0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Articles |

Precipitation of Congestive Heart Failure: Social and Emotional Factors

LAWRENCE V. PERLMAN, M.D.; STANLEY FERGUSON, Ph.D.; KAY BERGUM, M.S.W.; EDWARD L. ISENBERG, M.D.; and JAMES F. HAMMARSTEN, M.D., F.A.C.P.
[+] Article and Author Information

▸Requests for reprints should be addressed to Lawrence V. Perlman, M.D., Medical College of Wisconsin, Milwaukee County General Hospital, 8700 W. Wisconsin Ave., Milwaukee, Wis. 53226


St. Paul, Minnesota


Ann Intern Med. 1971;75(1):1-7. doi:10.7326/0003-4819-75-1-1
Text Size: A A A

Because of discrepancies in the literature and common lack of knowledge about the role of emotions in the precipitation of congestive heart failure, a group of 105 patients with congestive heart failure and a comparison group of 50 patients were studied. Emotional factors antedated hospitalization in 49% (51 of 105) of the group with congestive failure and 24% (12 of 50) of the other group (P < 0.01). Congestive-failure patients also had difficulty accepting their illness, and overt denial was observed in eight patients as compared to none of the comparison group. Patients' attitudes toward their living arrangements correlated with the presence of a preceding emotional event. When a patient lived with close relatives, emotional events were commoner than when interpersonal relationships were at a formal level (nursing home or domiciliary facility). Patients most satisfied with living conditions had less preceding emotional upsets.

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Related Point of Care
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)