Physiological and cardiovascular reactivity to acute stress (“hot reactors”). Exaggerated increases in blood pressure, heart rate, catecholamines, corticosteroids. High levels of these hormones can damage heart and blood vessels. Presence of epinephrine (a catecholamine) increases the formation of clots.
Initial treatment may involve clot-dissolving medication and close monitoring
Balloon angioplasty, tiny balloon is inserted into blocked vessel and inflated to open blood vessel
Bypass surgery, Use grafted vessel (e.g., piece from leg) to bypass blockage in artery to the heart
Medications (e.g., beta blockers, calcium channel blockers) to protect heart and improve function.
Risk management is control of high blood pressure and control of lipid abnormalities.
Promote recovery and reduce risk of another attack
Heart disease is chronic condition requiring ongoing management.
Exercise is Physiological and psychological benefits
Lipid and BP management include dietary changes to control lipids
Reduce excessive alcohol intake