Heart Disease: Is Managing Stress the Key? (original) (raw)
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Relationship between stress and coronary heart disease
Asian Cardiovascular and Thoracic Annals, 2013
Background Coronary heart disease is the leading cause of death worldwide and accounts for 13.7% of deaths in countries like Pakistan. Its association with stress has not been well considered in our setup. Patients with coronary artery disease admitted for coronary artery bypass grafting may have a high prevalence of stress that might increase the risk of adverse outcomes. Methods 60 patients with coronary artery disease admitted to the Civil Hospital Karachi for coronary artery bypass graft surgery from January 1 to March 31, 2012, were evaluated using a stress evaluation scale. Results Stress of varying degrees was found to be a significant independent risk factor in patients with coronary heart disease. Analysis of our collected sample of patients with stress showed 60% with high stress ( p = 0.025) and 36.7% moderate stress ( p = 0.0025). An appreciable relationship was found between stress and patient age, sex, body mass index, blood group, and the incidence of myocardial infar...
2016
Coping is essential to overcome stressful life situations and to lead a physically, emotionally and socially productive life. Stressors are experienced by patients with chronic diseases and to overcome these, coping strategies are essential. The present study was conducted with the objectives to assess the level of stress and coping among the patients with coronary artery disease, to find out the balance of stress and coping and to find out the association between the level of stress and coping among the patients with coronary artery disease (CAD) and selected demographic variables. Descriptive research approach with survey design was adopted for the study. In the present study a total no. of 100 patients admitted in cardiology department of Gauhati Medical College and Hospital, Guwahati, Assam with coronary artery disease between the ages of 30 to 70 years admitted for the first time were selected as sample by non-probability sampling technique. To assess the level of stress and coping, "Brief Stress and Coping Inventory" (Richard H. Rahe, M.D. 1998) was used. The result showed that out of 100 patients 37 (37%) patients had less stress, 43 (43%) patients had moderate stress and 20 (20%) had increased level of stress. While assessing the level of coping among the patients, it is seen that, 40% of the patients had adequate coping, 39% had moderate coping and 21% had inadequate level of coping. While assessing the balance of stress and coping among the patients, it was found that majority 33% had fair balance, 27% had good, 21% had worrisome and 19% had excellent balance between stress and coping. While assessing the association statistical significant association was found between stress and family income and stress and educational level (p≤0.05). It also showed that there is no statistically significant association between coping with the variables of the patients with CAD.
Asian Journal of Internal Medicine
Background: Chronic stress is a known risk factor for cardiovascular disease. This study sought to determine the association between the ‘perceived level of stress’ in patients with acute coronary syndrome (ACS) and its short-term outcome. This is the first study done on the perceived level of stress in patients with ACS in Sri Lanka. Methods: A total of 313 ACS patients from the Professorial Unit of the Colombo South Teaching Hospital completed the Perceived Stress Scale-10. The scale assesses the stress perceived by the patient based on ten questions. The sum of scores ranges from 0-40. High stress was defined as scores of 20 or above. Results: High-stress levels were found in 238 (76%) patients and low stress in 75 (24%). There was no difference in the level of stress perceived by males and females (p=.5). Stress levels did not change the nature of the presenting complaint: typical chest pain versus another complaint (p=.09). Patients with high-stress levels presented early (with...
2017
This paper explores the effects and links between the deterioration of the cardiovascular system and heart disease due to physiological stress. Furthermore, this document will divulge the links between high blood pressure (hypertension) and physiological stress as well as obesity and cholesterol levels. This paper examines studies from various well respected scientists and cardiologists. Furthermore, this paper unravel how acute stress can and will build up over an individual’s lifetime and lead to cardiovascular issues. In addition, this article will explain the difference between eustress and distress and their effects on the cardiovascular system. This paper will also include an explanation of how modern healthcare affects the heart and surrounding organs. In the same way, this paper will illustrate the effects and links between physiological stressors (acute and chronic) on the heart and heart disease, while bringing awareness to the topic of stress and suggest ways to cope with...
Stress" and coronary heart disease: psychosocial risk factors
The Medical journal of Australia, 2003
An Expert Working Group of the National Heart Foundation of Australia undertook a review of systematic reviews of the evidence relating to major psychosocial risk factors to assess whether there are independent associations between any of the factors and the development and progression of coronary heart disease (CHD), or the occurrence of acute cardiac events. The expert group concluded that (i) there is strong and consistent evidence of an independent causal association between depression, social isolation and lack of quality social support and the causes and prognosis of CHD; and (ii) there is no strong or consistent evidence for a causal association between chronic life events, work-related stressors (job control, demands and strain), Type A behaviour patterns, hostility, anxiety disorders or panic disorders and CHD. The increased risk contributed by these psychosocial factors is of similar order to the more conventional CHD risk factors such as smoking, dyslipidaemia and hyperte...
Psychological Stress as a Risk Factor for Cardiovascular Disease: A Case-Control Study
Cureus, 2020
Introduction Stress is a phenomenon elicited in response to certain triggers that may be external or internal. Stress has been identified as a risk factor for various diseases, including cardiovascular disease. In this study, we aim to find an association between psychological stress and cardiovascular disease in the local setting Methods This case-control study was conducted in a tertiary care hospital in Pakistan from June 2019 to December 2019. One hundred and seventeen (117) patients with myocardial infarction and unstable angina were enrolled in the case group. One hundred and ten (110) patient’s attendants were enrolled in the study as controlled. Results The risk of a cardiovascular event was higher in patients with a history of social isolation (OR, 2.47), marital stress (OR, 2.28), work stress (OR, 3.2), childhood abuse (OR, 2.78), or trauma (OR, 2.67). Conclusion Psychological stress is an important risk for cardiovascular disease, which is often overlooked. Efforts should...
Pakistan Armed Forces Medical Journal, 2019
Background: Globally cardiovascular diseases (CVDs) especially ischemic heart disease (IHD) became the largest menace and still considering as the most common cause of death. Psychological stress and physical inactivity are the two important risk factors for IHD, but still little is known regarding their actual frequency in Pakistan. Objective: To determine the frequencyof psychological stress and physical inactivity among patients of ischemic heart disease in Rawalpindi. Study Design: Descriptive cross-sectional study. Place and Duration of Study: Study is conducted inArmed ForcesInstitute of Cardiology (AFIC) and Rawalpindi Institute of Cardiology (RIC) Rawalpindi Pakistan, from Apr to Oct 2018. Material and Methods: For the present study 200 known patients of IHD have been selected through non probability consecutive sampling, between 20 to 60 years of age, having ejection fraction 30-60% from OPDs of above two selected hospitals. Self-administered General Health Questionnaire (G...
Stress influence on genesis, onset and maintenance of cardiovascular diseases: literature review
Journal of Advanced Nursing, 2003
2 0 0 3 ) Journal of Advanced Nursing 43(6), 548-554 Stress influence on genesis, onset and maintenance of cardiovascular diseases: literature review Background. Recent mortality profiles in Brazil show that circulatory diseases are the leading cause of death in Brazil. These disorders contribute to 34% of deaths, with 50% of those deaths occurring in people under 50 years of age, that is, in people who are still active in the workforce. We assume that the growing incidence of cardiovascular diseases has occurred as the globalization of Brazil continues and brings with it the associated health risk factors of modern lifestyles, including stress. Aim. This paper reports the evidence on the influence of stress in the development, onset and progress of cardiovascular diseases. We aim to define the concept of stress and to point systematically to the interrelationships between its emotional and bodily manifestations through a discussion of the history and study of stress. We then suggest that factors leading to the experience of stress in Brazil are no different than in any other modern nation. We further offer a perspective on nursing interventions currently undertaken in Brazil in both hospital and community settings, with their more recent emphasis on health promotion and prevention.
Stress and Coping of Patients with Myocardial Infarction in Bangladesh
2010
Myocardial infarction (MI) is a major health problem in Bangladesh. Having a heart attack is a stressful situation for most people. Stress is the individual’s subjective perception and emotional response to stressors experienced during the suffering of MI. Coping is an individual cognitive and behavioral effort. Effective coping can help reduce the level of stress in MI patients. The aims of this study were to identify the level of stress and coping of patients with MI and to examine the relationship between stress and coping of patients with MI. This was a descriptive correlational study. Eighty-eight subjects participated in this study. Data were collected by using structured questionnaires. The questionnaires were validated and tested for reliability, and yielding acceptable values of alpha coefficients (>.80). Descriptive statistics and the Pearson coefficient (r) were used. It was found that MI patients experienced a moderate level of stress, with 21.6% reporting a high leve...