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Type A behaviour pattern and ischaemic heart disease.

A Reunanen1

  • 1Research Institute for Social Security, The Social Insurance Institution, Helsinki, Finland.

Annals of Clinical Research
|January 1, 1988
PubMed
Summary
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Type A behavior is a confirmed risk factor for ischemic heart disease in Americans. Its role in other populations requires further study, with hostility and impatience being key predictors.

Area of Science:

  • Cardiology
  • Psychosomatic Medicine
  • Epidemiology

Background:

  • Type A behavior is a pattern characterized by competitiveness, impatience, and aggression.
  • Its association with ischemic heart disease (IHD) has been extensively studied, particularly in American populations.
  • The universality of Type A behavior as an IHD risk factor across diverse populations remains a subject of investigation.

Purpose of the Study:

  • To review the definition, prevalence, and strength of Type A behavior as an IHD risk factor.
  • To emphasize findings from a Finnish population study.
  • To explore the differential impact of Type A behavior components on IHD risk.

Main Methods:

  • Literature review focusing on Type A behavior and IHD.
  • Analysis of a specific Finnish population study.

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  • Comparative assessment of different Type A behavior components.

    • Main Results:

    • Type A behavior is unequivocally established as an IHD risk factor in middle-aged American populations.
    • Evidence for Type A behavior as an IHD risk factor in other populations is currently equivocal.
    • Hostility and impatience emerged as potentially more significant predictors of IHD compared to other Type A traits.

    Conclusions:

    • Type A behavior is a significant risk factor for ischemic heart disease, particularly in American populations.
    • Further research is needed to confirm its role in non-American populations.
    • Specific components like hostility and impatience warrant focused attention in IHD risk assessment.