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- W2128227550 abstract "This editorial refers to ‘Ranking of psychosocial and traditional risk factors by importance for coronary heart disease: the Copenhagen City Heart Study’, by P. Schnohr et al. on page doi:10.1093/eurheartj/ehv027 Popular and widespread beliefs associate emotions and environmental factors with cardiovascular diseases. Over 2000 years ago, the Roman physician Celsus noted, ‘fear and anger, and any other state of mind may often be apt to excite the pulse’. William Harvey in 1628 wrote, ‘every affection of the mind that is attended by either pain or pleasure, hope or fear, is the cause of agitation whose influence extends to the heart’.These and many other observations became established as scientists in the 20th century began to explore associations of psychosocial factors with the genesis of acute and chronic cardiovascular diseases. As shown in Figure 1 , numerous individual and environmental factors are proposed, and many are found to predict increased disease outcomes. These factors range from natural disasters such as earthquakes to social conditions to personality disorders to emotions. However, while there are many strong associations between psychosocial measures and cardiovascular diseases, after adjustment for known classical risk factors, psychosocial measures have never reached a status requiring physician measurement and treatment. Figure 1 Psychosocial factors associated with cardiovascular disease.The potential reasons for this disconnect between observational studies with significantly increased relative risks and therapeutic interventions are several, including the following. …" @default.
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- W2128227550 date "2015-03-22" @default.
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- W2128227550 title "Vital exhaustion: ready for prime time?" @default.
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- W2128227550 doi "https://doi.org/10.1093/eurheartj/ehv065" @default.
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