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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Is type A behavior really a trigger for coronary heart disease events?
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Is type A behavior really a trigger for coronary heart disease events?

机译：A型行为真的引发了冠心病吗？

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OBJECTIVE: The purpose of this study was to compare chronic with acute mechanisms by which Type A might predict incident coronary heart disease (CHD). METHOD: The study included 2394 men aged 50 to 64 years who were assessed for CHD, Type A behavior, and CHD risk factors. Type A was assessed using the Jenkins Activity Survey (JAS), the Bortner scale, and the Framingham scale. Further examinations were completed at 5 and 9 years for incident CHD. RESULTS: After 9 years, there was no increased risk of CHD associated with any Type A score. Nevertheless, high Bortner scores were associated with increased risk of incident CHD at 5 years and high JAS and Bortner scores were associated with a decreased risk between 5 and 9 years. Further analysis of Type A scores on time to first coronary event found strong inverse associations for all type A scores (JAS = 205 -0.49 months to first event, 95% CI = -0.20, -0.78, p =.001) (Bortner = 176 -0.27 months; 95% CI = -0.10, -0.44; p =.002) (Framingham = 0.44 -0.0011 months; 95% CI = -0.0002, -0.0019; p =.01). CONCLUSIONS: The data show Type A is a strong predictor of when incident coronary heart disease (or coronary event) will occur rather than if it will occur. These findings suggest that Type A increases exposure to potential triggers, rather than materially affecting the process of atherosclerosis.
机译：目的：本研究的目的是比较慢性和急性机制，通过这些机制，A型可以预测突发性冠心病（CHD）。方法：该研究包括2394名年龄在50至64岁之间的男性，他们接受了CHD，A型行为和CHD危险因素评估。使用詹金斯活动调查（JAS），Bortner量表和Framingham量表评估A型。对CHD事件的进一步检查在5年和9年完成。结果：9年后，与任何A型评分相关的冠心病风险均未增加。然而，高Bortner评分与5年内发生冠心病的风险增加相关，而JAS和Bortner高评分与5至9岁之间的风险降低相关。首次冠状动脉事件按时对A型分数的进一步分析发现，所有A型分数均具有强的负相关性（JAS = 205 -0.49个月至第一次事件，95％CI = -0.20，-0.78，p = .001）（Bortner = 176 -0.27个月; 95％CI = -0.10，-0.44; p = .002）（弗拉明汉= 0.44 -0.0011个月; 95％CI = -0.0002，-0.0019; p = .01）。结论：数据表明A型是何时发生冠状动脉心脏病（或冠心病）而非何时发生的强有力的预测指标。这些发现表明，A型增加了潜在触发因素的暴露，而不是实质性地影响动脉粥样硬化的进程。

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