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Traumas linked to impasses at the level of the drives and relationships, and their negativizing consequences for the subject’s mentalisation, can lead to a heart attack involving coronary occlusion due to a spasm or an atheromatosis. The spasm can be the result of a psychosomatic regression in a young subject whose mental functioning is unstable, suffering from migraines with aura. The heart attack coming from an atheromatosis in young coronary patients can result in a progressive process of disorganisation.