2007 Heart-Brain summit proceedings

Emotional predictors and behavioral triggers of acute coronary syndrome

Karina W. Davidson, PhD

Departments of Medicine and Psychiatry, Columbia University College of
Physicians and Surgeons Cardiovascular Institute, Mount Sinai School of Medicine New York, NY

kd2124@columbia.edu

ABSTRACT

Mounting evidence suggests that depression, anxiety, and hostility/anger may each be an independent risk factor for acute coronary syndrome (ACS) occurrence. Data specific to the role of these negative emotional states in predisposing to imminent ACS risk are limited, however. Additionally, a number of studies have indicated that certain situational triggers (such as intense physical exertion) and behavioral triggers (such as acute anxiety or anger) are predictive of imminent occurrence of an ACS. Despite these findings, the use of emotional or behavioral information to identify persons at high risk for imminent ACS onset is not yet practical. Further research is needed to facilitate such patient identification.

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