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Hostility associated with increased risk of death after a second heart attack



Sophia Antipolis, September 15, 2020: Patients with ironic or irritable heart attacks may be at risk of health, according to a study published today European Journal of Cardiovascular Nursing, Journal of the European Circulation Society (ESC). 1

“Hostility is a trait theory that includes irony, irony, resentment, impatience, and annoyance,” said research author Dr. Tracy Vitri of the University of Tennessee, Knoxville, USA. “This is not a one-off event, but a characteristic of how people interact with each other. We know that controlling lifestyle can improve the outlook for people with a heart attack. Our study suggests that improving hostile behavior can also be a positive move. “

This was one of the largest and most comprehensive studies investigating the relationship between hostility and outcome in patients with heart attack. This was a secondary analysis of the data from the PROMOTION trial. 2

The study included 2,321 heart attack survivors. Hostility was measured at baseline using the Multiple Adjective Emotion Checklist (MAACL). The patient was followed for 24 months for recurrent heart attack and death.

The average age of participants was 67, with 68% being male. According to MAACL, more than half (57%) of patients were rated as hostile.

Hostility was an independent predictor of death from a second heart attack after adjusting for other factors that could affect relationships such as gender, age, education, marital status, diabetes, hypertension, and smoking. ..

Dr. Vitri said hostility did not predict a recurrent heart attack. “Hostility has been associated with cardiovascular disease since the 1950s, but the reason is not yet fully understood. In our study, hostility is a common feature of survivors of heart attacks and is bad. It shows that it is related to the results. How does this property affect the body? “

The paper states that anxiety and depression are emotional states that are usually assessed in patients with heart disease. Adding a hostility assessment may identify patients at risk of premature death. Educating patients about the potential effects of hostility may motivate behavioral changes.

Dr. Vitori said: “There are many things heart disease patients can do to manage their health. From a physical perspective-quit smoking, increase physical activity, eat a balanced diet, and our research is hostile. It shows that managing behavior can be important. “


Author: ESC Press Office

Phone: +33 (0) 4 89 87 20 85

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Funding: This study was supported by the National Institutes of Health / National Nursing Institute (NIH R01 # R01 NR007952).

Disclosure: None.



1Vitori TA, Frazier SK, Biddle MJ, etc. Hostility predicts mortality, but does not predict recurrent acute coronary syndrome. Eur J Cardiovasc Nurs. 2020. doi: 10.1177 / 1474515120950913.

2Dracup K, McKinley S, Riegel B, etc. A randomized clinical trial that reduces pre-hospital delays in patients until treatment of acute coronary syndrome. Results of Circ Cardiovasc Qual. 2009; 2: 524-532.

About the European Society of Cardiology

The European Society of Cardiology brings together healthcare professionals from more than 150 countries to help advance cardiovascular medicine and help people live healthier lives.

regarding European Journal of Cardiovascular Nursing

of European Journal of Cardiovascular Nursing An international journal of the European Society of Cardiology, we are focusing on advancing knowledge in the field of cardiovascular nursing and promoting evidence-based clinical practice.

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