Author Affiliations: Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, Md (Dr Krantz); Division of Cardiovascular Medicine, University of Florida, Gainesville (Dr Sheps); Department of Psychiatry, Washington University Medical Center, St Louis, Mo (Dr Carney); and the Department of Neurosciences, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark (Dr Natelson).
Contempo Updates Section Editors: Thomas
C. Jefferson, MD, Contributing Editor; Stephen J. Lurie, MD, PhD, Fishbein
There is increasing recognition in the medical and scientific communities
of the importance of behavioral and psychosocial factors in the prevention,
development, and treatment of cardiovascular disorders.1
The purpose of this article is to review the evidence and mechanisms for the
effects of acute and chronic stress in individuals with preexisting coronary
artery disease (CAD), and evidence for the efficacy of psychosocial interventions
in patients with CAD.
Krantz DS, Sheps DS, Carney RM, Natelson BH. Effects of Mental Stress in Patients With Coronary Artery DiseaseEvidence and Clinical Implications. JAMA. 2000;283(14):1800-1802. doi:10.1001/jama.283.14.1800