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Psychosomatic Medicine, Vol 47, Issue 3 234-241, Copyright © 1985 by American Psychosomatic Society

ORIGINAL ARTICLES

Type A behavior and blood pressure during general surgery

DS Kornfeld, JP Kahn, KA Frank, S Heller, P Freeman and W Keller-Epstein

The Type A behavior pattern (TABP) has been demonstrated as a risk factor for the development of coronary heart disease (CHD). Psychophysiologic studies suggest that the TABP may be associated with autonomic hyperreactivity to a variety of stressors. Recent studies report an association of TABP with autonomic hyperreactivity in patients under general anesthesia for coronary artery bypass surgery. The present study did not find a significant correlation between the TABP and intraoperative rise in blood pressure for 44 noncardiac patients undergoing anesthesia for elective general surgical procedures. Suggestive associations were found in sub-samples with family history of CHD or age greater than 60 years. Thus, the TABP may be correlated with heightened physiologic response under anesthesia only in selected populations.




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Copyright © 1985 by the American Psychosomatic Society