Cardiac Diseases and Anxiety Disorders
نویسندگان
چکیده
Anxiety disorders are amongst the most common psychiatric disorders in all over the world. Its an emotion that prepares the individual to the environmental changes or helps to create a response to those changes. Also there are psychological symptoms such as distress, excitement and a precognition and fear of suddenly something bad going to happen. Anxiety is a symptom that could be seen in many organic disorder and can accompany almost any psychiatric disorder. The relationship between anxiety and cardiovascular system (CVS), is known since the first studies on individuals the 1870's so-called irritable cardiac diseases. With tachycardia and palpitations as a result of severe fear and anxiety related issues, has become a focus of interest in studies that examine the activity of CVS. Nowadays, the relationship between psychological factors and cardiac disease have been discussed. Because creation potential of the sudden death due to cardiac diseases are more sensitive to the psychiatric disorders and development of any cardiac disease might start serious mental issues. These situations are the main subjects of psychocardiology. In addition, mental disorders which has similar symptoms of cardiac diseases (panic disorder (PD), generalized anxiety disorder (GAD), post-traumatic stress disorder (PTSD), etc.) is another problem area. Anxious thoughts causes reduced autonomic variability condition which is a result of decrease in vagal tone. The first reaction to stress is muscle weakness and a feeling of heart stopping due to parasympathic activation. A short time later, the sympathetic system is activated, sweating, palpitation, tremors, rapid and deep breathing begin. When they do challenging activities or concerned there will be cardiovascular variability and falls occur phasic parasympathetic tone. Studies on this subject emphasize cardiac sensitization caused by sympathetic activity. According to this stimulation of central and peripheral adrenergic structures, catecholamine infusion and behavioral stress can cause cardiac sensitivity in both healthy and ischemic heart. Cardiac diseases within the psychiatric views (whether or syndromal levels of disorder matter), surely, should be recognized and addressed. Patients who work under heavy stressful conditions suffers from continuous excreting of catecholamine with the further aggravated cardiac disease. At the same time, anxiety is caused by a decrease in vagal control also increases the susceptibility to coronary cardiac disease. On most cardiac diseases cases, an intense anger and hostile attitude follows the anxiety. Anxiety came out tops as a leading emotional problem for cardiac patients when it unites with other negative emotions. As a result, the importance of early diagnosis and treatment is obvious due to the reason that occurring simultaneously psychiatric views which emerges with cardiac diseases to cause the illness to worsen. Myocardial infarction, hypertension,
منابع مشابه
Anxiety and depression in patients admitted in cardiac care unit, Taleghanihospital, Tehran, Iran, 2003
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