Bad temper, a factor in the recurrence of a heart attack

THE ESSENTIAL

  • Like stress, anxiety or depression, bad temper should be considered a risk factor for myocardial infarction, the study said.
  • Carried out on more than 2000 survivors of a heart attack, it shows that the temperament plays an important role in the risk of undergoing a new cardiovascular accident.

Will bad temper soon be on the list of risk factors for cardiovascular events? According to news published in the European Journal of Cardiovascular Nursing, a review of the European Society of Cardiology (ESC), it is quite possible.

According to its authors, people showing hostility and having already been victims of a heart attack are at greater risk of recurrence than other patients.

An additional risk factor

“Hostility is a personality trait that includes being sarcastic, cynical, resentful, impatient or irritable., details Dr Tracey Vitori of the University of Tennessee in Knoxville (United States). This is not a one-off event, but a trait that characterizes the way a person interacts with others. “ According to her, improving the character and behavior of patients with a heart attack are, as quitting smoking or to practice a sporting activity, a way to take control over one’s lifestyle and therefore to avoid the risk of recurrence.

To reach this conclusion, Dr Vitori and his colleagues followed 2321 patients with previous heart attacks for 24 months. Their hostility was initially measured using a questionnaire called the Multiple Adjective Effects Checklist (MAACL), which measures personality traits. The average age of the participants was 67 years old, 68% were men and 57% of them were found to be hostile by the personality test.

By comparing the occurrence of heart attacks and the number of deaths within 24 months with the test results, the researchers concluded that the bad temper was, as well as anxiety and stress, a risk factor for recurrence of a heart attack.

Warning cranky patients

“Hostility has been linked to cardiovascular disease since the 1950s, but we still don’t quite understand why. Our study shows that hostility is a common trait among heart attack survivors and is associated with heart attack survivors. poor results. More research is needed on how this characteristic affects the organism “, explains Dr Vitori, who advocates for the addition of an assessment of hostility as a risk factor for recurrence of the heart attack. This would help identify patients at risk of premature death. It is also necessary to educate patients on the potential impact of their bad temper on their heart health in order to encourage them to change their behavior.

“Heart patients can do a lot to take charge of their own health. From a physical standpoint: quitting smoking, increasing physical activity, and eating a balanced diet. Our study also indicates that managing a bad mood could be important “, concludes Dr Vitori.


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