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The increasing frequency of coronary diseases, the still insufficient results of prevention have brought physicians to try to reduce as much as possible the con sequences of ischaemic heart disease. Coronary units and new treatments have some what reduced the dramatic complications of the acute phase; but after the latter, evil effects of the disease remain at the physiological, psychological and social level. It is the aim of rehabi~itation to analyze these problems, to reduce them or to solve them whenever possible. When this conception of "complete coronary care" took the lead, the necon ditioning effects of heart disease and of immobilization on physical conditi ons were emphasized: physical training programmes were prepared and their main lines and physiological effects are now fairly well known. But it was soon obvious that the psychological problems raised by the patient and his environment 'are equally important. Their approach is however much more difficult and their treatment particularly complex. So, the Council on Rehabilitation of the International Society of Cardiology is really grateful to Professor Dr. HALHUBER and Dr. Dr. STOCKSMEIER for giving the opportunity to specialists to discuss together this particular aspect of coronary disease. The discussions have been devoted to the methods of approaching the patient as well as to the therapeutic aspects and the role of psychologists in the rehabilitation programmes: some papers have been devoted also to the possible role of the personality as a risk factor in the development of the disease.
This concise primer introduces mental health practitioners to the fundamentals of chronic heart disease. It reviews basic etiology and specific methods for assessing and treating comorbid psychological disorders.
Provides a comprehensive overview of epidemiologic, experimental, and clinical data evidencing the emergence of cardiac psychology as a specialty. It offers a thorough and up-to-date review of the scientific research supporting the relationship between cardiac disease and psychological condition, practical suggestions for developing a clinical practice and directions for future research in this new field of "cardiac psychology". The first part provides an overview of the psychological risk factors for cardiac disease. Emphasis is placed on physiological basis of mind-heart link, depression and anxiety, personality and relational aspects, and on advanced statistical tools for the study of personalities at risk. The second part offers a systematic overview of literature on psychological treatments in cardiac rehabilitation.
The papers presented in this book were held at the International Sympo sium on Myocardial Infarction at Young Age on January 30 and 31, 1981, in Bad Krozingen, FRG. The symposium was sponsored and supported by the European Society of Cardiology and the Pharma Schwarz Co. The scientific committee was composed of H. Denolin (Bruxelles), F. Loogen (Dusseldorf), E. Nussel (Heidelberg), J. Widimsky (Prague), M. Schmuziger (Bad Krozingen), and the editor of this book. To all of these, as well as to my co-workers, many thanks. Bad Krozingen, October 1981 H. ROSKAMM Contents Introduction H. ROSKAMM (With 6 Figures) Session 1 Epidemiology and Risk Factors The Epidemiology of Acute Myocardial Infarction in Young Age Groups G.LAMM. . . . . . . . . . . . . . . . . . . . . . . . 5 Myocardial Infarction in Young Men in the Heidelberg Register Area E. NUSSEL, L. BUCHHOLZ, and R. SCHEIDT (With 4 Figures) 13 Coronary Artery Disease in Young Adults Under 35 Years Old: Risk Factors (Swiss Survey) P. MORET, F. GUTZWILLER, and B. JUNOD (With 1 Figure) 17 Myocardial Infarction Among Men Below Age 40 in Goteborg R. BERGSTRAND, A. VEDIN, C. WILHELMSSON, and L. WILHELMSEN (With 4 Figures). . . . . . . . . . . . . . . . . . . 23 . . Myocardial Infarction at Young Age: Risk Factors and Natural History G. S. UHL and P. W. FARREL . . . . . . . . . . . . . . 29 .
Monthly, with annual cumulations. Comprehensive, current index to periodical medical literature intended for use of practitioners, investigators, and other workers in community medicine who are concerned with the etiology, prevention, and control of disease. Citations are derived from MEDLARS tapes for Index medicus of corresponding date. Arrangement by 2 sections, i.e., Selected subject headings, and Diseases, organisms, vaccines. No author index.
Monthly. Bibliography of MEDLARS-based journal articles that describe perturbations in the ecosystems important to health. For the most part, genetic and clinical literature not included. Index medicus format; author, subject sections.
The increasing frequency of coronary diseases, the still insufficient results of prevention have brought physicians to try to reduce as much as possible the con sequences of ischaemic heart disease. Coronary units and new treatments have some what reduced the dramatic complications of the acute phase; but after the latter, evil effects of the disease remain at the physiological, psychological and social level. It is the aim of rehabi~itation to analyze these problems, to reduce them or to solve them whenever possible. When this conception of "complete coronary care" took the lead, the necon ditioning effects of heart disease and of immobilization on physical conditi ons were emphasized: physical training programmes were prepared and their main lines and physiological effects are now fairly well known. But it was soon obvious that the psychological problems raised by the patient and his environment 'are equally important. Their approach is however much more difficult and their treatment particularly complex. So, the Council on Rehabilitation of the International Society of Cardiology is really grateful to Professor Dr. HALHUBER and Dr. Dr. STOCKSMEIER for giving the opportunity to specialists to discuss together this particular aspect of coronary disease. The discussions have been devoted to the methods of approaching the patient as well as to the therapeutic aspects and the role of psychologists in the rehabilitation programmes: some papers have been devoted also to the possible role of the personality as a risk factor in the development of the disease.
Rehabilitation as part of comprehensive care. Cardiopulmonary func- tion after myocardial infarction; Effects of bed-rest, disease and training. Exercise testing of cardiac patients. Psychological factors in patients after myocardial infarction. Implications of social fac- tors in cardiac rehabilitation. Secondary prevention. Educational programmes after myocardial infarction. Organization of rehabilita- tion services. Controlled studies on the effects of rehabilitation. Rehabilitation after myocardial infarction, where does current know- ledge lead?