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Personality Traits in Patients with Myocardial Infarction with Nonobstructive Coronary Arteries.

Artikel i vetenskaplig tidskrift
Författare Daniella Nero
Stefan Agewall
Maria Daniel
Kenneth Caidahl
Olov Collste
Christina Ekenbäck
Mats Frick
Loghman Henareh
Tomas Jernberg
Karin Malmqvist
Karin Schenck-Gustafsson
Jonas Spaak
Peder Sörensson
Örjan Sundin
Shams Y-Hassan
Claes Hofman-Bang
Per Tornvall
Publicerad i The American journal of medicine
Volym 132
Nummer/häfte 3
Sidor 374-381
ISSN 1555-7162
Publiceringsår 2019
Publicerad vid Institutionen för medicin, avdelningen för molekylär och klinisk medicin
Sidor 374-381
Språk en
Länkar dx.doi.org/10.1016/j.amjmed.2018.11...
www.ncbi.nlm.nih.gov/entrez/query.f...
Ämnesord Anger; MINOCA; Takotsubo cardiomyopathy; Type A behavior
Ämneskategorier Invärtesmedicin, Kardiologi, Psykiatri, Klinisk laboratoriemedicin

Sammanfattning

The purpose of this study was to describe type A behavior pattern and trait anger in patients with myocardial infarction with nonobstructive coronary arteries (MINOCA) and compare them with patients with coronary heart disease and healthy controls. Type A behavior pattern and anger have been linked to coronary heart disease in previous studies. This is the first study to assess type A behavior pattern and trait anger in MINOCA patients.One hundred MINOCA patients, consecutively recruited during 2007-2011 at 5 coronary care units in Stockholm, were matched for sex and age to 100 coronary heart disease patients and 100 healthy controls. All participants completed the Bortner Rating Scale to quantify type A behavior pattern and the Spielberger Trait Anger Scale to quantify anger 3 months after the acute event.MINOCA patients' Bortner Rating Scale score was 70.9 ± 10.8 (mean ± SD) and Spielberger Trait Anger Scale score was 14 (12-17) (median; interquartile range). Coronary heart disease patients' Bortner Rating Scale score was 70.5 ± 10.2 and Spielberger Trait Anger Scale score was 14 (12-17). Healthy controls' Bortner Rating Scale score was 71.9 ± 9.1 and Spielberger Trait Anger Scale score was 13 (11-16).We found no significant differences in Bortner Rating Scale score and Spielberger Trait Anger Scale score among MINOCA, coronary heart disease patients, and healthy controls, regardless of whether total scores, subscales, or cutoffs were used to classify type A behavior pattern and trait anger. However, we cannot exclude the existence of an occasional episode of anger or mental stress in relation to the coronary event. This is the first study to assess type A behavior pattern and trait anger in patients with MINOCA, and future studies need to confirm the current findings before any firm conclusions can be made.

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