title: [Psychosocial stress and cardiology].
abstract: Psychosocial stress is a major independent risk and prognostic factor of cardiovascular events. It includes psychological, sociological and socioeconomic factors. Cardiovascular diseases are important providers of psychosocial stress. The knowledge of the cerebral development throughout the time allows to a better understanding of the relationship between psychosocial stress and cardiovascular risk. Psychosocial stress leads, on top of traditional cardiovascular risk factors, to the development or to the worsening of an endothelial dysfunction, of an inflammatory response and prothrombotic phenomenon. Anxiolytics and antidepressors are not very effective against psychosocial stress. Physical activity and psychotherapy are much more indicated, particularly cognitve-behavioral therapy. The ESC recommends an evaluation of psychosocial stress through a short questionnaire.
authors.affiliation: Cabinet de cardiologie, 57100 Thionville, France. jeanpierrehouppe@wanadoo.fr
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Houppe
mesh_terms: D000223:Adaptation, Psychological; D002318:Cardiovascular Diseases / Q000150:complications / Q000209:etiology* / Q000523:psychology; D006801:Humans; D012307:Risk Factors; D013315:Stress, Psychological / Q000150:complications* / Q000209:etiology / Q000628:therapy