Psychosomatic Medicine Tips for Better Browsing
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Krantz, D. S.
Right arrow Articles by Parker, J. S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Krantz, D. S.
Right arrow Articles by Parker, J. S.

Psychosomatic Medicine, Vol 44, Issue 3 273-284, Copyright © 1982 by American Psychosomatic Society

ORIGINAL ARTICLES

Type A behavior and coronary artery bypass surgery: intraoperative blood pressure and perioperative complications

DS Krantz, JM Arabian, JE Davia and JS Parker

Previous research has suggested that Type A, compared to Type B patients undergoing coronary artery bypass surgery evidence greater intraoperative increases over hospital admission systolic blood pressure, even though patients are under general anesthesia. The present study sought to examine whether such blood pressure increases are accounted for by elevations occurring entirely during surgery (with conscious mediation minimized), or by increases occurring prior to surgery. A second purpose of the study was to examine the relationship between Type A behavior and complications occurring during and after surgery. Twenty-seven male patients given a structured interview to measure Type A behavior in advance of surgery comprised the present sample. Results indicated that interview Type A intensity was reliably related to magnitude of systolic, but not diastolic blood pressure increases during, but not prior to surgery. The 12 patients with complications (largely arrhythmias), were reliably higher in rated intensity of Type A behavior (p less than 0.01) than those without complications (n = 14). None of the Type B or Type X patients showed evidence of complications during or after surgery. Results of this study support a body of data linking Type A behavior to cardiovascular reactivity and clinical complications of coronary disease. Since this reactivity is evident under general anesthesia, these data further suggest that conscious mediation may not always be necessary in order to elicit these responses.


This article has been cited by other articles:


Home page
 Psychosom. Med.Home page
T. Green, Y. Gidron, M. Friger, and Y. Almog
Relative-Assessed Psychological Factors Predict Sedation Requirement in Critically Ill Patients
Psychosom Med, March 1, 2005; 67(2): 295 - 300.
[Abstract] [Full Text] [PDF]

Home page
 Eur Heart JHome page
H. Hemingway, M. Malik, and M. Marmot
Social and psychosocial influences on sudden cardiac death, ventricular arrhythmia and cardiac autonomic function
Eur. Heart J., July 1, 2001; 22(13): 1082 - 1101.
[PDF]

Home page
 Journal of Black PsychologyHome page
E. H. Johnson and A. Greene
The Relationship between Suppressed Anger and Psychosocial Distress in African American Male Adolescents
Journal of Black Psychology, November 1, 1991; 18(1): 47 - 65.
[Abstract]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1982 by the American Psychosomatic Society