4.4 Review

Anxiety as a risk factor in cardiovascular disease

Journal

CURRENT OPINION IN PSYCHIATRY
Volume 29, Issue 1, Pages 13-17

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/YCO.0000000000000217

Keywords

adherence; anxiety disorder; cardiac rehabilitation; cardiovascular disease; heart transplant; mental stress-induced myocardial ischemia

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Purpose of reviewThe narrative review covers recent studies of anxiety as a companion in cardiovascular disease.Recent findingsProspective population-based studies and studies of cases with known cardiovascular disease have been conducted, as well as studies of intervention with coronary bypass grafting, heart transplants, and implantable cardioverter-defibrillators, and subsequent rehabilitation programs. Mental stress-induced myocardial ischemia (MSIMI) stands for this emerging research arena.SummaryAnxiety has emerged as perhaps the most important risk factor for cardiovascular disease, determining other known risk factors, such as depression, substance use, overweight, and a sedentary lifestyle. Anxiety also increases the risk of major cardiac events in coronary heart disease. There is a need for elucidating the influence of anxiety in takotsubo and in white-coat hypertension. Managing anxiety is of vital importance in patients who have received heart transplants, to ascertain adherence to immunosuppressants.

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