Key result
Type D personality was independently associated with MACE (OR 1.82; 95% CI 1.33-2.50) and cardiac death/MI, but not with non-cardiac death or events in patients aged ≥70 years.
Why the study?
Does Type D personality predict major adverse cardiac events and mortality in patients with coronary artery disease?
Population
1,503 patients with coronary artery disease (CAD) from 4 existing data cohorts, mean age 57.2±9.1, 89% male.
Comparison
Type D personality (baseline measure) vs Absence of Type D personality
Design
Cohort
Follow-up
>5 years
Authors
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Supports age-specific Type D evaluation in CAD risk stratification; leaves open whether screening improves outcomes.
Cohort (n=1,503)
Does Type D personality predict major adverse cardiac events and mortality in patients with coronary artery disease?
Effect estimate: OR 1.82 (95% CI 1.33-2.50)
Type D personality is a significant predictor of cardiac events and mortality in CAD patients under 70 years of age, highlighting the importance of age and endpoint selection in psychosocial risk research.
Kupper et al. (2016) conducted a cohort in coronary artery disease (CAD) (n=1,503). Type D personality was evaluated on major adverse cardiac events (MACE) (OR 1.82, 95% CI 1.33-2.50). Type D personality was independently associated with MACE (OR 1.82; 95% CI 1.33-2.50) and cardiac death/MI, but not with non-cardiac death or events in patients aged ≥70 years.
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