American College of Cardiology JACC 2005;45;637 651 The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice The emerging field of behavioral cardiology Rozanski et al英文电子书.pdf

The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice: The emerging field of behavioral cardiology Alan Rozanski, James A. Blumenthal, Karina W. Davidson, Patrice G. Saab and Laura Kubzansky J. Am. Coll. Cardiol. 2005;45;637-651 doi:10.1016/j.jacc.2004.12.005 This information is current as of March 12, 2006 The online version of this article, along with updated information and services, is located on the World Wide Web at: /cgi/content/full/45/5/637 Downloaded from by on March 12, 2006 Journal of the American College of Cardiology Vol. 45, No. 5, 2005 © 2005 by the American College of Cardiology Foundation ISSN 0735-1097/05/$30.00 Published by Elsevier Inc. doi:10.1016/j.jacc.2004.12.005 STATE-OF-THE-ART PAPER The Epidemiology, Pathophysiology, and Management of Psychosocial Risk Factors in Cardiac Practice The Emerging Field of Behavioral Cardiology Alan Rozanski, MD, FACC,* James A. Blumenthal, PHD,† Karina W. Davidson, PHD,‡ Patrice G. Saab, PHD,§ Laura Kubzansky, PHD New York, New York; Durham, North Carolina; Coral Gables, Florida; and Boston, Massachusetts Observational studies indicate that psychologic factors strongly influence the course of coronary artery disease (CAD). In this review, we examine new epidemiologic evidence for the association between psychosocial risk factors and CAD, identify pathologic mechanisms