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MAN AND MODERN DAY STRESS
ByG.L.DeepthiFinal yr part 1
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STRESS AND CORONARY HEART DISEASES
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What is stress?
S=P>R
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HISTORY
2000yrs ago--celsus
1628—william harvey
Century later—John Hunter
150yrs ago—Von Dusch
Sir William Osler
1930’s—Menningers
Decade later—Flanders Dunbar
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Stress
Physical health decline,psychol
ogical stressTardeiness,
presenteeism,absenteeism
Low job satisfaction,decreased
productivity,
low financial return
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PHYSIOLOGY OF STRESS:
GENERAL ADAPTATION SYNDROME:1.Alarm stage2.Resistance stage3.Exhaustion stage
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PHYSICAL STRESS
Stress hormones released and fats mobilized
Raise in heart rate and blood pressure
Stress hormones and fats burned up
MENTAL STRESS
Stress hormones released and fats mobilized
Raise in heart rate and blood pressure
Stress hormones and fats not burned up leading to
turbulence in blood stream
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increased turbulence and stress hormones damages the arteries
Platelets adhere to the injured arteries to promote healing
thickening of vessel wall which attracts LDL,
etc to form plaque.
stage for blockage.
Note: stress hormones dilates healthy arteries while constricts
diseased arteries. Chemical necrosis
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SYMPTOMS:-
CognitivePhysicalEmotionalbehavioral
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Heart Attack Risk Factors:
Age
Family History
Male > Female (Pre-Menopause)
High Blood Pressure
Diabetes
High LDL Cholesterol
Low HDL Cholesterol
Cigarette Smoking
Sedentary Lifestyle
Being Overweight (?)
High Triglycerides (?)
Excessive Stress (?)
Type-A Behavior (?)
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Western Collaborative Group Study:
Rosenman and Friedman’s concept of TypeA personality
Other studies:: Framingham heart study Trial using techniques to alter damaging Type A behavior NHLBI study of almost 4,000 patients --two years the
administration of propranolol had reduced mortality by 26%
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STRESS REDUCTION:
People mean different things by “stress;”
Some types of stress appear to be worse for the heart than others; and
How you respond to stress may be more important than the stress itself
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STRESS APPROACH
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PREVENTION:
DO’S
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PREVENTION- DONT’S
• Bad Lifestyle choices
• Negative self - talk• Mind traps• Personality traits
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MANAGEMENT:Phase 1- Individuals are taught to discriminate
between what is a positive display of anger and what is not
Phase 2 -they learn to use coping strategies—relaxation procedures ,meditation ,and humor ,for example—to help replace angry thoughts with thoughts that are more adaptive
Phase 3- involves role-playing; the person is presented with provocative situations that he or she is likely to encounter in real life. Under supervision of the therapist, the patient learns to manage them with the newly acquired coping skills
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TREATMENT* Careful workup and evaluation by a doctor
* Regular exercise program
* Reassurance
* Biofeedback
* Counseling by qualified mental health professionals,
as needed
* Medical intervention for any physical problems discovered
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Humor, a great stress reliever! Laugh, be happy and have less stress! ~Catherine Pulsifer
THANK
YOU