Little is known about the perception of lifetime risk for cardiovascular disease (CVD). Researchers recruited subjects from the Dallas Heart Study, and each subject was classified as high or low for risk of CVD. Subjects were then assessed for their perceived lifetime risk for a myocardial infarction. There was significant discordance between perceived and predicted lifetime risk.
Most children are born with the components of favorable cardiovascular risk—good blood pressure, lipid, and glucose levels; ideal body weight; and not smoking. If they can hold onto those assets, keep their weight down, and not get diabetes, they can avoid cardiovascular disease later. These researchers wanted to identify early psychosocial factors that safeguard and promote cardiovascular health into adulthood.
Positive psychological well-being, especially optimism, protects against the incidence, and somewhat against the progression, of cardiovascular disease through a broad array of mechanisms, according to this extensive literature review.