Lavie Carl J, Milani Richard V, Artham Surya M, Gilliland Yvonne
Department of Cardiology, Ochsner Clinic Foundation, New Orleans, LA.
Ochsner J. 2007 Winter;7(4):167-72.
Although under-emphasized, substantial evidence indicates that psychological distress, especially depression, hostility, and anxiety, are risk factors for coronary heart disease (CHD) and affect recovery following major coronary heart disease events. We review several major studies from Ochsner Medical Center demonstrating the high prevalence of psychological distress in CHD patients and the marked benefits that occur following formal cardiac rehabilitation and exercise training programs. These benefits include reductions in psychological stress, improvements in CHD risk factors that accompany high stress, and reduced all-cause mortality. These data support the benefits of exercise training and increased levels of fitness to improve psychological stress and subsequent prognosis.
尽管未得到充分重视，但大量证据表明，心理困扰，尤其是抑郁、敌意和焦虑，是冠心病（CHD）的危险因素，并影响重大冠心病事件后的康复。我们回顾了奥克施纳医学中心的几项主要研究，这些研究表明冠心病患者心理困扰的高患病率，以及正规心脏康复和运动训练项目后所带来的显著益处。这些益处包括心理压力的减轻、伴随高压力的冠心病危险因素的改善以及全因死亡率的降低。这些数据支持了运动训练和提高体能水平对改善心理压力及后续预后的益处。
