Behavioral Aspects of Cardiovascular Disease

Smoking, diet, stress, coping, and exercise, among other behaviors and psychological states, are now clearly implicated in the development of cardiovascular diseases. Prevention, based largely on altering behaviors that contribute to this chronic disease, is now as important a goal as is treatment of those already afflicted. This volume, based on a recent meeting of the Academy of Behavioral Medicine Research, addresses several important areas of research in the general area of cardiovascular disease. The topics covered reflect on important aspects of this phenomenon, such as the long-term development of coronary artery disease; central nervous system (CNS) regulation of blood pressure, heart rate, and sympathetic tone playing a pivotal role in sympathetic activity and hypertension; learned blood pressure modulation and baroreceptor activation as a means of reducing the aversiveness of stress or noxious stimulation; and the notion that symptoms of heart disease or infarction may occur in the absence of organic heart disease. Having been impressed by the recent advances in the field, the editors of this book capture the wealth of newly acquired knowledge about behavioral factors in cardiovascular disease and how the body's nervous, endocrine, and cardiovascular systems work together.

Auteur

Alvin P. Shapiro, Andrew S. Baum, Andrew S. Baum

Contenu

Contents: Part I:*Silent Myocardial Ischemia.*J.A. Vita, P. Ganz, A.P. Selwyn, Interactions Between Mental Stress and Coronary Heart Disease. D.S. Krantz, K.F. Helmers, L.E. Nebel, J.S. Gottdiener, A. Rozanski, Mental Stress and Myocardial Ischemia in Patients with Coronary Disease: Current Status and Future Directions. Part II:*Autonomic Nervous System Syndromes.*M.K. Shear, R.B. Devereux, R. Kramer-Fox, Mitral Valve Prolapse and Anxiety: How Close is the Association? R.G. Jacob, S.R. Waldstein, Panic Disorder, Anxiety, and the Cardiovascular System. J.H. Mitchell, A.P. Shapiro, The Confusing Syndromes of Cardiovascular Autonomic Imbalance: Cardiovascular Dysautonomias. Part III:*Animal Models in Behavioral Research.*J.R. Kaplan, S.B. Manuck, M.R. Adams, J.K. Williams, A.P. Selwyn, T.B. Clarkson, Nonhuman Primates as a Model for Evaluating Behavioral Influences on Atherosclerosis, and Cardiac Structure and Function. M.R. Adams, J.R. Kaplan, S.B. Manuck, J.K. Williams, T.B. Clarkson, Behavior, Ovarian Function, and Atherosclerosis in Nonhuman Primates. R. McCarty, M.A. Cierpial, C.A. Murphy, C. Okotcha, Maternal Effects on Development of Cardiovascular Phenotype in Genetically Hypertensive Rats. Part IV:*CNS Mechanisms in Cardiovascular Control.*D.A. Ruggiero, P. Ernsberger, S.F. Morrison, D.J. Reis, Regulation of Arterial Blood Pressure by the Rostral Ventrolateral Medulla. A. Randich, Vagal Afferent Modulation of Nociception. B. Dworkin, The Baroreceptor Reinforcement Instrumental Learning (BR-IL) Model of Essential Hypertension: Biological Data, Quantitative Mechanisms, and Computer Modeling. Part V:*Behavioral Consequences of Heart Disease and Therapy.*M.F. Elias, M.A. Robbins, Cardiovascular Disease, Hypertension, and Cognitive Function. M.F. Muldoon, A.P. Shapiro, S.B. Manuck, S.R. Waldstein, Behavioral Sequelae of Antihypertensive Therapy: A Review. Part VI:*Presidential Address.*A.P. Shapiro, Illness and Death in American Presidents.