Psychiatric aspects of cardiovascular disease include both the effects
of emotion and mental disorders on the heart and the psychiatric comp
lications of cardiac disease. Anxiety, anger-hostility, depression, an
d the Type A behavior pattern, as well as acute psychological stressor
s, have clear effects on the development and progression of coronary h
eart disease. Management of depression and anxiety, the most prominent
psychiatric problems, requires an understanding of both medical and p
sychological factors. New treatments for end-stage cardiac disease and
their specific psychological consequences are discussed.