Overview

• The review pooled data from 12 studies covering 5,540 patients with coronary heart disease, stroke or heart valve problems.
• Men reporting hopelessness faced up to six times higher death risk from heart disease compared with those maintaining hope.
• Women with higher hope scores experienced reduced angina and stroke survivors reported significantly less post-stroke fatigue.
• Patients with elevated hope levels demonstrated better medication adherence and greater engagement in self-care activities.
• Researchers urge integrating mental health support into heart care to foster hope and enhance long-term outcomes.