Advanced Search. Article Navigation. Close mobile search navigation Article Navigation. Volume Article Contents. The hostile heart: anger as a trigger for acute cardiovascular events Suzanne V. Oxford Academic. Google Scholar. John A. Brahmajee K. Cite Citation. Permissions Icon Permissions. Conflict of interest: none declared. References 1. Triggering of acute myocardial infarction onset by episodes of anger.
Search ADS. Mental stress provokes ischemia in coronary artery disease subjects without exercise- or adenosine-induced ischemia. Mental stress-induced ischemia and all-cause mortality in patients with coronary artery disease: results from the Psychophysiological Investigations of Myocardial Ischemia study.
Anger-induced T-wave alternans predicts future ventricular arrhythmias in patients with implantable cardioverter-defibrillators. Outbursts of anger as a trigger of acute cardiovascular events: a systematic review andmeta-analysis.
Depression treatment after myocardial infarction and long-term risk of subsequent cardiovascular events and mortality: a randomized controlled trial. Prognostic association of depression following myocardial infarction with mortality and cardiovascular events: a meta-analysis. Depressive symptoms and health-related quality of life: the Heart and Soul Study. Prognostic association of anxiety post myocardial infarction with mortality and new cardiac events: a meta-analysis. Perceived stress in myocardial infarction: long-term mortality and health status outcomes.
The opinions expressed in this article are not necessarily those of the Editors of the European Heart Journal or of the European Society of Cardiology. Published on behalf of the European Society of Cardiology.
All rights reserved. For permissions please email: journals.
Issue Section:. We need to closely monitor and study these personality traits in order to do a better job at identifying high-risk patients who are more liable to future fatal and non-fatal coronary events. Interestingly, there was no longer a significant association of anger and hostility with CHD when researchers performed a subgroup analysis of the studies that controlled for behavioral covariates e.
In addition, a direct physiological pathway should be considered in future studies; this might involve autonomic nervous dysregulation, increases in inflammatory or coagulation factors such as C-reactive protein, interleukin 6 and fibrinogen, and higher cortisol levels. Future research should also focus on the interplay between negative emotions and emotion regulation strategies as a determinant of major coronary events, according to Denollet. Materials provided by American College of Cardiology. Note: Content may be edited for style and length. Science News.
Friedman M, Rosenman RH: Association of specific overt behavior pattern with blood and cardiovascular findings. Journal of the American Medical Association. PubMed Google Scholar. Update and critical evaluation. American Journal of Epidemiology.
Google Scholar. Journal of Chronic Diseases. Journal of Psychosomatic Research. Journal of Behavioral Medicine. Health Psychology. Psychosomatic Medicine. Nursing Research. American Journal of Adolescence , , : 63— Behavioral Medicine. Williams RB: Psychological factors in coronary artery disease: Epidemiologic evidence. I : I—I Harrell JP: Psychological factors and hypertension: A status report.
Psychological Bulletin. CrossRef Google Scholar. Diamond EL: The role of anger and hostility in essential hypertension and coronary heart disease. American Journal of Pathology. Strong JP: Coronary atherosclerosis in soldiers.
New England Journal of Medicine. Annals of the New York Academy of Sciences. American Journal of Cardiology.