6 months of anxiety and heart attack risk

anxiety and heart attack risk, Anxiety, and its related disorders are common in patients who are suffering from cardiovascular disease.

Anxiety disorders are linked with the onset of cardiac disease. In many cases result may be adverse such as the death of a patient. Both physiologically and health behavior mechanisms may help to explain the relationship between anxiety and cardiovascular disease. stressandmentalhealth.

Introduction

anxiety and heart attack risk, Negative psychological states are common among patients suffering from cardiovascular disease. cardiovascular disease is also caused by anxiety where the patient is already suffering from poor cardiac health.

Anxiety in patients with cardiovascular disease

Epidemiology

Anxiety is common in patients with cardiovascular disease, such as coronary artery disease. Most of the cases of coronary artery disease are suffering from a chronic anxiety disorder. Mostly the patient suffering from anxiety and coronary artery disease has to undergo Coronary artery bypass graft (CABG)  and after the procedure symptoms of anxiety decrease. 

Anxiety is also common in the case of patients suffering from heart failure. In such cases, the device is implanted to regulate the function of the left ventricle. The anxiety symptoms reduce following the implantation of the device.

Association between anxiety and cardiovascular health

The relationship between anxiety and cardiovascular health is complex.  Anxiety is a normal response to stressful situations, such as an acute cardiac event. If anxiety remains continued for a long period it may affect psychiatric health and overall health.

Anxiety disorders in patients with cardiovascular disease

Anxiety in the setting of anxiety disorder is chronic and persistent, and therefore it may have greater physiologic consequences than transient anxiety.  However, proper treatments are available for anxiety disorders.

Generalized anxiety disorder (GAD)

Generalized anxiety disorders (GAD) are highly prevalent in patients with cardiac disease.  General anxiety disorder is associated with poor outcomes in patients who are suffering from cardiac disease, especially coronary artery disease. It may increase the risk of death by about twice.

Panic disorder (PD)

Panic disorder is common in patients with heart disease.  In most cases of panic disorder risk of cardiac diseases, such as coronary artery disease increases.

Post traumatic stress disorder (PTSD)

Post-traumatic stress disorder (PTSD) symptoms are common in the patient who is suffering from heart disease.  PTSD is also associated with the development of cardiac heart disease and heart failure. Post-traumatic stress disorder (PTSD) plays an important role and boosts the risk of cardiac disease and heart failure.

Mechanism between anxiety disorder and cardiac health

There are several mechanisms that are related to anxiety disorder and cardiac health. Anxiety disorders are linked with the onset and progression of cardiac disease and in many cases link seen to adverse cardiovascular outcomes, such as the death of the patient.

Health behaviors

Health behaviors: Health behavior is also linked with anxiety disorder and cardiac health.  If patient intake healthy diet, do proper exercise and yoga activity daily, regular go-to morning walk, take proper sleep, take proper medicines as per the advice of a specialist doctor of the respective field. Take rehabilitation therapy under the supervision of specialists in the respective field.  The patient will definitely recover from the illness.

Physiologic mechanisms

Inflammation:  Inflammatory pathway is very much responsible for the development of cardiac disease. Due to this inflammation risk of development of heart failure and cardiac disease increases.   The inflammatory pathway causes the worsening function of the heart.  Anxiety and anxiety disorders are linked with increased inflammatory markers and are responsible for heart disease.

Endothelial Dysfunction

The vascular endothelium plays an important role in the health and maintenance and monitoring of the circulatory system, regulating platelet activity, thrombosis, vascular tone, and leukocyte adhesion of the human body.  Its dysfunction caused the development of atherosclerosis, hospitalization of a patient, heart transplantation, in some cases death due to heart failure.

Anxiety is linked with the change of vascular endothelium and is very much related to worsening cardiac health.

Platelet Dysfunction

Atherothrombosis and myocardial ischemia occur due to increased activity of platelets by inflammatory triggers.  Serotonin increases platelet aggression and cardiac health risk, anxiety disorder is linked with the abnormalities in the serotonin system. When an endothelial cell is damaged by atherosclerotic disease, the vessel can’t dilate properly, the exposure to serotonin caused vasoconstriction.

So underline mechanism links increased serotonin blood levels in CAD with cardiac disease. So in general patients suffering from anxiety have more platelet aggregation, anxiety disorder may also be linked with changes in platelet activity.

Autonomic dysfunction

Autonomous homeostasis maintains the stable beat and blood pressure, any disruption leads to cardiovascular risk and even death.  Those patients who are suffering from hypertension, diabetes, and cardiovascular disease and are also found suffering from autonomic stability are at a higher risk of death. 

Diagnosis of anxiety disorders

 Some symptoms of anxiety disorders and cardiovascular disease are common in both. Some symptoms of General anxiety disease, such as restlessness, fatigue, poor concentration,  sleep disturbance are common in heart failure. All the symptoms of a panic attack such as palpitation, dyspnea, nausea, chest pain can be seen in cardiac disease.

on the basis of information given by family members, talking with patients, physical check-ups, duration of symptoms laboratory tests,  helps to ensure accurate diagnosis for proper and accurate treatment.

Treatment and Medication

After proper clinical diagnosis, we may start the treatment in two types. such as medication under the supervision of a specialist in the respective field, both psychiatrist and cardiologist.

Psychotherapy

Psychotherapy especially CBT under the supervision of a psychotherapist. CBT is very important in patients with anxiety and cardiac disease. Thus, a psychotherapist will deal with the case according to the condition of the patient.

He will also schedule daily function, activity, exercise, yoga, food, fruits and vegetable, sleeping hours, etc., to enable the patient to gradually recover from illness.

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