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Coronary Heart Disease EpidemiologyFrom aetiology to public health$
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Michael Marmot and Paul Elliott

Print publication date: 2005

Print ISBN-13: 9780198525738

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780198525738.001.0001

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Mental illness and coronary heart disease

Mental illness and coronary heart disease

(p.414) Chapter 25 Mental illness and coronary heart disease
Coronary Heart Disease Epidemiology

S. Stansfeld

F. Rasul

Oxford University Press

This chapter describes the evidence linking mental illness and CHD, the associations between mental illness and risk factors for CHD, and the potential mechanisms through which mental illness may affect the heart. There is evidence that (a) depression is an independent predictor of CHD morbidity and mortality; (b) exhaustion is a predictor in the eighteen months before cardiac events; (c) phobic anxiety predicts sudden cardiac death; and (d) depression post-myocardial infarction (MI) predicts increased mortality rates.

Keywords:   CHD, cardiovascular disease, depression, risk factors, anxiety, psychological distress

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