*After sometime*
Arsh starts the presentation
Coronary Heart Disease (CHD) Overview
1 Killer in the U.S.
Accounts for 40 of all deaths
A disease of modernization
Alterations in diet
Alterations in activity level
CHD is also a major chronic disease
Millions of Americans live with its symptoms
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Coronary Heart Disease (CHD) What IS CHD?
A general term referring to illnesses caused by
atherosclerosis,
which is the narrowing of the coronary arteries,
the vessels that supply the heart with blood.
Angina pectoris
Pain that radiates across the chest and arms
Caused by temporary shortage of oxygen
Myocardial infarction heart attack
Ischemic event
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Risk Factors
Uncontrollable
Age
Gender
Genetics
Controllable
Stress/Hostility
Diet
Exercise
Smoking
Alcohol Use
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Coronary Heart Disease (CHD) Role of Stress
Development of CHD is associated with
Hostility
Exposure to chronic stress
Cardiovascular reactivity to stress
Heart disease is more common in low SES
individuals
Mobile individuals are at higher risk than
geographically stable individuals
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CHD Cardiovascular Reactivity and Hostility
Type A Behavior Pattern
A behavioral and emotional style marked by an
aggressive, unceasing struggle to achieve more
and more in less time
often in hostile competition with other
individuals or forces
a risk factor for coronary artery disease
Hostility appears to be especially implicated as
the risk factor
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CHD Cardiovascular Reactivity and Hostility
Cynical Hostility
Particularly lethal type of hostility
Characterized by suspiciousness, resentment,
frequent anger, antagonism, distrust of others
Have difficulty extracting social support from
others
Fail to make effective use of available social
support
Hostility combined with defensiveness is
particular problematic
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CHD Negative Emotions and Risk Factors
Strong Associations between
Depression and heart attack
Hopelessness and heart attack
Anxiety and sudden cardiac death
Recent research
Social dominance may be related to all-cause
mortality
Vital exhaustion predicts the likelihood of a
heart attack
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RomanceSo in this story, there is a girl named Vaish who is an intern at the most famous hospital in the state and the country, and there is a Cruel Gentlemen named Arshh who is the most renowned cardiologist in the country it's a heart touching story so l...
