To study formation of the internal picture of coronary heart disease (CHD), 116 patients with schizophrenia and manic depressive psychosis who suffered angina pectoris attacks and myocardial infarction were followed up. The control group was made up of 106 CHD patients treated at the cardiological hospitals. Of these, 88.6% manifested borderline neuropsychic disorders due to the underlying heart disease. It has been established, that in patients suffering from psychoses, the hyponosognosic and anosognosic types of CHD survival (79.3% of cases) prevailed as compared to the control group (4.8% of cases). Unlike the control group patients, in patients with endogenous psychoses, the psychological and social factors lose their crucial importance in formation of the internal picture of CHD. Correct assessment of interrelations between the mental and somatic disease may contribute to improvement of the diagnosis and treatment of CHD as well as to the carrying out of rehabilitation measures.
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