic catastrophe and were associated with paranoia and schizotypal personality disorders, constitutional alexithymia, as well as resistance to somatic problems. Second group was characterized by mental reactions leading to AF revealed predominantly in individuals with a histrionic and anxious personality disorders, reactive lability and the high level of neuroticism under the influence of severe stressors. The dynamics of psychopathological symptoms after AF manifestation was associated with different clinical forms of hypochondria.