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Monaldi Arch Chest Dis. 2007 Jun;68(2):74-80. doi: 10.4081/monaldi.2007.455.

[Psychosocial risk factors in cardiac practice].

Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace

[Article in Italian]
Francesco Giallauria, Valentina Battimiello, Mariagrazia Veneziano, Paolofabrizio De Luca, Ilenia Cipollaro, Maria Buonincontro, Carlo Vigorito, Domenico Del Forno

Affiliations

  1. Dipartimento di Medicina Clinica, Scienze Cardiovascolari ed Irmunologiche, Area Funzionale di Riabilitazione Cardiologira, Università degli Studi di Napoli Federico II, Italy. [email protected]

PMID: 17886767 DOI: 10.4081/monaldi.2007.455

Abstract

A large number of studies investigated the link between psychosocial risk factors and atherosclerosis or cardiac events. They found that emotional factors and chronic stressors strongly influence the course of coronary artery disease, by promoting the same pathophysiological mechanisms responsible for atherosclerosis. Thus, cardiologists often find in cardiac practice patients that presents psychosocial risk factors, needing the development of interventions aimed to management of these factors. Some of these interventions are the same that are traditionally used in clinical practice, such as exercise training and nutritional counselling, while others are more specific, and require the presence of psychologists (behavioral strategies, relaxation training, social support, etc.). Behavioral cardiology is an emerging field of clinical practice based on the recognition that psychosocial risk factors can promote atherosclerosis and adverse cardiac events. It requires the development of practical solutions aimed at the management of adverse lifestyle behaviours, emotional factors, and chronic stress.

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