The Association of Nocturnal Angina Pectoris with Dreaming (1965)

Article1 December 1965The Association of Nocturnal Angina Pectoris with DreamingJ. B. NOWLIN, M.D., W. G. TROYER JR., M.D., W. S. COLLINS, M.D., G. SILVERMAN, M.D., C. R. NICHOLS, M.D., H. D. MCINTOSH, M.D., F.A.C.P., E. H. ESTES JR., M.D., F.A.C.P., M. D. BOGDONOFF, M.D., F.A.C.P.J. B. NOWLIN, M.D., W. G. TROYER JR., M.D., W. S. COLLINS, M.D., G. SILVERMAN, M.D., C. R. NICHOLS, M.D., H. D. MCINTOSH, M.D., F.A.C.P., E. H. ESTES JR., M.D., F.A.C.P., M. D. BOGDONOFF, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-63-6-1040 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe value of a restful sleep at night has been repeatedly stressed in the care of the patient with angina pectoris. However, some individuals with the anginal syndrome are aroused at night with chest pain similar to their daytime discomfort. This occurrence of angina pectoris during sleep has long been of interest to the clinician. William Heberden, in his classic treatise on angina pectoris written in 1768, accentuated the nocturnal aspects of the syndrome, stating ". . . and it will often oblige them (the patients) to rise up out of their bed every night for many months together ..."...References1. WHITE PD Cited by : Heart Disease, 3rd ed. The MacMillan Co., 1944, p. 816. Google Scholar2. HOME E: Life of John Hunter, in Classic Descriptions of Disease, 4th ed., edited by MAJOR, R. H. Charles C Thomas, Springfield, Ill., 1955, p. 423. Google Scholar3. LEVINE SA: Clinical Heart Disease, 4th ed. W. B. Saunders Co., Philadelphia 1951, p. 87. Google Scholar4. LOOMISHARVEYHOBART ALENGA: Electrical potentials of the human brain. J. Exp. Psychol. 19: 259, 1935. Google Scholar5. ASERINSKYKLEITMAN EN: TWO types of ocular motility occurring in sleep. J. Appl. Physiol. 8: 1, 1955. CrossrefMedlineGoogle Scholar6. DEMENTKLEITMAN WN: The relation of eye movements during sleep to dream activity: an objective method for the study of dreaming. J. Exp. Psychol. 55: 339, 1957. CrossrefGoogle Scholar7. GOODENOUGHSHAPIROHOLDENSTEINSCHREIBER PRAML: A comparison of 'dreamers' and 'non-dreamers': eye movements, electroencephalograms, and the recall of dreams. J. Abnorm. Soc. Psychol. 59: 295, 1959. CrossrefGoogle Scholar8. FOULKES WD: Dream reports from different stages of sleep. J. Abnorm. Soc. Psychol. 65: 14, 1962. CrossrefMedlineGoogle Scholar9. WOLPERTTROSMEN EAH: Studies in psychophysiology of dreams: I. Experimental evocation of segmented dream episodes. Arch. Neurol. Psychiat. (Chicago) 79: 603, 1958. CrossrefMedlineGoogle Scholar10. SNYDERHOBSONMORRISONGOLDFRANK FJADFF: Changes in respiration, heart rate and systolic blood pressure in human sleep. J. Appl. Physiol. 19: 417, 1964. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Durham, North CarolinaFrom the Departments of Medicine and Psychiatry, Duke University Medical Center, Durham, N. C.This study was supported in part by research grant HE 08571-01 and program projects grant HE 07563-03 from the National Institutes of Health, Bethesda, Md., grant 64 G 159 from the American Heart Association, New York, N. Y., and a grant-in-aid from the U. S. Council for Tobacco Research.Requests for reprints should be addressed to John B. Nowlin, M.D., Department of Medicine, Duke University Medical Center, Durham, N. C. 27706. 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The effects of amitriptylineClinical Diagnosissome current issues in psychosomatic researchTreatment of Severe Angina PectorisMedical management of patients with angina pectorisPathophysiology of ischemic heart diseaseDreams that Precede a Psychosomatic IllnessPathophysiology and differential diagnosis of cardiac painPsychopharmacologic Management of Anxiety in the Cardiac PatientThe Pharmacology of Rapid Eye Movement SleepEmotional stress, physical activity and ischemic heart diseaseCorrelation of heart rate variability with ST changes during 24 hour Holter monitoringSleepSleep Characteristics of Patients with Angina PectorisSleepTHE ROYAL COMMISSIONSLEEP REGIMEN FOR MYOCARDIAL INFARCTIONSleep and Dreams Recent Research on Clinical AspectsANTHONY KALES, M.D., GILDON N. BEALL, M.D., RALPH J. BERGER, PH.D., GUNNAR HEUSER, M.D., ALLAN JACOBSON, M.D., JOYCE D. KALES, M.D., ARTHUR H. PARMELEE JR., M.D., RICHARD D. WALTER, M.D.Sleep studies in asthmatic adults: Relationship of attacks to sleep stage and time of nightTHE ROLE OF DIABETOGENIC HYPERINSULINISM IN NOCTURNAL ANGINA PECTORIS, WITH SPECIAL REFERENCE TO THE ETIOLOGY OF ISCHEMIC HEART DISEASE*Editorial BriefCatecholamine secretion and sympathetic nervous responses to emotion in men with and without angina pectorisCirculatory changes associated with spontaneous angina pectorisEVALUATION OF PROPRANOLOL ("INDERAL") IN THE TREATMENT OF ANGINA PECTORISAnxiety Levels in Dreams: Relation to Changes in Plasma Free Fatty Acids 1 December 1965Volume 63, Issue 6Page: 1040-1046KeywordsAnginaElectrocardiographyElectroencephalographyHeartIschemiaLongitudinal studiesPatientsResearch grantsResearch laboratoriesSleep Issue Published: 1 December 1965 PDF downloadLoading ...