Behavioural cardiology - the knowledge advances outline and clinical applications in the study of the coronary artery disease
Journal Title: Polski Przegląd Kardiologiczny - Year 2008, Vol 10, Issue 2
Abstract
The aim of this study is to discuss the advances in research concerning the role of psychosocial factors in the etiopathogenesis and course of coronary artery disease, with the emphasis on the possibilities of the clinical applications. The key frame of reference in the analysis will be the work results of the international research team Psychocardiology Status Conference, where the knowledge advancement concerning this issue was verified and validated with the application of rigorous methodological criteria. The research results of Psychocardiology Status Conference created a reliable basis for evidence-based behavioural cardiology, the new discipline which analyses the role of psychosocial factors in the area of interest of clinical cardiology concerning the issue of coronary artery disease. In their works Psychocardiology Status Conference stressed the significant role of a low socioeconomic status, low social support and chronic work stress as well as depression in the etiopathogenesis of coronary artery disease. The type A behavioural pattern, however, was questioned as a coronary risk factor. Nowadays the key research point in behavioural cardiology is the issue of psychosocial intervention effectiveness, estimated with respect to the mortality rates and the reoccurrence of acute coronary events. In the light of the negative results concerning this issue obtained in the research programmes ENRICHD and SADHART, creating the model of secondary prevention of coronary artery disease which takes into consideration the psychosocial coronary risk factors encounters major difficulties.
Authors and Affiliations
Michał Skrzypek
Keywords
Related Articles
- EP ID EP84199
- DOI -
- Views 86
- Downloads 0
Clinical cardiology digest
The analysis of the correlations between coronary calcium score and selected cardiovascular risk factors in men
Introduction: Calcium Score allows for non-invasive assessment of coronary atherosclerosis and may add important information about cardiovascular risk. Calcium screening for the detection of coronary artery calcificatio...
Czynniki ryzyka zgonu w świeżym zawale serca po dotarciu chorego do oddziału kardiologii interwencyjnej - doświadczenia własne
Cel pracy: Określenie czynników ryzyka zgonu wśród chorych ze świeżym zawałem serca (acute myocardial infarction - AMI) przyjętych z intencją wykonania natychmiastowej koronarografii do pełniącego 24-godzinny dyżuroddzia...
Hypertension - guidelines update for 2006
Hypertension remains the major risk factor of cardiovascular diseases and the main threat for public health. From over 20 years series of specific guidelines have been published by the group of experts as well as by scie...
Acute myocardial infarction in elderly patients. How should they be managed?
Increasing number of elderly patients (over 75 years of age) results inrising percentage of patients treated with primary coronary angioplasty. The aim of the paper is to discuss the latest results of clinical studies on...