Meeting November 26, 2011
« HEART AND PSYCHE. Cardiology meets PNEI »November 26, 2011, Santa Maria della Pietà, Rome, Italy.
7 Credits for physicians and psychologists
The research, carried out in the field of cardiology in the last 60 years, has clearly showed that many risk factors, both biological and psychosocial, may act as contributing factors in the genesis of coronary artery disease.
When they cluster in the same patient, the effect strenghtens. The psychosocial risk factors (anxiety, depression, social isolation, acute and chronic life stress, type D personality ) can be considered equivalent to the biological risk factors in facilitating the onset of atherosclerosis and clinical coronary events. They can act either indirectly, by promoting dysfunctional and unhealthy life styles, and directly, through the activation of the coagulation, endocrine, immune and autonomic nervous systems.
On the basis of this knowledge numerous studies of psychotherapeutic intervention have been carried out, aimed at verifying whether psychotherapy, stress management and relaxation body techniques can improve the quality of life, reduce levels of anxiety and depression and the incidence of clinical cardiac events in patients with coronary heart disease.
The mechanistic approach of traditional medicine can only reach a partial result concerning a specific aspect of the disease and cannot treat the person in its global dimension to reach a definitive result. For this reason a growing interest in the psychological approach, which integrates pharmacological intervention and coronary revascularization, is developing. Parallely, the PNEI (psychoneuroendocrinoimmunology) has undertaken the arduous task of assembling the multitude of biochemical, pathophysiological and psychological researches, that have developed in every field of medicine. In this way it has obteined a global view of the numerous interconnections of research. Today, the difficult synthesis performed by PNEI allows us to take a holistic view of the patient, based on a rigorous scientific basis. During this training course Cardiology meets PNEI for the first time. The connection lays the groundwork for a scientific and operational collaboration, which could achieve an integrated approach in the diagnosis and treatment of cardiac patients.
When they cluster in the same patient, the effect strenghtens. The psychosocial risk factors (anxiety, depression, social isolation, acute and chronic life stress, type D personality ) can be considered equivalent to the biological risk factors in facilitating the onset of atherosclerosis and clinical coronary events. They can act either indirectly, by promoting dysfunctional and unhealthy life styles, and directly, through the activation of the coagulation, endocrine, immune and autonomic nervous systems.
On the basis of this knowledge numerous studies of psychotherapeutic intervention have been carried out, aimed at verifying whether psychotherapy, stress management and relaxation body techniques can improve the quality of life, reduce levels of anxiety and depression and the incidence of clinical cardiac events in patients with coronary heart disease.
The mechanistic approach of traditional medicine can only reach a partial result concerning a specific aspect of the disease and cannot treat the person in its global dimension to reach a definitive result. For this reason a growing interest in the psychological approach, which integrates pharmacological intervention and coronary revascularization, is developing. Parallely, the PNEI (psychoneuroendocrinoimmunology) has undertaken the arduous task of assembling the multitude of biochemical, pathophysiological and psychological researches, that have developed in every field of medicine. In this way it has obteined a global view of the numerous interconnections of research. Today, the difficult synthesis performed by PNEI allows us to take a holistic view of the patient, based on a rigorous scientific basis. During this training course Cardiology meets PNEI for the first time. The connection lays the groundwork for a scientific and operational collaboration, which could achieve an integrated approach in the diagnosis and treatment of cardiac patients.
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