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Psychosomatic Medicine, Vol 42, Issue 1 55-62, Copyright © 1980 by American Psychosomatic Society

ORIGINAL ARTICLES

The risk of type a mediated coronary artery disease in different populations

JE Dimsdale, TP Hackett, AM Hutter Jr and PC Block

Using angiographic evidence of coronary artery disease, we have examined whether certain populations were particularly susceptible for risk engendered by Type A personality. Two hundred three men were studied with the Jenkins Activity Surveys; 103 of them were also studied with the Rosenman semistructured interview. The extent of vessel disease was found unrelated to Type A in each of the three ethnic groups studied--Irish Catholic, Italian Catholic, and white Anglo-Saxon Protestant. Likewise, no relationship between Type A and vessel disease was discerned in high depressed, low depressed, high stressed, or low stressed individuals. Finally, we examined whether cardiac symptomatology could affect any relationship found between Type A personality and vessel disease. No significant relationship was discerned in patients who had experienced or had not experienced a myocardial infarction or in patients with mild, moderate, or severe exertional angina.


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