Journal of Medical Case Reports and Reviews 2:5 (2019) Available online at www.jmcrr.info ISSN (O) 2589-8655| (P) 2589-8647 JMCRR 2019, 2:5, Page No: 233-235 Page 233 PSYCHOSOCİAL SİTUATİONS İN CARDİOVASCULAR DİSEASES Isa Ardahanli 1 , Mehmet Celik 2 , Mehmet Serdar Cengizhan 3 1 Bilecik State Hospital, Department of Cardiology. 2 Antalya Kepez State Hospital, Department of Endocrinolgy and Metabolism. 3 Bilecik State Hospital, Department of Internal Medicine. Received 11 April 2019; Accepted 12 May 2019; Publish Online 14 May 2019 Summary Cardiovascular diseases (CVD) are a major cause of mortality and morbidity worldwide. Psychosocial factors are important in the development and prognosis of CVD. Psychosocial risk factors such as lack of social support, work and family life stress, depression, anxiety, personality type have been shown to worsen both coronary heart disease development risk and clinical process and prognosis in many studies conducted for many years. In addition, some psychobiological and behavioral mechanisms have been defined. In clinical practice, psychosocial risk factors should be identified and medical outcomes discussed with the patient. Risky patients with clinical symptoms of anxiety and depression should be guided for professional mental health assistance. In cardiac rehabilitation, psychosocial interventions, including cognitive therapy, problem-solving therapy, and stress management programs, can be performed alone or in combination with other interventions. Keywords: Cardiovascular diseases; psychosocial risk factors; depression and anxiety. ⋆Corresponding Author: Isa Ardahanli# MD,Department of Cardiology, Bilecik State Hospital, Bilecik, Turkey Introduction: Cardiovascular diseases are the cause of about one-third of all deaths in the world [1]. It is stated that the world has the biggest burden of morbidity and mortality in both developed and developing countries [1,2]. The psychosocial consequences of such a frequently encountered and socially large group of patients are important. Cardiac metaphors are full in our spoken language we use every day. For example, when we are excited, our hearts are fast-paced or broken when we are sad. Emotional and stressful experiences affect the heart by directly stimulating the autonomic nervous system. Its indirect effect is by stimulating the neuroendocrine pathways. In this article, psychosocial events will explain the effect of the development of heart disease, and the effect of cardiovascular diseases on mental status. Discussion and Conclussion: Psychological conditions and mental constraints may facilitate the development of heart diseases and may adversely affect prognosis. After cardiovascular diseases, anxiety disorder, panic, depression, some personality changes and implicit psychological conflicts can be seen. As a result, both psychosocial factors affect the cardiovascular system and cardiovascular changes affect the mood [3]. There is evidence that psychosocial risk factors contribute to the development of coronary heart disease (CHD) and to undesirable outcomes [4,5]. The mechanism of action of these factors is explained in two ways as pathophysiological and behavioral. The first is related to the physiological mechanisms of psychosocial risk factors such as heart rate and blood pressure elevation, activation of