Related Experiment Video

Updated: May 27, 2026

Intracoronary Acetylcholine Provocation Testing for Assessment of Coronary Vasomotor Disorders
06:39

Intracoronary Acetylcholine Provocation Testing for Assessment of Coronary Vasomotor Disorders

Published on: August 18, 2016

Components of the anger-hostility complex and symptom reporting in patients with coronary artery disease: a

J M Ramsay1, M R McDermott, C Bray

  • 1University of London, UK.

Journal of Health Psychology
|November 4, 2011
PubMed

Insights

Anger and hostility are poor predictors of coronary artery disease (CAD) symptoms, unlike anxiety and depression. Anger expression, however, can help distinguish CAD symptoms from disease severity.

Area of Science:

  • Cardiology
  • Psychosomatic Medicine
  • Behavioral Medicine

Background:

  • Coronary artery disease (CAD) is a significant health concern.
  • The role of psychological factors, including anger and hostility, in CAD is under investigation.
  • Understanding these associations is crucial for comprehensive patient care.

Purpose of the Study:

  • To investigate the association between anger/hostility variables and coronary artery disease (CAD) symptoms.
  • To determine if these relationships differ based on CAD severity.
  • To compare the predictive power of anger-hostility variables against other psychosocial factors.

Main Methods:

  • A two-year follow-up study involving 97 men with stenosed coronary arteries.
  • Utilized questionnaires to assess anger, hostility, Type A behavior, anxiety, depression, social support, and CAD symptoms.
  • Coronary angiogram ratings were used to determine CAD severity.

Main Results:

  • Anger-hostility variables were less predictive of CAD symptoms than anxiety and depression.
  • Most psychosocial measures, excluding expressed anger, did not correlate with CAD severity but did correlate with symptoms.
  • CAD symptoms were empirically indistinguishable across types (angina, tiredness, mobility issues) and unrelated to disease severity.

Conclusions:

  • Components of the anger-hostility complex have limited utility in predicting CAD symptoms.
  • Anger expression is valuable for differentiating between CAD symptoms and actual disease severity.
  • Anxiety and depression appear to be more significant psychosocial predictors of CAD symptoms than anger-hostility.

More Related Videos

Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment08:25

Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment

Published on: December 6, 2024

Application of Unsupervised Multi-Omic Factor Analysis to Uncover Patterns of Variation and Molecular Processes Linked to Cardiovascular Disease08:51

Application of Unsupervised Multi-Omic Factor Analysis to Uncover Patterns of Variation and Molecular Processes Linked to Cardiovascular Disease

Published on: September 20, 2024

Related Concept Videos

Angina III: Clinical Manifestations and Assessment01:29

Angina III: Clinical Manifestations and Assessment

Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...