RT Book, Section
A1 Rozanski, Alan
A2 Fuster, Valentin
A2 Harrington, Robert A.
A2 Narula, Jagat
A2 Eapen, Zubin J.
SR Print(0)
ID 1191189494
T1 BEHAVIORAL CARDIOLOGY: EPIDEMIOLOGY, PATHOPHYSIOLOGY, AND CLINICAL MANAGEMENT
T2 Hurst's The Heart, 14e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071843249
LK accesscardiology.mhmedical.com/content.aspx?aid=1191189494
RD 2024/04/19
AB SummaryThis  chapter  discusses  the  psychological,  social,  and  behavioral  factors  that  contribute  to  health  and  cardiovascular  disease  (CVD),  and  the  management  of  these  factors.  Various  physical  health  behaviors  are  known  to  be  associated  with  increased  risk  for  CVD  (see  accompanying  Hurst’s  Central  Illustration).  Increased  CVD  risk  has  also  associated  with  negative  emotions  and  mental  mindsets,  and  with  chronic  stress,  including  perceived  stress,  the  level  of  which  can  vary  greatly  in  response  to  a  given  life  situation,  depending  on  personality,  resilient  resources,  and  other  factors.  In  the  absence  of  challenge  or  purpose  in  life,  boredom  and  dissatisfaction  may  develop  and  result  in  negative  health  effects,  leading  to  CVD.  Social  factors  such  as  social  isolation  and  low  socioeconomic  status  are  also  associated  with  increased  CVD  risk.  A  dose-response  relationship  has  been  noted  between  most  of  these  factors  and  the  occurrence  of  cardiovascular  events.  Moreover,  in  real  life,  these  factors  tend  to  cluster.  Behavioral  cardiology  targets  both  the  management  of  behavioral  risk  factors  for  CVD  and  the  management  of  psychosocial  risk  factors  that  contribute  to  the  pathogenesis  of  CVD,  promote  adverse  health  behaviors,  and  impede  adherence  to  behavioral  recommendations.  Notably,  a  reciprocal  relationship  exists  between  management  of  health  behaviors  and  psychosocial  risk  factors;  the  management  of  health  behaviors  (for  example,  exercise)  can  promote  psychosocial  well-being  and  psychosocial  interventions  also  improve  health  behaviors.