TY - CHAP M1 - Book, Section TI - BEHAVIORAL CARDIOLOGY: EPIDEMIOLOGY, PATHOPHYSIOLOGY, AND CLINICAL MANAGEMENT A1 - Rozanski, Alan A2 - Fuster, Valentin A2 - Harrington, Robert A. A2 - Narula, Jagat A2 - Eapen, Zubin J. Y1 - 2017 N1 - T2 - Hurst's The Heart, 14e AB - SummaryThis chapter discusses the psychological, social, and behavioral factors that contribute to health and cardiovascular disease (CVD), and the management of these factors. Various physical health behaviors are known to be associated with increased risk for CVD (see accompanying Hurst’s Central Illustration). Increased CVD risk has also associated with negative emotions and mental mindsets, and with chronic stress, including perceived stress, the level of which can vary greatly in response to a given life situation, depending on personality, resilient resources, and other factors. In the absence of challenge or purpose in life, boredom and dissatisfaction may develop and result in negative health effects, leading to CVD. Social factors such as social isolation and low socioeconomic status are also associated with increased CVD risk. A dose-response relationship has been noted between most of these factors and the occurrence of cardiovascular events. Moreover, in real life, these factors tend to cluster. Behavioral cardiology targets both the management of behavioral risk factors for CVD and the management of psychosocial risk factors that contribute to the pathogenesis of CVD, promote adverse health behaviors, and impede adherence to behavioral recommendations. Notably, a reciprocal relationship exists between management of health behaviors and psychosocial risk factors; the management of health behaviors (for example, exercise) can promote psychosocial well-being and psychosocial interventions also improve health behaviors. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=1191189494 ER -