Abstract
Despite impressive gains made in the treatment of coronary heart disease (CHD), it remains the number one cause of death and a major cause of disability among women and men in the United States (US). By the year 2020, CHD is projected to be the number one cause of death worldwide [1]–[3]. Coronary heart disease claims more lives each year than the next five causes of death combined [1]. The effect of various demographic (e.g., age, gender) and clinical (e.g., the presence of comorbidities) characteristics on development of cardiac events and on recovery has been well studied [4]. These demographic and clinical characteristics are used commonly in clinical practice to determine patient risk for future events.
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References
American Heart Association (2002) Heart disease and stroke statistics-2003 update. Dallas: American Heart Association
Chockalingam A, Balaguer-Vintro I, Achutti A et al (2000) The World Heart Federation’s white book: impending global pandemic of cardiovascular diseases: challenges and opportunities for the prevention and control of cardiovascular diseases in developing countries and economies in transition. Canad J Cardiol 16:227–229
Reddy KS, Yusuf S (1998) Emerging epidemic of cardiovascular disease in developing countries. Circulation 97:596–601
Breithardt G, Borggrefe M, Fetsch T et al (1995) Prognosis and risk stratification after myocardial infarction. Eur Heart J 16(Suppl G):10–19
Kubzansky LD, Kawachi I (2000) Going to the heart of the matter: do negative emotions cause coronary heart disease? J Psychosom Res 48:323–337
Kubzansky LD, Kawachi I, Weiss ST, Sparrow D (1998) Anxiety and coronary heart disease: a synthesis of epidemiological, psychological, and experimental evidence. Ann Behav Med 20:47–58
Rozanski A, Blumenthal JA, Kaplan J (1999) Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation 99:2192–2217
Barlow DH (1988) Anxiety and its disorders. New York: Guilford
Lewis MA, Haviland JM (Eds) (1993) Fear and anxiety as emotional phenomena: Clinical phenomenology, evolutionary perspectives, and information-processing mechanisms. New York: Guilford Press
Smith TW, Ruiz JM (2002) Psychosocial influences on the development and course of coronary heart disease: current status and implications for research and practice. J Consult Clin Psychol 70:548–568
Kubzansky LD, Kawachi I, Spiro A et al (1997) Is worrying bad for your heart? A prospective study of worry and coronary heart disease in the Normative Aging Study. Circulation 95:818–824
Crowe JM, Runions J, Ebbesen LS et al (1996) Anxiety and depression after acute myocardial infarction. Heart and Lung 25:98–107
Januzzi JL, Jr. Stern TA, Pasternak RC, DeSanctis RW (2000) The influence of anxiety and depression on outcomes of patients with coronary artery disease. Arch Intern Med 160:1913–1921
Malan SS (1992) Psychosocial adjustment following MI: current views and nursing implications. J Cardiovascul Nurs 6:57–70
Moser DK, Dracup K (1996) Is anxiety early after myocardial infarction associated with subsequent ischemic and arrhythmic events? Psychosom Med 58:395–401
Moser DK, McKinley S, Riegel B et al (2002) Perceived control reduces in-hospital complications associated with anxiety in acute myocardial infarction (abstract) Circulation 106:II-369
Sirois BC, Burg MM (2003) Negative emotion and coronary heart disease. A review. Behav Mod 27:83–102
Mayou RA, Gill D, Thompson DR et al (2000) Depression and anxiety as predictors of outcome after myocardial infarction. Psychosom Med 62:212–219
Moser DK, Dracup K (1995) Psychosocial recovery from a cardiac event: the influence of perceived control. Heart and Lung 24:273–280
Rozanski A, Bairey CN, Krantz DS et al (1988) Mental stress and the induction of silent myocardial ischemia in patients with coronary artery disease. N Eng J Med 318:1005–1012
Rozanski A, Krantz DS, Bairey CN (1991) Ventricular responses to mental stress testing in patients with coronary artery disease. Pathophysiological implications. Circulation 83(4 Suppl):II-137–144
Lane D, Carroll D, Ring C et al (2000) Do depression and anxiety predict recurrent coronary events 12 months after myocardial infarction? QJM 93:739–744
Lane D, Carroll D, Ring C et al (2000) Effects of depression and anxiety on mortality and quality-of-life 4 months after myocardial infarction. J Psychosom Res 49:229–238
Lane D, Carroll D, Ring C et al (2001) Mortality and quality of life 12 months after myocardial infarction: effects of depression and anxiety. Psychosom Med 63:221–230
Mayou R (2000) Research as a basis for clinical care. J Psychosom Res 48:321–322
Maeland JG, Havik OE (1989) After the myocardial infarction. A medical and psychological study with special emphasis on perceived illness. Scand J Rehabil Med Suppl 22:1–87
Rose SK, Conn VS, Rodeman BJ (1994) Anxiety and self-care following myocardial infarction. Issues in Mental Health Nursing 15:433–444
Sullivan MD, LaCroix AZ, Baum C et al (1997) Functional status in coronary artery disease: a one-year prospective study of the role of anxiety and depression. Am J Med 103:348–356
Sullivan MD, LaCroix AZ, Spertus J A, Hecht J (2000) Five-year prospective study of the effects of anxiety and depression in patients with coronary artery disease. Ame J Cardiol 86:1135–1138
Havik OE, Maeland JG (1990) Patterns of emotional reactions after a myocardial infarction. J Psychosom Res 34:271–285
Rosal MC, Downing J, Littman AB, Ahern DK (1994) Sexual functioning post-myocardial infarction: effects of beta-blockers, psychological status and safety information. J Psychosom Res 38:655–667
Sykes DH, Evans AE, Boyle DM et al (1989) Discharge from a coronary care unit: psychological factors. J Psychosom Res 33:477–488
Denollet J, Brutsaert DL (1998) Personality, disease severity, and the risk of longterm cardiac events in patients with a decreased ejection fraction after myocardial infarction. Circulation 97:167–173
Frasure-Smith N, Lesperance F, Talajic M (1995) The impact of negative emotions on prognosis following myocardial infarction: is it more than depression? Health Psychol 14:388–398
Thomas SA, Friedmann E, Wimbush F, Schron E (1997) Psychological factors and survival in the cardiac arrhythmia suppression trial (CAST): a re-examination. Am J Crit Care 6:116–126
Lin KM (2001) Biological differences in depression and anxiety across races and ethnic groups. J Clinic Psychiat 62(Suppl 13):13–19
Lepine JP (2001) Epidemiology, burden, and disability in depression and anxiety. J Clinic Psychiat 62(Suppl 13):4–10
Kirmayer LJ (2001) Cultural variations in the clinical presentation of depression and anxiety: implications for diagnosis and treatment. J Clinic Psychiat 62(Suppl 13):22–28
DeJong MI, Chung ML, Roser LP et al (2004) A five-country comparison of anxiety early after acute myocardial infarction. Europ J Cardiovas Nursing 3:129–134
Derogatis LR, Melisaratos N (1983) The Brief Symptom Inventory: an introductory report. Psychologic Med 13:595–605
Draguns JG, Tanaka-Matsumi J (2003) Assessment of psychopathology across and within cultures: issues and findings. Behav Res Ther 41:755–776
Taylor-Piliae RE, Molassiotis A (2001) An exploration of the relationships between uncertainty, psychological distress and type of coping strategy among Chinese men after cardiac catheterization. J Advan Nursing 33:79–88
Leff JP (1973) Culture and the differentiation of emotional states. Bri J Psychiat 123:299–306
Mesquita B, Frijda NH (1992) Cultural variations in emotions: a review. Psychologic Bull 112:179–204
Scherer KR, Wallbott HG, Matsumoto D, Kudoh T (1988) Emotional experience in cultural context: a comparison between Europe, Japan, and the United States. In K. R. Scherer (Ed) Facets of Emotion: Recent Research (pp 5–30) Hillsdale, New Jersey: Lawrence Erlbaum Associates
Chiou A, Potempa K, Buschmann MB (1997) Anxiety, depression and coping meth ods of hospitalized patients with myocardial infarction in Taiwan. Int J Nursing Stud 34:305–311
Lepine JP (2001) Epidemiology, burden, and disability in depression and anxiety. J Clin Psychiat 62(Suppl 13):4–10
Derogatis LP (1993) BSI. Brief Symptom Inventory. Administration, scoring, and procedure manual. Minneapolis: National Compute Systems, Inc.
Legault SE, Joffe RT, Armstrong PW (1992) Psychiatric morbidity during the early phase of coronary care for myocardial infarction: association with cardiac diagnosis and outcome. Can J Psychiat 37:316–325
Brown N, Melville M, Gray D et al (1999) Quality of life four years after acute myocardial infarction: short form 36 scores compared with a normal population. Heart 81:352–358
Moser DK, Dracup K, McKinley S et al (2003) An international perspective on gender differences in anxiety early after acute myocardial infarction. Psychosom Me 65:511–516
Martin RL, Cloninger CR, Guze SB, Clayton PJ (1985) Mortality in a follow-up of 500 psychiatric outpatients. I. Total mortality. Arch Gen Psychiat 42:47–54
Haines AP, Imeson JD, Meade TW (1987) Phobic anxiety and ischaemic heart disease. Bri Med J (Clinical Research Ed) 295:297–299
Weissman MM, Markowitz JS, Ouellette R et al (1990) Panic disorder and cardiovascular/cerebrovascular problems: results from a community survey. Am J Psychiat 147:1504–1508
Eaker ED, Pinsky J, Castelli WP (1992) Myocardial infarction and coronary death among women: psychosocial predictors from a 20-year follow-up of women in the Framingham Study. Am J Epidemiol 135:854–864
Kawachi I, Colditz GA, Ascherio A et al (1994) Prospective study of phobic anxiety and risk of coronary heart disease in men. Circulation 89:1992–1997
Kawachi I, Sparrow D, Vokonas PS, Weiss ST (1994) Symptoms of anxiety and risk of coronary heart disease. The Normative Aging Study. Circulation 90:2225–2229
Herrmann C, Brand-Driehorst S, Kaminsky B et al (1998) Diagnostic groups and depressed mood as predictors of 22-month mortality in medical inpatients. Psychosom Med 60:570–577
Herrmann C, Brand-Driehorst S, Buss U, Ruger U (2000) Effects of anxiety and depression on 5-year mortality in 5, 057 patients referred for exercise testing. J Psychosom Res 48:455–462
Welin C, Lappas G, Wilhelmsen L (2000) Independent importance of psychosocial factors for prognosis after myocardial infarction. J Intern Med 247:629–639
Bunker SJ, Colquhoun DM, Esler MD et al (2003) “Stress” and coronary heart disease: psychosocial risk factors. Med J Aust 178:272–276
Hachamovitch R, Chang JD, Kuntz RE et al (1995) Recurrent reversible cardiogenic shock triggered by emotional distress with no obstructive coronary disease. Am Heart J 129:1026–1028
Januzzi JL, Jr Stern TA, Pasternak RC, DeSanctis RW (2000) The influence of anxiety and depression on outcomes of patients with coronary artery disease. Arch Intern Med 160:1913–1921
Carney RM, Freedland KE, Stein PK (2000) Anxiety, depression, and heart rate variability. Psychosom Med 62:84–87
Lesperance F, Frasure-Smith N (1996) Negative emotions and coronary heart disease: getting to the heart of the matter. Lancet 347:414–415
Sheps DS, Sheffield D (2001) Depression, anxiety, and the cardiovascular system: the cardiologist’s perspective. J Clin Psychiat 62(Suppl 8):12–16
Middlekauff HR (1997) Mechanisms and implications of autonomic nervous system dysfunction in heart failure. Curr Opin Cardiol 12:265–275
Rundqvist B, Elam M, Bergmann-Sverrisdottir Y et al (1997) Increased cardiac adrenergic drive precedes generalized sympathetic activation in human heart failure. Circulation 95:169–175
Mann DL (1999) Mechanisms and models in heart failure: a combinatorial approach. Circulation 100:999–1008
Fehder WP (1999) Alterations in immune response associated with anxiety in surgical patients. CRNA 10:124–129
Sgoutas-Emch SA, Cacioppo JT, Uchino BN et al (1994) The effects of an acute psychological stressor on cardiovascular, endocrine, and cellular immune response: a prospective study of individuals high and low in heart rate reactivity. Psychophysiol 31:264–271
Baggett HL, Saab PG, Carver CS (1996) Appraisal, coping, task performance, and cardiovascular responses during the evaluated speaking task. Personal Soc Psychol Bull 22:483–494
Madden K, Savard GK (1995) Effects of mental state on heart rate and blood pressure variability in men and women. Clin Physiol 15:557–569
Goldberg AD, Becker LC, Bonsall R et al (1996) Ischemic, hemodynamic, and neurohormonal responses to mental and exercise stress: experience from the Psychophysiological Investigations of Myocardial Ischemia Study (PIMI). Circulation 94:2402–2409
Kohn LM, Sleet DA, Carson JC, Gray RT (1983) Life changes and urinary norepinephrine in myocardial infarction. J Hum Stress 9:38–45
Yeung AC, Vekshtein VI, Krantz DS et al (1991) The effect of atherosclerosis on the vasomotor response of coronary arteries to mental stress. N Eng J Med 325:1551–1556
Thayer JF, Friedman BH, Borkovec TD (1996) Autonomic characteristics of generalized anxiety disorder and worry. Biol Psychiat 39:255–266
Watkins LL, Grossman P, Krishnan R, Sherwood A (1998) Anxiety and vagal control of heart rate. Psychosom Med 60:498–502
Watkins LL, Blumenthal JA, Carney RM (2002) Association of anxiety with reduced baroreflex cardiac control in patients after acute myocardial infarction. Am Heart J 143:460–466
Manuck SB (1994) Cardiovascular reactivity in cardiovascular disease: “Once more unto the breach”. Int J Behav Med 1:4–31
Manuck SB, Olsson G, Hjemdahl P, Rehnqvist N (1992) Does cardiovascular reactivity to mental stress have prognostic value in postinfarction patients? A pilot study. Psychosom Med 54:102–108
Kamarck T, Jennings JR (1991) Biobehavioral factors in sudden cardiac death. Psychol Bull 109:42–75
Kop WJ (1999) Chronic and acute psychological risk factors for clinical manifestations of coronary artery disease. Psychosom Med 61:476–487
Krantz DS, Kop WJ, Santiago HT, Gottdiener JS (1996) Mental stress as a trigger of myocardial ischemia and infarction. Cardiol Clin 14:271–287
Frasure-Smith N, Lesperance F, Talajic M (1995) The impact of negative emotions on prognosis following myocardial infarction: is it more than depression? Health Psychol 14:388–398
Hjemdahl P, Larsson PT, Wallen NH (1991) Effects of stress and beta-blockade on platelet function. Circulation 84(6 Suppl):VI-44–VI-61
Markovitz JH, Matthews KA (1991) Platelets and coronary heart disease: potential psychophysiologic mechanisms. Psychosom Med 53:643–668
von Kanel R, Mills PJ, Fainman C, Dimsdale JE (2001) Effects of psychological stress and psychiatric disorders on blood coagulation and fibrinolysis: a biobehavioral pathway to coronary artery disease? Psychosom Med 63:531–544
Patterson SM, Krantz DS, Gottdiener JS et al (1995) Prothrombotic effects of environmental stress: changes in platelet function, hematocrit, and total plasma protein. Psychosom Med 57:592–599
Jern C, Eriksson E, Tengborn L et al (1989) Changes of plasma coagulation and fibrinolysis in response to mental stress. Thromb Haemo 62:767–771
Grignani G, Soffiantino F, Zucchella M et al (1991) Platelet activation by emotional stress in patients with coronary artery disease. Circulation 83(4 Suppl):II-128–II-136
Wallen NH, Held C, Rehnqvist N, Hjemdahl P (1997) Effects of mental and physical stress on platelet function in patients with stable angina pectoris and healthy controls. Eur Heart J 18:807–815
Ghiadoni L, Donald AE, Cropley M et al (2000) Mental stress induces transient endothelial dysfunction in humans. Circulation 102:2473–2478
Lown B, Verrier RL (1976) Neural activity and ventricular fibrillation. N Eng J Med 294:1165–1170
Lown B, Verrier RL, Rabinowitz SH (1977) Neural and psychologic mechanisms and the problem of sudden cardiac death. Am J Cardiol 39:890–902
Middlekauff HR, Mark AL (1998) The treatment of heart failure: the role of neurohumoral activation. Int Med 37:112–122
Brodsky MA, Sato DA, Iseri LT et al (1987) Ventricular tachyarrhythmia associated with psychological stress: the role of the sympathetic nervous system. JAMA 257:2064–2067
Lown B (1987) Sudden cardiac death:biobehavioral perspective. Circulation 76:I-186–I-196
Nadeau RA, de Champlain J (1979) Plasma catecholamines in acute myocardial infarction. Am Heart J 98:548–554
Katz C, Martin RD, Landa B, Chadda KD (1985) Relationship of psychologic factors to frequent symptomatic ventricular arrhythmia. Am J Med 78:589–594
Fava M, Abraham M, Pava J et al (1996) Cardiovascular risk factors in depression: the role of anxiety and anger. Psychosom 37:31–37
Lown B, DeSilva RA, Reich P, Murawski BJ (1980) Psychophysiologic factors in sudden cardiac death. Am J Psychiat 137:1325–1335
Tavazzi L, Zotti AM, Rondanelli R (1986) The role of psychologic stress in the gen esis of lethal arrhythmias in patients with coronary artery disease. Eur Heart J 7(Suppl A):99–106
Cordero DL, Cagin NA, Natelson BH (1995) Neurocardiology update: role of the nervous system in coronary vasomotion. Cardiovasc Res 29:319–328
Rozanski A, Krantz DS, Bairey CN (1991) Ventricular responses to mental stress testing in patients with coronary artery disease: pathophysiological implications. Circulation 83(Suppl 4):II-137–144
Kop WJ, Krantz DS, Howell RH et al (2001) Effects of mental stress on coronary epicardial vasomotion and flow velocity in coronary artery disease: relationship with hemodynamic stress responses. J Am Coll Cardiol 37:1359–1366
Lacy CR, Contrada RJ, Robbins ML et al (1995) Coronary vasoconstriction induced by mental stress (simulated public speaking) Am J Cardiol 75:503–505
LaVeau PJ, Rozanski A, Krantz DS et al (1989) Transient left ventricular dysfunction during provocative mental stress in patients with coronary artery disease. Am Heart J 118:1–8
Mazzuero G, Guagliumi G, Bosimini E et al (1989) Effects of psychophysiological activation on coronary flow, cardiac electrophysiology and central hemodynamics in patients with ischemic heart disease. Biblio Cardiol 47–58
Okano Y, Utsunomiya T, Yano K (1998) Effect of mental stress on hemodynamics and left ventricular diastolic function in patients with ischemic heart disease. Jap Circ J 62:173–177
Jain D, Shaker SM, Burg M et al (1998) Effects of mental stress on left ventricular and peripheral vascular performance in patients with coronary artery disease. J Am Coll Cardiol 31:1314–1322
Rozanski A, Blumenthal JA, Kaplan J (1999) Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation 99:2192–2217
Mittleman MA, Maclure M, Sherwood JB et al (1995) Triggering of acute myocardial infarction onset by episodes of anger. Circulation 92:1720–1725
L’Abbate A, Simonetti I, Carpeggiani C, Michelassi C (1991) Coronary dynamics and mental arithmetic stress in humans. Circulation 83(4 Suppl):II-94–II-99
Papademetriou V, Gottdiener JS, Kop WJ et al (1996) Transient coronary occlusion with mental stress. Am Heart J 132:1299–1301
Gelernt MD, Hochman JS (1992) Acute myocardial infarction triggered by emotional stress. Am J Cardiol 69:1512–1513
Marmot MG (1986) Does stress cause heart attacks? Postgrad Med J 62:683–686
Wielgosz AT, Nolan RP (2000) Biobehavioral factors in the context of ischemic cardiovascular diseases. J Psychosom Res 48:339–345
Kubzansky LD, Kawachi I, Weiss ST, Sparrow D (1998) Anxiety and coronary heart disease: a synthesis of epidemiological, psychological, and experimental evidence. Ann Behav Med 20:47–58
Dakak N, Quyyumi AA, Eisenhofer G et al (1995) Sympathetically mediated effects of mental stress on the cardiac microcirculation of patients with coronary artery disease. American Journal of Cardiology 76:125–130
Legault SE, Freeman MR, Langer A, Armstrong PW (1995) Pathophysiology and time course of silent myocardial ischaemia during mental stress: clinical, anatomical, and physiological correlates. British Heart Journal 73:242–249
Vita JA, Treasure CB, Yeung AC et al (1992) Patients with evidence of coronary endothelial dysfunction as assessed by acetylcholine infusion demonstrate marked increase in sensitivity to constrictor effects of catecholamines. Circulation 85:1390–1397
Arrighi JA, Burg M, Cohen IS et al (2000) Myocardial blood-flow response during mental stress in patients with coronary artery disease. Lancet 356:310–311
Freeman LJ, Nixon PG, Sallabank P, Reaveley D (1987) Psychological stress and silent myocardial ischemia. American Heart Journal 114:477–482
Rasmussen K, Ravnsbaek J, Funch-Jensen P, Bagger JP (1986) Oesophageal spasm in patients with coronary artery spasm. Lancet 1:174–176
Strike PC, Steptoe A (2003) Systematic review of mental stress-induced myocardial ischaemia. European Heart Journal, 24:690–703
Rozanski A, Bairey CN, Krantz DS et al (1988a) Mental stress and the induction of silent myocardial ischemia in patients with coronary artery disease. New England Journal of Medicine 318:1005–1012
Gottdiener JS, Krantz DS, Howell RH et al (1994) Induction of silent myocardial ischemia with mental stress testing: relation to the triggers of ischemia during daily life activities and to ischemic functional severity. Journal of the American College of Cardiology 24:1645–1651
Mazzuero G, Temporelli PL, Tavazzi L (1991) Influence of mental stress on ventricular pump function in postinfarction patients: an invasive hemodynamic investigation. Circulation 83(4 Suppl):II-145–II-154
Bairey CN, Krantz DS, Rozanski A (1990) Mental stress as an acute trigger of ischemic left ventricular dysfunction and blood pressure elevation in coronary artery disease. American Journal of Cardiology 66:28G–31G
Burg MM, Jain D, Soufer R et al (1993) Role of behavioral and psychological factors in mental stress-induced silent left ventricular dysfunction in coronary artery disease. Journal of the American College of Cardiology 22:440–448
Kuroda T, Kuwabara Y, Watanabe S et al (2000) Effect of mental stress on left ventricular ejection fraction and its relationship to the severity of coronary artery disease. European Journal of Nuclear Medicine 27:1760–1767
Giannuzzi P, Shabetai R, Imparato A et al (1991) Effects of mental exercise in patients with dilated cardiomyopathy and congestive heart failure: An echocardiographic doppler study. Circulation 83(4 Suppl):II-155–II-165
Blumenthal JA, Jiang W, Waugh RA et al (1995) Mental stress-induced ischemia in the laboratory and ambulatory ischemia during daily life: association and hemodynamic features. Circulation 92:2102–2108
Buselli EF, Stuart EM (1999) Influence of psychosocial factors and biopsychosocial interventions on outcomes after myocardial infarction. J Cardiovasc Nursing 13:60–72
Hayward C (1995) Psychiatric illness and cardiovascular disease risk. Epidemiol Rev 17:129–138
Sirois BC, Burg MM (2003) Negative emotion and coronary heart disease. A review. Behav Modif 27:83–102
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Moser, D.K., De Jong, M.J. (2006). Anxiety and Heart Disease. In: Clinical Psychology and Heart Disease. Springer, Milano. https://doi.org/10.1007/978-88-470-0378-1_9
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