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Optimal healing environments for chronic cardiovascular disease
Debra A Marshall1, Elaine Walizer, Marina N Vernalis
1Coronary Artery Disease Reversal Program, Walter Reed Army Medical Center, Washington, DC 20307, USA. Debra.Marshall@na.amedd.army.mil
Summary
Chronic cardiovascular disease is rising due to aging, obesity, and diabetes. An optimal healing environment (OHE) model is proposed to improve integrative cardiac care by addressing mind-body-spirit connections.
Area of Science:
- Cardiology
- Integrative Medicine
- Public Health
Background:
- Chronic cardiovascular disease (CVD) is projected to increase significantly due to demographic shifts and rising obesity and diabetes rates.
- Current technological advances improve acute CVD event survival but translation of research for chronic illness prevention and treatment remains suboptimal.
- Atherosclerotic cardiovascular disease (ASCVD) pathogenesis and demographics necessitate novel approaches to patient care.
Purpose of the Study:
- To review obstacles and approaches to optimal care for chronic cardiovascular disease.
- To introduce and explore the concept of an optimal healing environment (OHE) as a model for integrative cardiac health care.
- To examine underexplored aspects of cardiac care, including provider/patient characteristics, mind/body/spirit wholeness, and psychosocial factors.
Main Methods:
- Literature review of demographics and pathogenesis of atherosclerotic cardiovascular disease.
- Conceptual exploration of the optimal healing environment (OHE) model.
- Discussion of psychosocial factors and their impact on cardiovascular health.
Main Results:
- The paper defines and explores the optimal healing environment (OHE) as a novel model for integrative cardiac care.
- It highlights the importance of intrapersonal/interpersonal dynamics, mind/body/spirit integration, and psychosocial factors in cardiovascular health.
- The concept of healing versus curing is discussed in the context of chronic cardiovascular illness.
Conclusions:
- An optimal healing environment (OHE) may offer new strategies for healing the heart and improving chronic cardiovascular disease management.
- Integrating mind, body, and spirit is crucial for a holistic approach to cardiovascular health.
- Further research into the impact of OHE could renew medicine's healing mission and emphasize the heart-mind-body connection.