Key result
Stress cardiomyopathy following emotional triggers was associated with a higher prevalence of Type D personality compared to SCM without emotional triggers and AMI.
Why the study?
Is Type D personality associated with the development of stress cardiomyopathy following emotional triggers?
Case-Control (n=111)
Is Type D personality associated with the development of stress cardiomyopathy following emotional triggers?
Type D personality, particularly the social inhibition component, is significantly more prevalent in patients who develop stress cardiomyopathy following emotional triggers compared to those with AMI or SCM without emotional triggers.
Answers are grounded in this paper and cite their sources.
Type D personality may flag emotional susceptibility in stress cardiomyopathy; hypothesis-generating and requires prospective validation before screening.
BACKGROUND: Stress cardiomyopathy (SCM) can be triggered by emotional events. Recently, type D personality has been established as an independent predictor of acute cardiac adverse events. PURPOSE: We sought to examine whether type D personality can be identified in SCM patients. METHODS: A case-control study with 37 SCM patients, 37 myocardial infarction (AMI) patients, who both experienced emotional triggering, and 37 SCM patients without emotional triggers was performed. The DS14 and Interview for Recent Life Events were administered. RESULTS: Twenty-eight (76 %) SCM emotional trigger patients were categorized as type D compared with 13 (43 %) SCM patients without emotional trigger and 12 (32 %) AMI patients (p < 0.001). SCM patients with emotional triggers had higher scores on the social inhibition subscale than the other patient groups. CONCLUSIONS: The present study highlights the possible link between type D, with a specific key role for social inhibition component, and increased biological reactivity to acute emotional stress.
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Compare et al. (2013) conducted a case-control in Stress cardiomyopathy (n=111). Stress cardiomyopathy with emotional triggers vs. Stress cardiomyopathy without emotional triggers and acute myocardial infarction was evaluated on Type D personality prevalence (p=<0.001). Stress cardiomyopathy following emotional triggers was associated with a higher prevalence of Type D personality compared to SCM without emotional triggers and AMI.
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