Abstract
In this first chapter, Rosenman begins with a brief review of the voluminous literature relating cardiovascular disease and various emotions—and the history is quite long indeed. The chapter also provides a historical orientation to the material in the rest of the book. Rosenman reviews the known links between cardiac arrhythmias and sudden cardiac death, noting that the presence of stress often precedes the onset of these disorders. He argues that the effects of stress upon blood pressure, and hence hypertension in humans, are really not very well understood and at best the direct effects of stress and anxiety are most likely transitory rather than long lasting. Such environmental factors are said to have their effects in interactions with other variables such as genetic predispositions. Specific attention is also paid to the relationship of anger to hypertension, focusing on the role of unexpressed hostility as an associated factor. Lifestyle habits also come under scrutiny here, as the effects upon cardiovascular health of alcohol, nicotine, and caffeine are reviewed. The effects of anxiety upon sleep and its consequent impact upon the cardiovascular system are also considered. It is argued that the common overuse of the defense mechanism of denial by Type A individuals in suppressing symptoms may result in a delay in seeking medical care and hence have adverse health consequences. On the other hand, the use of denial to subdue anxiety and its beta-adrenergic stimulation has led to improved survival rates in some cardiac patients.
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Rosenman, R.H. (1988). The Impact of Certain Emotions in Cardiovascular Disorders. In: Janisse, M.P. (eds) Individual Differences, Stress, and Health Psychology. Contributions to Psychology and Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3824-9_1
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