Skip to main content

Anxiety and Heart Disease

  • Living reference work entry
  • First Online:
Encyclopedia of Behavioral Medicine

Synonyms

Anxiety and cardiovascular disease

Definition

Anxiety is an emotional response to a situation, which has both psychological and physiological consequences. Anxiety may be a normal response to daily life situations. However, a heightened or an inappropriate level of anxiety may lead to several deleterious consequences to overall health. There is mounting research about the role of anxiety in the pathophysiology of heart disease.

Description

In the past decade, there has been increasing interest in the relationship between anxiety and heart disease. As reviewed by Rozanski et al. (1999) prior to 1999, there were a limited number of prospective studies demonstrating a relationship between anxiety and subsequent cardiovascular disease (CVD) outcomes in healthy populations and in patients with prevalent CVD.

After these initial studies, additional prospective studies examining the relationship between anxiety and CVD outcomes in participants without prior CVD history have been...

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

Access this chapter

Institutional subscriptions

References and Further Reading

  • Albert, C. M., Chae, C. U., Rexrode, K. M., Manson, J. E., & Kawachi, I. (2005). Phobic anxiety and risk of coronary heart disease and sudden cardiac death among women. Circulation, 11, 480–487.

    Article  Google Scholar 

  • Doering, L. V., Moser, D. K., Riegel, B., McKinley, S., Davidson, P., Baker, H., Meischke, H., & Dracup, K. (2010). Persistent comorbid symptoms of depression and anxiety predict mortality in heart disease. International Journal of Cardiology, 145, 188–192.

    Article  Google Scholar 

  • Huffman, J. C., Smith, F. A., Blais, M. A., Jannuzzi, J. L., & Fricchione, G. L. (2008). Anxiety, independent of depressive symptoms, is associated with in-hospital cardiac complications after acute myocardial infarction. Journal of Psychosomatic Research, 65, 557–563.

    Article  Google Scholar 

  • Janszky, I., Ahnve, S., Lundberg, I., & Hemmingsson, T. (2010). Early-onset depression, anxiety, and risk of subsequent coronary heart disease: 37-year follow-up of 49,321 young Swedish men. Journal of the American College of Cardiology, 56, 31–37.

    Article  Google Scholar 

  • Martins, E. J., de Jonge, P., Beeya, N. A., Cohen, B. E., & Whooley, M. A. (2010). Scared to death? Generalized anxiety disorder and cardiovascular events in patients with stable coronary heart disease: The heart and soul study. Archives of General Psychiatry, 67(7), 750–758.

    Article  Google Scholar 

  • Roest, A. M., Martens, E. J., de Jonge, P., & Denollet, J. (2010a). Anxiety and risk of incident coronary heart disease: A meta-analysis. Journal of the American College of Cardiology, 56, 38–46.

    Article  Google Scholar 

  • Roest, A. M., Martens, E. J., Denollet, J., & Jonge, P. (2010b). Prognostic association of anxiety post myocardial infarction with mortality and new cardiac events: A meta-analysis. Psychosomatic Medicine, 72, 563–569.

    Article  Google Scholar 

  • Rozanski, A., Blumenthal, J. A., & Kaplan, J. (1999). Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation, 99, 2192–2217.

    Article  CAS  Google Scholar 

  • Shen, B. J., Avivi, Y. E., Todaro, J. F., Spiro, A., III, Laurenceau, J.-P., Ward, K. D., et al. (2008). Anxiety characteristics independently and prospectively predict myocardial infarction in men: The unique contribution of anxiety among psychologic factors. Journal of the American College of Cardiology, 51, 113–119.

    Article  Google Scholar 

  • Shibeshi, W. A., Young-Zu, Y., & Blatt, C. M. (2007). Anxiety worsens prognosis in patients with coronary artery disease. Journal of the American College of Cardiology, 49, 2021–2027.

    Article  Google Scholar 

  • Strik, J. M. H., Denollet, J. K. L., Lousberg, R., & Honig, A. (2003). Comparing symptoms of depression and anxiety as predictors of cardiac events and increased health care consumption after myocardial infarction. Journal of the American College of Cardiology, 42(10), 1801–1807.

    Article  Google Scholar 

  • van den Broek, K. C., Nyklicek, I., van der Voort, P. H., Alings, M., Meijer, A., & Denollet, J. (2009). Risk of ventricular arrhythmia after implantable defibrillator treatment in anxious type D patients. Journal of the American College of Cardiology, 54(6), 531–537.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Manjunath Harlapur .

Editor information

Editors and Affiliations

Section Editor information

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Science+Business Media, LLC, part of Springer Nature

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Harlapur, M., Shimbo, D. (2019). Anxiety and Heart Disease. In: Gellman, M. (eds) Encyclopedia of Behavioral Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6439-6_1248-2

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-6439-6_1248-2

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6439-6

  • Online ISBN: 978-1-4614-6439-6

  • eBook Packages: Springer Reference MedicineReference Module Medicine

Publish with us

Policies and ethics