"Cardiovascular disease, close association with mental health"'Mental physical disease'", which requires collaborative treatment

Aug 14, 2024

"Mental and physical diseases caused by the interaction of mental and physical diseases are closely related to mental health, especially cardiovascular diseases."

Chu Won-young, director of the Department of Mental Health at Sejong Hospital in Incheon, said, `Those who complain of chest pain due to mental stress, or those who continue to have symptoms such as palpitations when they are already being treated without problems due to cardiovascular disease are likely to be mentally ill, so they should be treated in consultation with related medical departments," he said.

The cause of all kinds of illnesses is called stress. The disease includes mental illness as well as physical illness. A common reason to visit a psychiatric clinic is depression, anxiety, insomnia, and panic, and most mental diseases are caused by complex interactions of various factors such as biological, genetic, psychological, and sociocultural rather than by one or two clear causes.



All stress exposed to patients during this interaction process becomes a factor in the development and exacerbation of each disease. In other words, patients with physical conditions inevitably have many mental health problems, and psychiatric patients also suffer from physical conditions.

The disease caused by the interrelationship of such mental and physical diseases is 'Psychosomatic Disease'. Representative individual physical diseases include high blood pressure, asthma, digestive ulcers, and irritable colon, and the correlation is so clear that psychiatry studying these diseases is a detailed specialty of psychiatry.



In particular, cardiovascular disease is a representative mental and physical disease group that has been found to have a close effect on mental health. It is very complex how psychosocial factors affect the heart and vascular system, and on the contrary, how cardiovascular disease affects brain and emotional function and psychopathology. Typical cardiovascular diseases associated include coronary artery disease and congestive heart failure, and psychiatric symptoms include depression, anxiety, panic, and insomnia.

"They seem to affect each other through mechanisms such as platelet dysfunction, autonomic nerve control, and inflammatory reactions, and the more each disease is present, the more adverse the prognosis of the other disease is," Chu said. "If the stress situation persists and cortisol, a stress hormone, is continuously secreted, the risk of heart and cerebrovascular disease increases."



Studies have shown that people with the usual angry and impatient 'Type A' personality are at high risk of coronary artery disease, and those with negative, worried, and socially isolated 'Type D' personality are at high risk of arrhythmia, including coronary artery disease, due to high anxiety.

In particular, those who complain of suspected cardiovascular disease symptoms such as chest pain, palpitations, dizziness, and frustration due to exposure to chronic stress or sudden and extreme stress that have lasted for a long time, or those who continue to have symptoms even though they have already received sufficient treatment and evaluation of mental or cardiovascular diseases, should visit the hospital to be evaluated for both mental and physical diseases.

Manager Choo emphasized that cooperation between cardiovascular thoracic surgery, cardiology, and psychiatry is already being actively conducted at Incheon Sejong Hospital, where many patients from all over the country visit to solve heart problems.

"Patients who visit the psychiatry without any chronic diseases are suspected of cardiovascular disease and are treated at cardiovascular thoracic surgery and cardiology, or patients who were already treated for cardiovascular disease often visit the psychiatry to be diagnosed with depressive disorders, anxiety, and panic disorders even though there are no problems with further examination," he said. "Many patients are satisfied that their symptoms have been well controlled and they have been well-cooperative."

He emphasized that 'It is not necessarily negative that the mind and body affect each other.'"

Manager Chu Won-young said, `Since the two things are connected, good management of one side has a positive effect on the other's disease, so it can be of great help in preventing diseases"Practice well-being with a positive attitude toward life, but if you have symptoms that are difficult to control yourself, please consult a specialist and consult with them to make sure they are not accompanied by other mental and physical diseases."

'Cardiovascular disease, close association with mental health''Mental physical disease'', which requires collaborative treatment
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