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ARTICLE |

Psychosocial Influences on Mortality of Patients With Coronary Heart Disease FREE

William Ruberman, MD
[+] Author Affiliations

Reprint requests to Laboratory of Biostatistics and Epidemiology, Institute of Environmental Medicine, New York University Medical School, 341 E 25th St, New York, NY 10010-2598 (Dr Ruberman).


JAMA. 1992;267(4):559-560. doi:10.1001/jama.1992.03480040107040
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Two reports in the current issue of The JOURNAL bring to its readers fresh evidence of the considerable impact of social and economic factors on the course of coronary heart disease. In the study by Williams et al,1 a group of patients with chest pain and angiographically determined coronary disease showed decreased survival if they had an income of $40 000 or less and were unmarried without a confidant. In the study by Case et al,2 a group of patients surviving myocardial infarction after discharge from the coronary care unit showed increased risk for nonfatal myocardial infarction or cardiac death when they had had less than 12 years of schooling or were living alone. The findings in both studies were independent of a number of clinically important variables including level of ventricular function as determined by ejection fraction.

See also pp 515 and 520.

Numerous studies in general

REFERENCES

Williams RB, Barefoot JC, Califf RM, et al.  Prognostic importance of social and economic resources among medically treated patients with angiographically documented coronary artery disease. JAMA . 1992;;267:520-524.
Case RB, Moss AJ, Case N, et al.  Living alone after myocardial infarction: impact on prognosis. JAMA . 1992;;267:515-519.
Liu K, Cedres LB, Stamler J, et al.  Relationship of education to major risk factors and death from coronary heart disease, cardiovascular disease, and all causes: findings of three Chicago epidemiologic studies. Circulation . 1982;;66:1308-1314.
Marmot MG, Rose G, Shipley M, Hamilton PJS.  Employment grade and coronary heart disease in British civil servants. J Epidemiol Community Health . 1978;;32:244-249.
Berkman LF, Syme L.  Social networks, host resistance, and mortality: a 9-year follow-up study of Alameda County residents. Am J Epidemiol . 1979;;109:186-204.
House JS, Robbins C, Metsner HL.  The association of social relationships and activities with mortality: prospective evidence from the Tecumseh Community Health Study. Am J Epidemiol . 1982;;116:123-140.
Helsing KJ, Szklo M.  Mortality after bereavement. Am J Epidemiol . 1981;; 114:41-52.
Weinblatt E. Ruberman W, Goldberg JD, Frank CW, Shapiro S, Chaudhary BS.  Relation of education to sudden death after myocardial infarction. N Engl J Med . 1978;;299:60-65.
Ruberman W, Weinblatt E, Goldberg JD, Chaudhary BS.  Psychosocial influences on mortality after myocardial infarction. N Engl J Med . 1984;;311:552-559.
Lown B.  Sudden cardiac death: biobehavioral perspectives. Circulation . 1987;;76( (suppl 1) ):186-195.
Campbell S, Rocco M, Nabel E, et al.  Factors determining the activity of ischemic heart disease. Am J Med . 1986;;80( (suppl 4) ):9-17.
Kleiger RE, Millar P, Bigger JT Jr, et al.  Decreased heart rate variability and its association with increased mortality after acute myocardial infarction. Am J Cardiol . 1987;;59:256-262.

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Williams RB, Barefoot JC, Califf RM, et al.  Prognostic importance of social and economic resources among medically treated patients with angiographically documented coronary artery disease. JAMA . 1992;;267:520-524.
Case RB, Moss AJ, Case N, et al.  Living alone after myocardial infarction: impact on prognosis. JAMA . 1992;;267:515-519.
Liu K, Cedres LB, Stamler J, et al.  Relationship of education to major risk factors and death from coronary heart disease, cardiovascular disease, and all causes: findings of three Chicago epidemiologic studies. Circulation . 1982;;66:1308-1314.
Marmot MG, Rose G, Shipley M, Hamilton PJS.  Employment grade and coronary heart disease in British civil servants. J Epidemiol Community Health . 1978;;32:244-249.
Berkman LF, Syme L.  Social networks, host resistance, and mortality: a 9-year follow-up study of Alameda County residents. Am J Epidemiol . 1979;;109:186-204.
House JS, Robbins C, Metsner HL.  The association of social relationships and activities with mortality: prospective evidence from the Tecumseh Community Health Study. Am J Epidemiol . 1982;;116:123-140.
Helsing KJ, Szklo M.  Mortality after bereavement. Am J Epidemiol . 1981;; 114:41-52.
Weinblatt E. Ruberman W, Goldberg JD, Frank CW, Shapiro S, Chaudhary BS.  Relation of education to sudden death after myocardial infarction. N Engl J Med . 1978;;299:60-65.
Ruberman W, Weinblatt E, Goldberg JD, Chaudhary BS.  Psychosocial influences on mortality after myocardial infarction. N Engl J Med . 1984;;311:552-559.
Lown B.  Sudden cardiac death: biobehavioral perspectives. Circulation . 1987;;76( (suppl 1) ):186-195.
Campbell S, Rocco M, Nabel E, et al.  Factors determining the activity of ischemic heart disease. Am J Med . 1986;;80( (suppl 4) ):9-17.
Kleiger RE, Millar P, Bigger JT Jr, et al.  Decreased heart rate variability and its association with increased mortality after acute myocardial infarction. Am J Cardiol . 1987;;59:256-262.
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