Psychosocial stress and ischaemic heart disease: a response to tennant.

In a recent article appearing in this journal, a decision of the Administrative Appeals Tribunal granting a war pension for ischaemic heart disease arising out of the stresses of military service in World War II was severely criticised. The following is a literature review supporting the Tribunal's judgement by providing evidence for an association between both neurotic illness and stresses of varying severity on the one hand and cardiovascular disease on the other.