Cardiovascular disease (CVD) is the number one killer of men and
women in industrialized countries. In older age groups, CVD is also
the most important cause for hospitalization, and, in many
countries, it is the basis of early retirement from work. Thus, CVD
is associated with enormous costs for care and loss of
productivity, as well as for disabilities, pensions, etc. 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) have been successful.
During the last decade, the immediate mortality risk of a patient
admitted to coronary care for a suspected myocardial infarction or
other acute coronary syndrome has decreased to less than 10%.
Despite these achievements, CVD continues to represent a major
threat to the health of middle-aged and elderly men and women. This
volume addresses myriad aspects of CHD prevention, including
biobehavioral and psychosocial factors, behavioral epidemiology,
behavioral intervention models, and policy. The first section of
the text provides an introduction to CVD prevention and behavioral
medicine. The second section introduces two theoretically different
approaches to preventive action, high-risk and population-based
strategies. The third section describes and discusses the important
questions of how behavioral sciences can be conceptually integrated
into traditional, medically based, preventive efforts. The fourth
section presents both population and high-risk behavioral
intervention approaches. In summary, this volume examines the
social environment and its potentials for preventive actions,
reviews the psychosocial and biobehavioral mechanisms involved in
these effects, and describes concrete and practical implementations
of behavioral medicine knowledge as they have been applied to CHD
prevention.
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