Document Detail


Inflammation and the mental state before an acute coronary event.
MedLine Citation:
PMID:  10342499     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Feelings of exhaustion have been found to belong to the precursors of acute coronary events. Guided by the current views of the pathogenesis of acute coronary syndromes, a two-stage model describing a feedback relationship between mental state and the disease process is presented. According to the presented model prolonged exposure to stress results in a state of exhaustion leading to increased susceptibility to inflammatory diseases. Inflammation, in turn, amplifies feelings of exhaustion and malaise through cytokine release. Results of a study of 15 exhausted and 15 nonexhausted angioplasty patients, showing elevated levels of interleukin-1beta and tumour necrosis factor-alpha in the exhausted patients, give empirical support to this model.
Authors:
A Appels
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of medicine     Volume:  31 Suppl 1     ISSN:  0785-3890     ISO Abbreviation:  Ann. Med.     Publication Date:  1999 Apr 
Date Detail:
Created Date:  1999-07-08     Completed Date:  1999-07-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8906388     Medline TA:  Ann Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  41-4     Citation Subset:  IM    
Affiliation:
Department of Medical Psychology, University of Maastricht, The Netherlands. ad.appels@mp.unimaas.nl
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MeSH Terms
Descriptor/Qualifier:
Case-Control Studies
Coronary Disease / etiology,  psychology*
Cytokines / metabolism*
Fatigue / complications*
Humans
Inflammation / complications*
Models, Cardiovascular
Risk Factors
Stress, Psychological / complications*
Chemical
Reg. No./Substance:
0/Cytokines

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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