Document Detail


Type A behavior and survival: a follow-up study of 1,467 patients with coronary artery disease.
MedLine Citation:
PMID:  2773785     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients with documented coronary artery disease, admitted to Duke Medical Center between 1974 and 1980, were assessed for type A behavior pattern and were followed until 1984. The relation of type A behavior to survival was tested using data from coronary angiography to control for disease severity. Cox model regression analyses demonstrated an interaction (p less than 0.01) between type A behavior and an index of disease severity in the prediction of cardiovascular death. Among those with relatively poor left ventricular function, type A patients had better survival than type B. This difference was not present among patients with better prognoses. Type A behavior did not predict the subsequent incidence of nonfatal myocardial infarctions. Differential risk modification and differential selection into postinfarction status are possible explanations for the findings. These results need not conflict with the proposition that type A behavior plays a role in the pathogenesis of coronary artery disease.
Authors:
J C Barefoot; B L Peterson; F E Harrell; M A Hlatky; D B Pryor; T L Haney; J A Blumenthal; I C Siegler; R B Williams
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of cardiology     Volume:  64     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1989 Sep 
Date Detail:
Created Date:  1989-10-05     Completed Date:  1989-10-05     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  427-32     Citation Subset:  AIM; IM    
Affiliation:
Department of Psychiatry, Duke University Medical Center, Durham, North Carolina 27710.
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MeSH Terms
Descriptor/Qualifier:
Adult
Coronary Disease / mortality,  physiopathology,  psychology*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Myocardial Infarction / etiology
Personality Inventory
Predictive Value of Tests
Risk Factors
Statistics as Topic
Type A Personality*
Grant Support
ID/Acronym/Agency:
HL-17670/HL/NHLBI NIH HHS; HL-18589/HL/NHLBI NIH HHS; HL-36587/HL/NHLBI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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