Key result
Cardiologic and behavioral counseling to diminish type A behavior significantly lowered the rates of recurrent infarction (p<0.01) and cardiovascular death (p<0.05) compared to controls after 1 year.
Why the study?
Does behavioral counseling to alter type A behavior reduce recurrent infarction and cardiovascular death in postinfarction patients?
Population
1035 consecutive postinfarction patients, with >98% exhibiting moderate-to-severe type A behavior
Comparison
Cardiologic counseling on accepted coronary risk… vs Cardiologic counseling only, or no counseling
Design
Cohort
Follow-up
1 year (preliminary findings of a 5-year study)
Authors
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May support type A counseling to lower recurrent events post-MI; leaves open confirmation in randomized trials.
Cohort (n=1,035)
Does behavioral counseling to alter type A behavior reduce recurrent infarction and cardiovascular death in postinfarction patients?
p-value: p=<0.01
Behavioral counseling to diminish type A behavior, in addition to standard cardiologic counseling, significantly reduces the rates of recurrent infarction and cardiovascular death in post-MI patients at 1 year.
Friedman et al. (1982) conducted a cohort in Myocardial infarction (n=1,035). Cardiologic and behavioral counseling vs. Cardiologic counseling only or no counseling was evaluated on Infarction and cardiovascular death (p=<0.01). Cardiologic and behavioral counseling to diminish type A behavior significantly lowered the rates of recurrent infarction (p<0.01) and cardiovascular death (p<0.05) compared to controls after 1 year.
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