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Q J Med 1999; 92: 425-431
© 1999 Association of Physicians

Review

Psychology in coronary care

D. Lane, D. Carroll1 and G.Y.H. Lip

From the Cardiovascular Psychophysiology Research Group, University Department of Medicine, City Hospital, Birmingham and 1 School of Sports and Exercise Sciences, University of Birmingham, Edgbaston, Birmingham, UK

Ms D. Lane, University Department of Medicine, City Hospital, Birmingham B18 7QH

Psychological stress has been implicated in the onset and progression of coronary heart disease (CHD). Recent research has highlighted the importance of depression and anxiety as independent risk factors for mortality in cardiac patients. Accordingly, it is critical that clinically significant levels of distress are identified, both in-hospital and after discharge, to target patients who require specific psychological intervention, in addition to conventional cardiac rehabilitation. Ameliorating distress has been shown to improve adherence to treatment advice, such as modifying cardiac risk factors, compliance with medication regimens, and attendance at exercise programmes, which in turn should reduce cardiac morbidity and mortality. The emphasis within cardiac rehabilitation should be on tailoring provision to meet individual patients' needs.


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D. Lane, D. Carroll, C. Ring, D.G. Beevers, and G.Y.H. Lip
Do depression and anxiety predict recurrent coronary events 12 months after myocardial infarction?
QJM, November 1, 2000; 93(11): 739 - 744.
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