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The most significant inherited risk factor in people who develop heart disease early on in life may be stress, according to a study, and it appears that stress has a greater impact on men than women.
Treating emotional stress has been found to be effective in decreasing morbidity and mortality from heart disease. Researchers recommend that patients treated for early onset heart disease--particularly male patients--be evaluated by a psychiatric professional.
The study, which included 100 people with heart disease, took into account patients’ family histories of early heart disease along with evaluations for traditional cardiovascular risk factors including high blood pressure, high cholesterol, diabetes, smoking and excessive body weight.
Participants also completed a checklist that asked about stress symptoms such as aggravation, irritation, anger and impatience, depression, anxiety and worry. An identical checklist was also completed by participants’ spouses or family members, because often people, especially men, are in denial about emotional stress.
Study findings indicated that:
Family history of heart disease had a greater impact on men than women.
- None of the traditional risk factors for heart disease were significantly different for those with a family history of early heart disease as compared to those who did not have a family history on early onset.
- Men with a family history of early heart disease had significantly higher stress symptom scores than men with no family history of early heart disease.
- Researchers concluded that it’s likely men who get heart disease at a young age might have a genetic predisposition to stress, which causes the disease.
Henry Ford Health System March 6, 2003
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