An ST elevation in the left precordial leads is one of our five criteria for the pattern of actual peurosis (Boss). Further analytic and psychotherapeutic approaches were made to those patients with normal hearts which show a concave RS-T elevation in the left precordial leads. Examples of the life history of patients with a concave RS-T elevation were described. The development of a concave RS-T elevation by stress and its normalization by psychotherapy were demonstrated. The concave RS-T elevation similar to that found in patients with actual neurosis was found in patients treated by a long-term administration of glucocorticoids.
Anabolic steroids were given to nine patients placed upon long-term anticoagulant therapy to reduce raised serum lipid levels. The requirements of anticoagulants were reduced when patients receiving these drugs were administered anabolic steroids, and increased following withdrawal of them. Two of these patients developed haemorrhage following combined use of these drugs. Without anticoagulants, the administration of anabolic steroid alone did not influence prothrombin time and thromboplastin generation, remarkably. Careful control of anticoagulant dosage by Quick's one stage method and thrombotest may be required in the patients treated with anticoagulants and anabolic steroids in conjunction.