The influence of type a personality in cardiovascular disease

A. Silva
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Abstract

The correlations among the psychic repercussions of acute and chronic stress on the atherosclerotic process due to psychosomatic disorders were described more consistently since the middle of the 20th century. The revival of the attentions to them has been revitalized by the necessity to understand, diagnose and treat the effects of the Covid-19 pandemics in the cardiac patients. A pivotal exemplary work demonstrated the relationship of stress and atherosclerosis was experimentally compared when rabbits were placed on a lipid-rich diet in which atherosclerosis was developed (about 40%); however, if in addition to the diet, the animals were submitted to a continuous stress or the administration of benzedrine, about 90% of them presented generalized atheromas The increased risk of coronary heart disease in stress patients is well known. However, prisoners in concentration and war camps, under a strong state of stress, did not present the risk of coronary heart disease, but those who suffered an impact from a hurricane, earthquake or deprivation or even ignominy are deeply affected, bringing harm to the body. Attention must be payed to the importance of the peculiarities of each individually; responses to the stressful factor may depend on their genetic predisposition and specific unconscious fantasies, own and characteristics of each person. Unconscious conflicts would prepare their responses to stressful factors. Studies presented from different perspectives to link them the environmental stress as is presently the Covid-19 occurrence.
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a型人格对心血管疾病的影响
自20世纪中期以来,心身疾病引起的急性和慢性应激对动脉粥样硬化过程的心理影响的相关性得到了更一致的描述。由于有必要了解、诊断和治疗Covid-19大流行对心脏病患者的影响,对他们的关注重新焕发了活力。一项关键的示范工作证明了压力和动脉粥样硬化之间的关系,实验比较了当兔子被放置在富含脂质的饮食中,动脉粥样硬化发展(约40%);然而,如果在正常饮食的基础上,给予动物持续的应激或苯丙胺,大约90%的动物会出现广泛性动脉粥样硬化。然而,在集中营和战俘营的囚犯,在强烈的压力状态下,没有冠心病的风险,但那些遭受飓风、地震或剥夺甚至羞辱的人受到严重影响,对身体造成伤害。必须注意每个个体的特点的重要性;对压力因素的反应可能取决于他们的遗传倾向和特定的无意识幻想,每个人的自己和特点。无意识的冲突会让他们对压力因素做出反应。从不同角度提出的研究将它们与环境压力联系起来,就像目前发生的Covid-19一样。
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