Adverse childhood experiences (ACE) are considered as risk factors for myocardial infarction (MI). It is unknown how ACE affects the experience of MI patients. In a qualitative study, a total of 25 MI patients with and without ACE (ACE: n = 20, N-ACE: n = 5) were asked about their biography and the heart attack. A content analysis was carried out. Inter-rater reliability showed a good to complete agreement. ACE patients reported primarily on experiences of loss and violence in their childhood and youth. ACE patients tend to dissimulate symptoms, and there is a hazardous latency of seeking medical help. The potential helpers are experienced as “impossible objects.” Primary care providers should pay special attention to the situation of ACE patients and be aware of their countertransference, that is, that the condition is not recognized as seriously as it should be.

中文翻译：

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危及生命的危机中的“不可能的物体”：对患有不良童年经历和心肌梗塞的患者的研究

不良童年经历 (ACE) 被认为是心肌梗塞 (MI) 的危险因素。目前尚不清楚 ACE 如何影响 MI 患者的体验。在一项定性研究中，共有 25 名有或无 ACE 的 MI 患者（ACE：n  = 20，N-ACE：n = 5）被问及他们的传记和心脏病发作。进行了内容分析。评分者间信度表现出良好的完全一致性。ACE 患者主要报告了他们童年和青年时期的失落和暴力经历。ACE 患者倾向于掩饰症状，并且存在寻求医疗帮助的危险潜伏期。潜在的帮助者被体验为“不可能的对象”。初级保健提供者应特别注意 ACE 患者的情况，并注意他们的反移情，即，病情没有得到应有的重视。