De Leo D, Mauro P, Caracciolo S, Berto F, Magni G, Miraglia G
Istituto di Clinica Psichiatrica, Università di Padova.
G Ital Cardiol. 1988 Nov;18(11):938-41.
The purpose of this study was to verify the prevalence of Coronary-prone Behaviour Pattern in a group of eighty-eight patients recovering from their first episode of myocardial infarction. These patients were followed for a period of 4 years to verify the eventual appearance of coronary events, after their first myocardial infarction, with high Coronary-prone Behaviour Pattern levels. The results showed that the number of subjects who died from recurrent myocardial infarction was nearly twice as high in type B, non coronary-prone subjects, as in type A subjects. The Authors hypothesize that specific ways of coping with stressful events adopted by type A subjects may constitute a protection factor as regards the risk of death from recurrent myocardial infarction.
本研究的目的是验证88例首次发生心肌梗死且正在康复的患者中冠心病易发性行为模式的患病率。对这些患者进行了4年的随访，以验证在首次心肌梗死后，具有高冠心病易发性行为模式水平的患者最终发生冠心病事件的情况。结果显示，B型非冠心病易发性患者死于复发性心肌梗死的人数几乎是A型患者的两倍。作者推测，A型患者应对压力事件的特定方式可能构成预防复发性心肌梗死死亡风险的保护因素。
