The Angry Heart?

breakingheart1Another reason to deal with the stress of anger? The head-heart connection.  Results of a study of people with heart problems suggest a strong link between intense anger and sudden death.  Research conducted by Dr. Rachel Lampert of Yale University and reported in the current issue of the Journal of the American College of Cardiology studied patients with preexisting heart disease as they recounted something that had made them angry.  The findings?  Anger caused electrical changes, arrhythmias, in the heart.  People who showed this EKG ‘anger spike’ were 10 times more likely to have their defibrillators fire a life saving shock in the next three years than similarly ill patients whose hearts didn’t react to anger.

Studies to determine whether anger-reducing techniques help high-risk patients avoid irregular heartbeats are underway.  And this study didn’t address heart-healthy patients.  But maybe working on letting go of anger’s not a bad idea for all of us?  C’mon back soon for anger management class, ok?

Copyright © 2009 Marlin S. Potash.  All rights reserved.

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2 responses to “The Angry Heart?

  1. Interesting. My own Mom died of sudden cardiac arrest. In retrospect, she had several
    things to be angry about at that point in her
    life. It would not surprise me if there were
    some connection. Thanks for mentioning it.

  2. The research continues. And the evidence mounts:

    Arch Gen Psychiatry. 2011 Apr;68(4):400-8.
    Healthy psychological functioning and incident coronary heart disease: the importance of self-regulation.
    Kubzansky LD, Park N, Peterson C, Vokonas P, Sparrow D.
    Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, MA 02115, USA. Lkubzans@hsph.harvard.edu

    Abstract:
    CONTEXT:
    Studies have documented effects of positive and negative emotion on the risk of developing coronary heart disease (CHD), leading investigators to speculate about the importance of effective self-regulation for good health. Little work has directly assessed the role of self-regulation in risk of incident CHD.

    OBJECTIVE:
    To examine whether self-regulation is associated with reduced risk of coronary heart disease (CHD). Secondary aims were to consider whether the effects are independent of other measures of psychological functioning and how they may occur.

    DESIGN:
    A prospective population-based cohort study.

    SETTING:
    The Normative Aging Study, an ongoing cohort study of community-dwelling men in the Boston area.

    PARTICIPANTS:
    One thousand one hundred twenty-two men aged 40 to 90 years without CHD or diabetes mellitus at baseline, followed up for an average of 12.7 years.

    MAIN OUTCOME MEASURES:
    Measures of incident CHD obtained from hospital records, medical history, physical examination, and death certificates. During follow-up, 168 cases of incident CHD occurred, including 56 cases of incident nonfatal myocardial infarction (MI), 44 cases of fatal CHD, and 68 cases of angina pectoris.

    RESULTS:
    In 1986, 1122 men completed the revised Minnesota Multiphasic Personality Inventory, from which we derived a measure of self-regulation. Compared with men with lower levels, those reporting higher levels of self-regulation had an age-adjusted hazard ratio of 0.38 (95% confidence interval, 0.22-0.64) for combined nonfatal MI and CHD death. Moreover, a dose-response relation was evident, as each 1-SD increase in self-regulation level was associated with a 20% decreased risk of combined angina, nonfatal MI, and CHD death. Significant associations were also found after adjusting for anxiety, anger, or depression and after controlling for positive affect. The association could not be explained by known demographic factors, health behaviors, or biological factors.

    CONCLUSION:
    Findings suggest that self-regulation may protect against risk of CHD in older men.

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