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Correspondence
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Volume 351:2239 November 18, 2004 Number 21
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Generalized Anxiety Disorder

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by Fricchione, G.
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To the Editor: Fricchione (Aug. 12 issue)1 discusses generalized anxiety disorder and its treatment with pharmacologic agents and psychotherapy. We are surprised, however, that there is no mention of exercise as an additional means of treating anxiety. Cardiologists are interested in this disorder, because anxiety is a risk factor for major cardiovascular events,2 particularly sudden death from cardiac causes, a fact that suggests that malignant arrhythmias due to an increase in sympathetic stimulation or impaired vagal tone may be involved in such deaths.2,3,4 Exercise is known to exert salutary effects on certain emotions,3,4 including anxiety,5 and we have shown that . . . [Full Text of this Article]



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