A heart and a soul
With online test – heart attack patients do not always have too many pounds on the hips or too much fat in the blood. Often the stress is the cause of their suffering.But, on the part of medicine, much too little attention is paid to how closely the heart is connected with the psyche.
Bremen / Stuttgart – Just let your mind go! There is hardly any better precaution than heartfelt life for heart health: it is becoming more and more common in studies of recent years that the hearts of industrious workers and industrious employees are often exhausted.
times, “he said,” there are no signs of heart disease. “Today, there is no need for a senior post to be treated for heart problems. The stressed heart can be found in all social strata and many professional groups – and whoever does not always pay attention to relaxation, is also a More than 300,000 people in Germany suffer a heart attack every year – and this is often the case when life is changing The interheart study from 2004 shows that psychosocial factors such as stress are significantly involved in one-third of all infarcts in approximately 30,000 patients.
If the body is constantly under tension-the so-called constant stress-white blood corpuscles are formed in dangerous masses. Actually, the white blood cells serve to fight and cure infections. In stress situations this has the advantage that the body is armed and not prone to diseases. If, however, too many white blood corpuscles are formed, they can be deposited in the wrong places – for example, on vessel walls. Such deposits can dissolve, block the vein and cause the infarction in seconds. Scientists from the University Heart Center in Freiburg, together with the Harvard Medical School in Boston, could not find this until 2014 with the help of a study.
Is the heart patient also mentally good?
The power that the mental condition of the physical has, has impressed the German Society of Cardiology: Since 2013, it requires its prevention guidelines that psychosocial factors in the assessment of the risk should always be considered for coronary heart disease. Cardiologists should therefore examine with each patient whether they live in a difficult relationship, are socially disadvantaged or are treated unfairly in the job.
“Those affected are mostly in a devil’s circle,” says the cardiologist Linden from Stuttgart. Thus, observations show that people who are under psychosocial pressure in everyday life usually live otherwise unhealthy. They are more likely to use fast foods, alcohol and cigarettes – which in turn reinforces the classic risk factors for heart attacks such as hypertension, diabetes and obesity.
It is not without reason that Deutsche Herzfiftung is calling on physicians to better take this dangerous interaction into account if they want to treat their patients well and save billions from the health care system. Although there are now clinics that specialize in psychocardiology – the holistic treatment of cardiac patients. But there are far too few specialists: “In many places, the medical profession still concentrates too much on physical suffering, instead of involving the psychological problems in the therapy,” says cardiologist Linden from Stuttgart.
Heart patients tend to be depressed
Especially since the interaction of heart and soul also works in the opposite direction: According to a study by the University of Freiburg, every fifth to sixth patient with a coronary heart disease also develops a depressive mood up to a depression. In fact, heart patients feel their disease is an existential shock – with which not everyone affected can deal with it.
Cardiologists like Michael Linden from Herzzentrum Stuttgart or Detlef Roser from Sana Herzchirurgie Stuttgart GmbH report patients who are increasingly withdrawing from social life because they have lost confidence in their bodies. Instead of paying more attention to their health, they move too little and do not take their medication regularly – promptly increases the risk of a second heart attack.
But there is also the other extreme, which can not be less dangerous: the patients who do not take the infarction as a warning sign seriously: “They continue exactly as before the infarction after the operation,” says Detlef Roser.
Sports, stress management and conversations can help those affected
Accepting life under new conditions is not easy. Psychocardiologists like Jochen Jordan from the Kerkhoff Clinic in Bad Nauheim estimate that it may take up to one and a half years for the patient to accept the new life situation. However, professional help needs the fewest, can in turn, Karl-Heinz Ladwig of the German Heart Foundation calm down. The epidemiologist conducts research at the Helmholtz Center for Environment and Health on the interaction of the cardiovascular system and the mental condition. In the counselor “Stress” of the German Heart Foundation, he advises on relieving conversations and psychosocial support – for example through sport, stress management and exchange with other patients. “Of course you can not always psychologize psychological stresses,” Ladwig is quoted. “But it helps already when one speaks out, sees one’s situation more clearly and asks: What can I change?”