Psychosocial Impact of Coronary Heart Disease

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Introduction: Coronary heart disease (CHD) and the condition precipitating this disease, atherosclerosis is the greatest cause of premature death in the United States. Atherosclerosis, the hallmark of CHD is characterized by build-up of atheromatous or fatty plaques in the arterial wall, leads to reduction of cross sectional area of the arteries.


This is known as ischemia, and if the ischemia crosses the threshold level for maintenance of vitality of cardiac musculature would lead to death of cardiac muscles, known as myocardial infarction (Hemingway and Marmot, 1999). The whole spectrum of this disease process if known as CHD, and there are many known predisposing, precipitating, and promoting factors for this disease. The implication of all the variants of CHD and their outcomes are well known, but it is very interesting to note that that disease happens in particular personalities (Asbury, Creed, and Collins, 2004). The metabolic pathways of cholesterol or lipids are well known, and this is established that dyslipidemia is the basic pathology that predisposes to the CHD. There is a large body of literature on the personalities of these subjects and the psychosocial factors closely associated with this disease. These conditions make the people more prone to coronary artery disease. Researchers have found that people who are aggressively involved in a perennial, chronic struggle to achieve more and more in less and less time are more prone to develop CHD (Sullivan et al., 2001).
Psychosocial Factors: Stress has been related to diabetes, hypertension that are frequent accompaniment of CHD, and stre ...
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