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Personality Traits in Patients with Myocardial Infarction with Nonobstructive Coronary Arteries
Södersjukhuset, Karolinska Institutet, Stockholm.
University of Oslo, Oslo, Norway; Oslo University Hospital Ullevål, Norway.
Södersjukhuset, Karolinska Institutet, Stockholm.
Karolinska Institute and Karolinska University Hospital Solna, Stockholm; University of Gothenburg, Gothenburg.
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2019 (English)In: American Journal of Medicine, ISSN 0002-9343, E-ISSN 1555-7162, Vol. 132, no 3, p. 374-381Article in journal (Refereed) Published
Abstract [en]

Objective: 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. Methods: 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. Results: 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). Conclusion: 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. 

Place, publisher, year, edition, pages
2019. Vol. 132, no 3, p. 374-381
Keywords [en]
Anger, MINOCA, Takotsubo cardiomyopathy, Type A behavior
National Category
Psychology
Identifiers
URN: urn:nbn:se:miun:diva-35413DOI: 10.1016/j.amjmed.2018.11.010ISI: 000459911500035PubMedID: 30503881OAI: oai:DiVA.org:miun-35413DiVA, id: diva2:1276839
Available from: 2019-01-09 Created: 2019-01-09 Last updated: 2019-03-19Bibliographically approved

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Sundin, Örjan

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