Systematic review and meta-analysis of psychological intervention on patients with coronary heart disease

Abstract

Coronary heart disease is a cardiovascular disease with a high incidence rate in clinic. The prevalence of coronary heart disease continues to rise, especially in the elderly, the prevalence over 60 years old is more than 30%. The symptoms of coronary heart disease mainly depend on the degree of ischemia involving the heart (1). Plaque composed of cholesterol and other deposits accumulate in the coronary artery wall, which can lead to coronary artery stenosis or occlusion, and then lead to coronary heart disease. Generally, when the diameter of coronary artery stenosis is more than 75%, angina pectoris, arrhythmia, and even sudden death can occur (2). It seriously threatens the physical and mental health of patients, and reduces their quality of life (3).At present, coronary heart disease is recognized as a psychosomatic disease, bad emotional stimulation can cause anxiety, tension, fear and other emotional changes in patients, thus affecting the conduction velocity of the

2023 AHA/ACC/ACCP/ASPC/NLA/PCNA Guideline for the Management of Patients With Chronic Coronary Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines

“…39,40 Mindfulness-based and psychotherapy interventions (eg, meditation, yoga, cognitive-behavioral therapy) improve depression, anxiety, stress, social support, and cardiovascular risk factors in patients with CCD but not all-cause or cardiovascular mortality, QOL, recurrent MI, or revascularization. 41–44 Pharmacological treatment of depression in patients with CCD is reasonable with consideration of adverse effects. 4,45…”

Application of Deep Learning Technique for the Detection of Coronary Heart Disease (CHD)

“…Several databases including Research gate, Ebscohost, Science direct, and Cochrane Library were searched. The author concludes that the Research Organization, was used as the Review Manager to calculate the impact of the findings on the chosen paper [27].…”

Intimate Relationships and Coronary Heart Disease: Implications for Risk, Prevention, and Patient Management

“…Psychosocial interventions as adjuncts to usual management of CHD most often utilize individual or small group interventions delivered to patients, addressing their individual difficulties and concerns. When added to traditional exercise-based cardiac rehabilitation, interventions such as stress management or cognitive-behavioral therapy produce additional clinically meaningful benefits in psychosocial functioning (i.e., reduced stress, anxiety, and depression); improvements in health outcomes (e.g., cardiac recurrence, mortality) are apparent but typically weaker, ranging from non-significant reduction in risk for some outcomes (e.g., total mortality) to approximately 20% reductions in others (cardiovascular mortality) [ 2 , 3 , 161 , 162 ]. Some well-controlled individual studies have produced stronger effects on medical outcomes [ 163 ], suggesting that refined individual interventions have additional potential.…”

“…Several psychosocial risk and protective factors (e.g., depression, social support) predict the development and course of coronary heart disease (CHD) [ 1 ••]. A smaller and more preliminary literature suggests that interventions addressing these factors may be useful additions to patient care [ 2 , 3 ]. Intimate relationships such marriage or similar partnerships are integral—but often overlooked—aspects of behavioral or psychosocial influences on the development, course, impact, and management of CHD [ 4 •].…”