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The increasing frequency of coronary diseases, the still insufficient results of prevention have brought physicians to try to reduce as much as possible the con sequences of ischaemic heart disease. Coronary units and new treatments have some what reduced the dramatic complications of the acute phase; but after the latter, evil effects of the disease remain at the physiological, psychological and social level. It is the aim of rehabi~itation to analyze these problems, to reduce them or to solve them whenever possible. When this conception of "complete coronary care" took the lead, the necon ditioning effects of heart disease and of immobilization on physical conditi ons were emphasized: physical training programmes were prepared and their main lines and physiological effects are now fairly well known. But it was soon obvious that the psychological problems raised by the patient and his environment 'are equally important. Their approach is however much more difficult and their treatment particularly complex. So, the Council on Rehabilitation of the International Society of Cardiology is really grateful to Professor Dr. HALHUBER and Dr. Dr. STOCKSMEIER for giving the opportunity to specialists to discuss together this particular aspect of coronary disease. The discussions have been devoted to the methods of approaching the patient as well as to the therapeutic aspects and the role of psychologists in the rehabilitation programmes: some papers have been devoted also to the possible role of the personality as a risk factor in the development of the disease.
List of contents
The Main Questions of Cardiologists to Psychologists.- Comprehensive Rehabilitation on Patients after a Myocardial Infarction: Psychosocial Aspects.- Medical and Psychological Aspects of Coronary Heart Disease.- Experiences with the Budapest Questionnaire in MI Patients.- Psychological Problems of Cardiac Rehabilitation.- Psychological Problems in Rehabilitation Programmes.- Psychosocial Factors in Coronary Risk and Rehabilitation.- Personality Structure and Actual Condition of Patients with Heart Diseases.- Some Psychotherapeutic Problems of Patients after Myocardial Infarction.- The Rehabilitation of Patients with Coronary Heart Disease: A Clinician's View.- The Cardiac Environment.- Post-Myocardial Infarction. Psychological Problems: A Behavioral Approach.- Is Coping with Life Stresses Enhanced by Cardiac Rehabilitation Programs.- Interaction between Physical and Psychological Abnormalities after Myocardial Infarction.- Results of Psychological Testing of Coronarypaths in a Longitudinal Study of the Following up of Effects of Training.- Socio-economic Factors Effected by an In-Hospital Cardiac Rehabilitation Program.- Classification of Psychic Changes in M.I. Patients in Connection with Problems of Rehabilitation.- Psychotherapy in Cardiac Patients.- Interactions between Psychological Questionnaire Results and EEG.- Some Sexual Aspects of the Rehabilitation of Cardiac Patients.- Sport Therapy in Patients with Cardiac Infarct and Primary Motor Proclivity.- Changes of Heart Rate, Electrocardiogram and Blood Pressure during Psychical Stress by an Aerobatic Program.- Psychosocial Stressors and Cardiovascular Disease.- Psychological Factors Involved in Cardiac Rehabilitation.- Risk Factors in Myocardial Infarction Patients. Results from the WHO Register Study.- NeuroticIllness in Patients with Myocardial Infarction.- Members of the "Research-Group for Psycho-Social Problems".
