[Stress and prevention in the recurrence of coronary heart disease.]

[Stress and prevention in the recurrence of coronary heart disease.] Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

[Stress and prevention in the recurrence of coronary heart disease.] Abstract Text:

L Iida-Miranda,R H Prince,

A good deal of recent research suggests that a period of mounting life stress is a precursor of many physical illnesses, including episodes of coronary heart disease (CHD). It should be possible then, by monitoring levels of stress to predict when a high risk individual is likely to suffer a further illness episode, and in some cases to prevent the episode by alleviating stress producing problems. Based on this concept, we have telephone-monitored (at monthly intervals) 37 CHD patients discharged from the coronary unit of the Montreal General Hospital. Stress was measured using a 20-item, self-report scale (Goldberg), and charted for each patient over a seven month period. When a patient's stress rose above a critical level he received a home visit by the project nurse, who investigated his problems and attempted to alleviate them. Interventions varied from simple reassurance to referral for psychiatric treatment or legal aid. Monitoring stress in this way revealed a picture remarkably like the theoretical model. None of the 15 consistently low-scoring patients required rehospitalization. Eleven patients had low scores at the time of discharge, but their scores rose above the critical level in subsequent months. Nine of them responded in a gratifying way- to the home visit and subsequent intervention by the nurse, and none required rehospitalization. The one patient of this type who did require hospitalization had not received a home visit because no nurse was available at the time. Four of the nine patients with consistently high scores required eight rehospitalization s for CHD episodes. These patients seemed to be chronically stressed, and often required continuous support from the nurse. Our study suggests that life stress may be more important than the traditional physical risk factors (obesity, smoking, hypertension, family history of CHD, lack of exercise) in the etiology of recurrent CHD when patients receive adequate medical care. Some of our findings suggest that the nurse's interventions do reduce rehospitalizations, but a large scale controlled study is called for. We conclude that this technique is worth further evaluation, both as a research method and as a practical device for the prevention of rehospitalization of CHD patients and of other types of episodic illnesses.

[Stress and prevention in the recurrence of coronary heart disease.] Publishing Authors By Initials

L Iida-Miranda,RH Prince,

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

[Stress and prevention in the recurrence of coronary heart disease.] Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Santé mentale au Québec

VOLUME: 3

Page Numbers: 50-60

Journal Abbreviation:

ISSN: 0383-6320

DAY: 9

MONTH: 11

YEAR: 1978

[Stress and prevention in the recurrence of coronary heart disease.] Information

Number of References:

LANGUAGE: fre

NlmUniqueID: 9424773

[Stress and prevention in the recurrence of coronary heart disease.] Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: [Stress and prevention in the recurrence of coronary heart disease.] Information

Substance Name:

Registry Number:

Grant and Affiliation Information for [Stress and prevention in the recurrence of coronary heart disease.]

AFFILIATION:

Country: Canada

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Sante Ment Que

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Stress and prevention in the recurrence of coronary heart disease Related Publications

• A new satellite technology for tracking the movements of atlantic bluefin tuna.
• A role for Tbx2 in the regulation of the alpha2(1) collagen gene in human fibroblasts.
• An advance in colour photomicrography of the living eye.
• Automatic 3D tracking of cardiac material markers using slice-following and harmonic-phase MRI.
• Bone mass in young women is dependent on lean body mass.
• Comparison of speech production in upright and supine position.
• Consequences of Hoxb1 duplication in teleost fish.
• Cortical surface alignment using geometry driven multispectral optical flow.
• Epigenetic targets in hematological malignancies: combination therapies with HDACis and demethylating agents.
• Fatty acids ofLindera umbellata and other Lauraceae seed oils.
• Immunostimulatory properties of the emerging pathogen Stenotrophomonas maltophilia.
• Immunotherapy of multiple myeloma: the start of a long and tortuous journey.
• Is there replacement for percentage stenosis in characterizing occlusive vascular disease?
• Markers of inflammation and cognitive decline in an African-Caribbean population.
• Multi-slice three-dimensional myocardial strain tensor quantification using zHARP.
• Opportunistic infections in lung disease: Pseudomonas infections in cystic fibrosis.
• Origin of the zebrafish endocrine and exocrine pancreas.
• Pathways to homelessness among older people in Rio de Janeiro, Brazil.
• Prevalence of depressive symptoms and syndromes in later life in ten European countries: the SHARE study.
• Real-time monitoring of cardiac regional function using fastHARP MRI and region-of-interest reconstruction.
• Safety and efficacy of combining ATRA with G-CSF in HSPC mobilization; a pilot study in multiple myeloma and non-Hodgkin's lymphoma patients.
• Staphylococcus aureus protein A activates TACE through EGFR-dependent signaling.
• Successful treatment of Behçet's disease with lenalidomide.
• Tea drinking is associated with benefits on bone density in older women.
• Tea intake is inversely related to blood pressure in older women.
• Toward optimal matching for 3D reconstruction of brachytherapy seeds.
• Treatment of primary cutaneous follicular centre lymphoma with rituximab: A report of two cases.
• ZHARP: three-dimensional motion tracking from a single image plane.
• Zebrafish Hoxb1a regulates multiple downstream genes including prickle1b.
• [Stress and prevention in the recurrence of coronary heart disease.]