Skip to main content

Cardiovascular Disease and Stress: from Aetiology to Intervention

  • Chapter
Book cover Stress

Part of the book series: Studies in Biology, Economy and Society ((SBES))

  • 101 Accesses

Abstract

Cardiovascular disease is the leading cause of death in the industrialized world. In 1985, it accounted for 47.6 per cent of deaths among men and 54.1 per cent of deaths among women (Lopez, 1990). Coronary or ischaemic heart disease is the main culprit, although cerebrovascular stroke and deaths related to high blood pressure (hypertension) are also major contributors. Recently, there have been welcome trends towards reduced cardiovascular mortality in the USA, the countries of Western Europe and in Japan. However, these are offset by increases in death rates in Eastern Europe, and the emergence of cardiovascular disease as an important problem in the developing world (Lopez, 1993). Coronary heart disease makes a substantial contribution to premature as well as to overall mortality, with the United Kingdom being worse off than its neighbours. Recent figures show an annual rate of cardiovascular mortality in men aged 35–64 of more than 350 per 100,000 in England and Scotland, compared with less than 250 per 100,000 in France, Spain and Italy (WHO, 1989). The costs of cardiovascular disease to the economy are immense. Teeling-Smith (1988) has computed that, in 1985, hospital costs related to cardiovascular disease totalled £2.3 billion, with a further £350 million spent on medicines in the UK alone.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Adams, D.O. (1994) ‘Molecular biology of macrophage activation: a pathway whereby psychosocial factors can potentially affect health’, Psychosomatic Medicine, vol. 56, pp. 316–27.

    Article  Google Scholar 

  • Berkman, L.F., L. Leo-Summers and R.I. Horwitz (1992) ‘Emotional support and survival after myocardial infarction’, Annals of Internal Medicine, vol. 117, pp. 1003–9.

    Article  Google Scholar 

  • Björntorp, P. (1990) “’Portal” adipose tissue as a generator risk factors for cardiovascular disease and diabetes’, Arteriosclerosis, vol. 10, pp. 493–6.

    Article  Google Scholar 

  • Brindley, D.N., B.S. McCann, R. Niaura, C.M. Stoney and E.C. Suarez (1993) ‘Stress and lipoprotein metabolism: modulators and markers’, Metabolism, vol. 42 (Suppl. 1), pp. 3–15.

    Article  Google Scholar 

  • Cohen, S. and E. Lichtenstein (1990) ‘Perceived stress, quitting smoking, and smoking relapse’, Health Psychology, vol. 9, pp. 466–78.

    Article  Google Scholar 

  • Cottington, E.M., K.A. Matthews, E. Talbott and L.H. Kuller (1980) ‘Environmental events preceding sudden death in women’, Psychosomatic Medicine, vol. 42, pp. 567–74.

    Article  Google Scholar 

  • Cottington, E.M., K.A. Matthews, E. Talbott and L.H. Kuller (1986) ‘Occupational stress, suppressed anger, and hypertension’, Psychosomatic Medicine, vol. 48, pp. 249–60.

    Article  Google Scholar 

  • Dressler, W.W. (1991) ‘Social support, lifestyle incongruity, and arterial blood pressure in a Southern Black community’, Psychosomatic Medicine, vol. 53, pp. 607–20.

    Article  Google Scholar 

  • Frasure-Smith, N., F. Lespérance and M. Talajic (1993) ‘Depression following myocardial infarction: impact on 6 month survival’, Journal of the American Medical Association, vol. 270, pp. 1819–25.

    Article  Google Scholar 

  • Friedman, M. and R.H. Rosenman (1959) ‘Association of specific overt behavior pattern with blood and cardiovascular findings’, Journal of the American Medical Association, vol. 169, pp. 1085–96.

    Article  Google Scholar 

  • Friedman, M., C.E. Thoresen, J.J. Gill, D. Ulmer, L.H. Powell, V.A. Price, B. Brown, L. Thompson, D.D. Rabin, W.S. Breall, E. Bourg, R. Levy and T. Dixon (1986) ‘Alteration of type A behaviour and its effect on cardiac recurrences in post myocardial infarction patients: Summary results of the recurrent coronary prevention project’, American Heart Journal, vol. 112, pp. 653–65.

    Article  Google Scholar 

  • Johansson, G., J.V. Johnson and E.M. Hall (1991) ‘Smoking and sedentary behavior as related to work organization’, Social Science and Medicine, vol. 32, pp. 837–46.

    Article  Google Scholar 

  • Johnson, E.H., W.D. Gentry and S. Julius (eds) (1992) Personality, Elevated Blood Pressure, and Essential Hypertension (Washington: Hemisphere).

    Google Scholar 

  • Johnston, D.W. and A. Steptoe (1989) ‘Hypertension’ in S. Pearce and J. Wardle (eds), The Practice of Behavioural Medicine (Oxford: Oxford University Press).

    Google Scholar 

  • Julius, M., E. Harburg, E.M. Cottington and E.H. Johnson (1986) ‘Anger-coping types, blood pressure, and all-cause mortality: a follow-up in Tecumseh, Michigan (1971–1983)’, American Journal of Epidemiology, vol. 124, pp. 220–33.

    Google Scholar 

  • Kahn, H.A., J.H. Medalie, H.N. Neufeld, E. Riss and U. Goldbourt (1972) ‘The incidence of hypertension and associated factors: the Israeli Ischaemic Heart Disease Study’, American Heart Journal, vol. 84, pp. 171–82.

    Article  Google Scholar 

  • Kaplan, J.R., S.B. Manuck, T.B. Clarkson, F.M. Lusso, D.M. Taub and E.W. Miller 1983) ‘Social stress and atherosclerosis in normocholesterolemic monkeys’, Science, vol. 220, pp. 733–5.

    Article  Google Scholar 

  • Light, K.C., C.A. Dolan, M.R. Davis and A. Sherwood (1992) ‘Cardiovascular responses to an active coping challenge as predictors of blood pressure patterns I0 to 15 years later’, Psychosomatic Medicine, vol. 54, pp. 217–30.

    Article  Google Scholar 

  • Lopez, A.D. (1990) ‘Causes of death: An assessment of global patterns of mortality around 1985’, World Health Statistical Quarterly, vol. 43, pp. 91–104.

    Google Scholar 

  • Lopez, A.D. (1993) ‘Assessing the burden of mortality from cardiovascular disease’, World Health Statistical Quarterly, vol. 46, pp. 91–6.

    Google Scholar 

  • Lovallo, W.R. and M.F. Wilson, (1992) ‘The role of cardiovascular reactivity in hypertension risk’, in J.R. Turner,. A. Sherwood and K.C. Light (eds), Individual Differences in Cardiovascular Response to Stress (New York: Plenum).

    Google Scholar 

  • McCann, B.S., R. Warnick and R.H. Knopp (1990) ‘Changes in plasma lipids and dietary intake accompanying shifts in perceived workload and stress’, Psychosomatic Medicine, vol. 52, pp. 97–108.

    Article  Google Scholar 

  • Manuck, S.B., J.R. Kaplan and T.B. Clarkson (1983) ‘Behaviorally induced heart rate reactivity and atherosclerosis in cynomolgus monkeys’, Psychosomatic Medicine, vol. 45, pp. 95–108.

    Article  Google Scholar 

  • Markovitz, J.H. and K.A. Matthews (1991) ‘Platelets and coronary heart disease: potential psychophysiologic mechanisms’, Psychosomatic Medicine, vol. 53, pp. 643–68.

    Article  Google Scholar 

  • Marmot, M.G. and S.L. Syme (1976) ‘Acculturation and coronary heart disease in Japanese-Americans’, American Journal of Epidemiology, vol. 104, pp. 225–47.

    Google Scholar 

  • Matthews, K.A. and S.G. Haynes (1986) ‘Type A behavior pattern and coronary disease risk’, American Journal of Epidemiology, vol. 123, pp. 923–60.

    Google Scholar 

  • Matthews, K.A., K.L. Woodall and M.T. Allen (1993) ‘Cardiovascular reactivity to stress predicts future blood pressure status’, Hypertension, vol. 22, pp. 479–85.

    Article  Google Scholar 

  • Ornish, D., S.E. Brown, L.W. Scherwitz, J.H. Billings, W.T. Armstrong, T.A. Ports, S.M. McLanahan, R. Kirkeeide, R.J. Brand and K.L. Gould (1990) ‘Can lifestyle changes reverse coronary heart disease?’ Lancet, vol. 336, pp. 129–33.

    Article  Google Scholar 

  • PDAY Research Group (1990) ‘Relationship of atherosclerosis in young men to serum lipoprotein cholesterol concentrations and smoking’, Journal of the American Medical Association, vol. 264, pp. 3018–24.

    Article  Google Scholar 

  • Ragland, D.R. and R.J. Brand (1988) ‘Coronary heart disease mortality in the Western Collaborative Group Study: follow-up experience of 22 years’, American Journal of Epidemiology, vol. 127, pp. 462–75.

    Google Scholar 

  • Schnall, P.L. P.A. Landsbergis and D. Baker (1994) ‘Job strain and cardiovascular disease’, Annual Review of Public Health, vol. 15, pp. 381–411.

    Article  Google Scholar 

  • Shumaker, S.A. and S.M. Czajkowski (1994) Social Support and Cardiovascular Disease (New York: Plenum).

    Book  Google Scholar 

  • Smith, T.W. and Leon, A.S. (1992) Coronary Heart Disease (Champaign, Ill.: Research Press).

    Google Scholar 

  • Steptoe, A. (1989) The significance of personal control in health and disease’, in A. Steptoe and A. Appels (eds), Stress, Personal Control and Health (Chichester: John Wiley).

    Google Scholar 

  • Steptoe, A. (1990) ‘Psychobiological stress responses’, in Stress and Medical Procedures, edited by M. Johnston and L. Wallace. Oxford: Oxford University Press.

    Google Scholar 

  • Steptoe, A. (1991) ‘The links between stress and illness’, Journal of Psychosomatic Research, vol. 35, pp. 633–44.

    Article  Google Scholar 

  • Steptoe, A. (1993) ‘Stress and the cardiovascular system: a psychosocial perspective’, in C.E. Stanford and P. Salmon (eds), Stress: From Synapse to Syndrome (London: Academic Press).

    Google Scholar 

  • Steptoe, A. and L. Tavazzi (in press). ‘The mind and the heart’, in D.G. Julian, A.J. Camm, K. Fox, R. Hall, and P.A. Poole-Wilson (eds), Diseases of the Heart 2nd edn (London: W.H. Saunders).

    Google Scholar 

  • Strawn, W.B., G. Bondjers, J.R. Kaplan, S.B. Manuck, D.C. Schwanke, G.K. Hansson, C.A. Shively and T.B. Clarkson (1991) ‘Endothelial dysfunction in response to psychosocial stress in monkeys’, Circulation, vol. 68, pp. 1270–9.

    Article  Google Scholar 

  • Teeling-Smith, G. (1988) Economics of Cardiovascular Disease, Postgraduate Cardiovascular Seminar Series (London: Mediq Ltd).

    Google Scholar 

  • Vogele, C. and A. Steptoe (1993) ‘Anger inhibition and family history as modulators of cardiovascular responses to moral stress in adolescent boys’, Journal of Psychosomatic Research, vol. 37, pp. 503–14.

    Article  Google Scholar 

  • WHO (1989) ‘Causes of death’, in World Health Statistics Annual (Geneva: World Health Organization).

    Google Scholar 

  • Williams, R.B. (1994) ‘Neurobiology, cellular and molecular biology, and psychosomatic medicine’, Psychosomatic Medicine, vol. 56, pp. 308–15.

    Article  Google Scholar 

  • Zotti, A.M., O. Bettinardi, F. Soffiantino, L. Tavazzi and A. Steptoe (1991) Psychophysiological stress testing in post-infarction patients: Psychological correlates of cardiovascular arousal and abnormal cardiac responses’, Circulation, vol. 83, Suppl. 1I, pp. 1125–35.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Copyright information

© 1996 The Galton Institute

About this chapter

Cite this chapter

Steptoe, A. (1996). Cardiovascular Disease and Stress: from Aetiology to Intervention. In: Bittles, A.H., Parsons, P.A. (eds) Stress. Studies in Biology, Economy and Society. Palgrave Macmillan, London. https://doi.org/10.1007/978-1-349-14163-0_10

Download citation

Publish with us

Policies and ethics