An exploratory study of the psycho-social stress of coronary heart disease patients

1999 ◽  
Author(s):  
Hang-ling, Justine Lee
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Exploratory Study ◽  
Social Stress

Patient and general practitioner attitudes to healthy lifestyle behaviours and medication following coronary heart disease: an exploratory study

2010 ◽  
Vol 16 (2) ◽  
pp. 154 ◽  
Author(s):  
Catherine Speechly ◽  
Charles Bridges-Webb ◽  
Suzanne McKenzie ◽  
Yvonne Zurynski ◽  
Alison Lucas
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Cardiovascular Risk ◽  
Exploratory Study ◽  
Cardiovascular Health ◽  
Patient Adherence ◽  
Structured Interviews ◽  
Unhealthy Lifestyle ◽  
Lifestyle Behaviours ◽  
Risk Patients

Patients with coronary heart disease often engage in unhealthy lifestyle behaviours. We explored patients’ and general practitioners’ (GPs’) perceptions about the effectiveness of healthy behaviours and medications for the prevention of further cardiovascular disease. This exploratory study used semi-structured interviews with eight Sydney GPs and 13 of their patients with coronary heart disease. Patients perceived medications to be more effective than healthy behaviours in improving specific aspects of cardiovascular health, such as angina symptoms, cholesterol and blood pressure, whilst GPs perceived that medications were more effective in patients they considered at highest cardiovascular risk, patients with uncontrolled risk factors, or where adherence to healthy behaviours was poor. Among patients we found a negative perception of the effort required to adhere to healthy behaviours and possible underestimation of their future cardiovascular risk. Patients valued support from peers and family. This study opens up avenues for investigation in further research, including whether patient adherence to healthy behaviours may be enhanced by the exploration of their perceptions about behaviour effectiveness, barriers and cardiovascular risk and by GP facilitation of practical supports.

scholarly journals Effects of Life Events and Social Isolation on Stroke and Coronary Heart Disease

Stroke ◽  
2021 ◽  
Vol 52 (2) ◽  
pp. 735-747
Author(s):  
Janine Gronewold ◽  
Miriam Engels ◽  
Sarah van de Velde ◽  
Thomas Kofi Mensah Cudjoe ◽  
Ela-Emsal Duman ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Social Isolation ◽  
Life Events ◽  
Social Stress ◽  
Living Alone ◽  
Clinical Implications ◽  
Life Changes ◽  
Current State

The current coronavirus disease 2019 (COVID-19) pandemic represents a severe, life-changing event for people across the world. Life changes may involve job loss, income reduction due to furlough, death of a beloved one, or social stress due to life habit changes. Many people suffer from social isolation due to lockdown or physical distancing, especially those living alone and without family. This article reviews the association of life events and social isolation with cardiovascular disease, assembling the current state of knowledge for stroke and coronary heart disease. Possible mechanisms underlying the links between life events, social isolation, and cardiovascular disease are outlined. Furthermore, groups with increased vulnerability for cardiovascular disease following life events and social isolation are identified, and clinical implications of results are presented.

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