Psychological Factors and Coronary Artery Disease
- 22 February 2001
- journal article
- letter
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 344 (8) , 608-611
- https://doi.org/10.1056/NEJM200102223440813
Abstract
O'Malley et al. (Nov. 2 issue),1 conclude that psychological factors are not associated with subclinical coronary artery disease as assessed by electron-beam computed tomography. Most of the established factors that influence the risk of coronary artery disease (such as systolic blood pressure, smoking status, and levels of homocysteine, fibrinogen, and insulin) were also not associated with subclinical coronary artery disease in this analysis of 630 healthy U.S. Army personnel. Indeed, only three established risk factors for coronary artery disease (male sex, a higher body-mass index, and a higher level of low-density lipoprotein cholesterol) had sufficient power to be significantly correlated with coronary-artery calcification. In addition, psychological data were obtained during Army-mandated physical examinations, rendering the accuracy of reports of psychological distress suspect.Keywords
This publication has 16 references indexed in Scilit:
- Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluationPublished by Elsevier ,2002
- Lack of Correlation between Psychological Factors and Subclinical Coronary Artery DiseaseNew England Journal of Medicine, 2000
- Depression as an Antecedent to Heart Disease Among Women and Men in the NHANES I StudyArchives of internal medicine (1960), 2000
- Prognostic value of coronary electron-beam computed tomography for coronary heart disease events in asymptomatic populations11The views contained herein represent the private views of the authors and should not be construed in any way to represent those of the Department of Defense or the Department of the Army.The American Journal of Cardiology, 2000
- Evidence based cardiology: Psychosocial factors in the aetiology and prognosis of coronary heart disease: systematic review of prospective cohort studiesBMJ, 1999
- Coronary Calcium Does Not Accurately Predict Near-Term Future Coronary Events in High-Risk AdultsCirculation, 1999
- Impact of Psychological Factors on the Pathogenesis of Cardiovascular Disease and Implications for TherapyCirculation, 1999
- Depression Is a Risk Factor for Coronary Artery Disease in MenArchives of internal medicine (1960), 1998
- Prevalence of complications in IDDM by sex and duration. Pittsburgh Epidemiology of Diabetes Complications Study IIDiabetes, 1990
- Quantification of coronary artery calcium using ultrafast computed tomographyJournal of the American College of Cardiology, 1990