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Coronary Artery Disease I: Introduction01:30

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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...
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Psychoneuroimmunology: Cardiovascular Disease01:27

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Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
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Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

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Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
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Cardiomyopathy I: Introduction and Classification01:25

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Cardiomyopathy, or CMP, is a group of diseases affecting the myocardial structure, impairing its ability to pump blood effectively. This condition can lead to arrhythmias, heart failure, or sudden cardiac death.Cardiomyopathies are classified into primary and secondary categories:Primary Cardiomyopathy refers to conditions involving only the heart muscle that are often idiopathic (of unknown cause) or genetic. They primarily affect the myocardium without the involvement of other systemic...
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Cardiomyopathy II: Dilated Cardiomyopathy01:30

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Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
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Coronary Artery Disease IV: Preventive Measures01:26

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Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
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Updated: Nov 24, 2025

A Modified Simple Method for Induction of Myocardial Infarction in Mice
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Type D Personality and Myocardial Infarction: A Case-Control Study.

M T Manoj1, K A Joseph2, Govindan Vijayaraghavan1,3

  • 1Society for Continuing Medical Education and Research, Kerala Institute of Medical Sciences, Trivandrum, Kerala, India.

Indian Journal of Psychological Medicine
|December 23, 2020
PubMed
Summary

Type D personality, a stress-related characteristic, is significantly associated with myocardial infarction (MI) in young Indian adults. This finding highlights the importance of psychological factors in heart disease prevention.

Keywords:
Coronary heart diseasemyocardial infarctionpsychological risktype D personality

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Area of Science:

  • Cardiology
  • Psychology
  • Public Health

Background:

  • Coronary heart disease (CHD) is a growing global health concern, particularly in India.
  • Myocardial infarction (MI), a common form of CHD, shows increasing incidence and severity among young individuals in Kerala, India.
  • Research on psychological factors linked to MI in India is limited.

Purpose of the Study:

  • To investigate the association between Type D personality and myocardial infarction (MI) in the Indian population.
  • To assess the role of psychological distress in the etiology of MI among younger individuals.

Main Methods:

  • A case-control study was conducted with 150 MI patients and 150 matched controls.
  • Participants were recruited from a tertiary care hospital in Trivandrum, Kerala, between September 2016 and August 2017.
  • Convenience sampling was employed for participant selection.

Main Results:

  • 50.7% of MI patients exhibited Type D personality traits, compared to 33.3% of controls.
  • Multivariate logistic regression revealed a significant positive association between Type D personality and MI (OR = 4.14, P = 0.003).
  • This association remained statistically significant after adjusting for potential confounders.

Conclusions:

  • Type D personality is a significant risk factor for myocardial infarction (MI).
  • Psychological interventions targeting Type D personality may aid in MI prevention, especially among younger populations in India.