The main aim of this book is to evaluate the concept of stress and provide tools for physicians to identify patients who might benefit from stress management. This will incorporate a detailed description of the physiological and pathophysiological consequences of acute and chronic stress that might lead to cardiovascular disease. The book will aim to critically evaluate interventional research (behavioural and other therapies) and provide evidence based recommendations on how to manage stress in the cardiovascular patient. Our intentions are to define and highlight stress as an etiological factor for cardiovascular disease, and to describe an evidence based "tool box" that physicians may use to identify and manage patients in whom stress may be an important contributing factor for their disease and their risk of suffering cardiovascular complications.
Content Level » Professional/practitioner
Related subjects » Cardiology & Angiology - Internal Medicine - Medicine - Public Health
TABLE OF CONTENTS
Psychosocial factors and stress, What is "stress":How did the concept develop? (studies by Selye, Henry, Folkow, etc.), Acute vs. chronic stress, "Positive" and "negative" stress?, Demands, coping, homeostasis, allostasis, Psychosocial factors (divided into psychological and social), Personality factors, social demands & support, life events, etc.?, Work stress, Demands in modern society, Karasek model of control, Sleep disturbances, An important symptom and a mediator in stress, Physiological adaptation to stress, Defence reactions (arousal; fight or flight) – defeat rections, Acute vs. chronic, Can be divided in different ways, should include: cardiovascular responses, neurohormonal responses, immunology/inflammation, metabolism, haemostatic responses, Pathophysiological Mechanisms, Triggering of acute events, Dysfunctional mechanisms activated by chronic stress, Clinical studies, Methodological aspects – this may be written jointly by us to "set the stage", and should give readers a "toolbox" with which they can identify scientifically good and weak studies, Epidemiology, Observational studies, Interventional studies, Triggering of cardiovascular events by short-term stress, Earth quakes, soccer etc, Diagnostic aspects in chronic stress, Diagnostic tools (structured interviews, questionnaires, rating scales,laboratory?), Differential diagnoses, Chronic stress – epidemiology, Cardiovascular disease and its risk factors (obesity, diabetes, hypertension), Landmark studies, Whitehall, Interheart, other studies (to be decided), Overview of observational studies on interventions, Overview of experimental (randomized, controlled) studies on interventions, Recommendations based on the best available evidence, "Hands on" recommendations regarding evidence based care of "stressed" patients.