Behavioral Medicine Approaches to Cardiovascular Disease Prevention

By Kristina Orth-Gomér; Neil Schneiderman | Go to book overview

Chapter 1
Concepts and Theories of Prevention: Reasons for Soliciting Behavioral Medicine Knowledge

Kristina Orth-Gomér Karolinska Institute

Cardiovascular disease (CVD) is the number-one killer of men and women in industrialized countries. In men above age forty and in women above age sixty CVD is the most important cause of death ( 1). In older age groups, CVD is also the most important cause for hospitalization. Furthermore, in many countries, heart disease is an important cause of early retirement from work. Thus, CVD is associated with enormous costs for care and loss of productivity, as well as for disabilities, pensions, and so on. Furthermore, it is the cause of acute and prolonged suffering in many people. All this has motivated clinicians and scientists to develop and implement new methodologies and technologies to better care for patients who are hospitalized for heart disease.

Efforts to improve care in the acute phases of coronary heart disease (CHD), the most common CVD, have been very successful. In the 1960s and 1970s, the initiation of intensive coronary care units (ICCUs) with continuous monitoring of cardiac activity and prompt therapy of life-threatening complications substantially reduced mortality rates. In an early Swedish trial, patients were randomized to intensive coronary care or traditional inpatient care without continuous surveillance. Mortality fell by 50% in the former group ( 2).

During the last decade, the immediate mortality risk of a patient admitted to coronary care for a suspected myocardial infarction (MI) or other acute coronary syndrome has further decreased to less than 10%. This can be ascribed to various attempts to limit infarct size before the full development of the myocardial damage has occurred. Thrombolysis, beta blockade, angiotensin converting enzyme inhibitors for patients with early signs of heart failure, and acute surgery have all contributed to these remarkable gains in human lives and well-being ( 3).

-3-

Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this book

This book has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this book

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this page

Cited page

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited page

Bookmark this page
Behavioral Medicine Approaches to Cardiovascular Disease Prevention
Table of contents

Table of contents

Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
/ 324

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Author Advanced search

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.