Abstract
In a case of house-wife of 49 years old, who had been suffering from attacks of chest pain resembling angina pectoris for 4 years, a diagnosis of anxiety neurosis was given by a psychosomatic analysis after her hospitalization. Her electrocardiogram was monitored and recorded frequently during attacks; however, no abnormal ST, T change was observed even during her attack. Also in her coronary angiography, no abnormal coronary occulusion was recognized. She had several kinds of familial throubles in her life history. In addition, repeated events of death in her family and relatives promoted fer attacks. Thus we found that there was a close relation between her attacks and her psychological factors. As she understood that she had no coronary heart disease, her complaints gradually improved and her attackes disappeared completely 2 months later.It was concluded that a combination of careful observation of continuous monitoring electrocardiogram and psychoanalysis was important for differentiating real angina pectoris from anxiety neurosis resemblimg angina pectoris.
