MAN AND MODERN DAY STRESS

ByG.L.DeepthiFinal yr part 1

STRESS AND CORONARY HEART DISEASES

What is stress?

S=P>R

HISTORY

2000yrs ago--celsus

1628—william harvey

Century later—John Hunter

150yrs ago—Von Dusch

Sir William Osler

1930’s—Menningers

Decade later—Flanders Dunbar

Stress

Physical health decline,psychol

ogical stressTardeiness,

presenteeism,absenteeism

Low job satisfaction,decreased

productivity,

low financial return

PHYSIOLOGY OF STRESS:

GENERAL ADAPTATION SYNDROME:1.Alarm stage2.Resistance stage3.Exhaustion stage

PHYSICAL STRESS

Stress hormones released and fats mobilized

Raise in heart rate and blood pressure

Stress hormones and fats burned up

MENTAL STRESS

Stress hormones released and fats mobilized

Raise in heart rate and blood pressure

Stress hormones and fats not burned up leading to

turbulence in blood stream

increased turbulence and stress hormones damages the arteries

Platelets adhere to the injured arteries to promote healing

thickening of vessel wall which attracts LDL,

etc to form plaque.

stage for blockage.

Note: stress hormones dilates healthy arteries while constricts

diseased arteries. Chemical necrosis

SYMPTOMS:-

CognitivePhysicalEmotionalbehavioral

Heart Attack Risk Factors:

Age

Family History

Male > Female (Pre-Menopause)

High Blood Pressure

Diabetes

High LDL Cholesterol

Low HDL Cholesterol

Cigarette Smoking

Sedentary Lifestyle

Being Overweight (?)

High Triglycerides (?)

Excessive Stress (?)

Type-A Behavior (?)

Western Collaborative Group Study:

Rosenman and Friedman’s concept of TypeA personality

Other studies:: Framingham heart study Trial using techniques to alter damaging Type A behavior NHLBI study of almost 4,000 patients --two years the

administration of propranolol had reduced mortality by 26%

STRESS REDUCTION:

People mean different things by “stress;”

Some types of stress appear to be worse for the heart than others; and

How you respond to stress may be more important than the stress itself

STRESS APPROACH

PREVENTION:

DO’S

PREVENTION- DONT’S

• Bad Lifestyle choices

• Negative self - talk• Mind traps• Personality traits

MANAGEMENT:Phase 1- Individuals are taught to discriminate

between what is a positive display of anger and what is not

Phase 2 -they learn to use coping strategies—relaxation procedures ,meditation ,and humor ,for example—to help replace angry thoughts with thoughts that are more adaptive

Phase 3- involves role-playing; the person is presented with provocative situations that he or she is likely to encounter in real life. Under supervision of the therapist, the patient learns to manage them with the newly acquired coping skills

TREATMENT* Careful workup and evaluation by a doctor

* Regular exercise program

* Reassurance

* Biofeedback

* Counseling by qualified mental health professionals,

as needed

* Medical intervention for any physical problems discovered

Humor, a great stress reliever! Laugh, be happy and have less stress! ~Catherine Pulsifer

THANK

YOU