Heart patients with a personality "concerned", the so-called Type D, may be at increased risk for cardiovascular problems in the future, according to a study by the University in the Netherlands Tiburg in the journal Circulation of the American Association Heart.

The study analyzed reports of more than 6,000 patients
and found an association between anxious personality and future cardiovascular problems in patients cardiacos.Según the classification system of personality, the type D is characterized by chronic negative emotions, pessimism, and social inhibition. The personality profile with the help of a short questionnaire measuring electrode 14 aspects of social inhibition, and the general state of mind. patients respond to phrases like "I am a closed person" and "I often feel unhappy."

The researchers found that heart patients Type D three times the risk for cardiovascular disease and peripheral arterial occlusive disease, angioplasty or bypass, heart failure, heart transplantation, heart attack or death. "Type D patients tend to have higher levels of anxiety, irritation and depressive state in all situations and times and do not share these feelings with others for fear of rejection," said Viola Spek, head of the study. "We have found that Type D personality predicts mortality and morbidity in these patients, regardless of the traditional medical risk factors."

Alphabetical classification of personality goes back to the recognition of type A behavior pattern, probably best known, is found with poor cardiovascular disease progression. Type A people are competitive, have on performance and feelings of urgency and hostility. The researchers analyzed 49 studies of type D personality and cardiovascular or mental health over time. The profile of type D are also connected to three times higher risk of mental disorders, including clinical depression, anxiety or poor mental health.
The authors believe that such personality characteristics can the doctors the opportunity to speak in front of a psychological counseling or behavioral problems, and perhaps improve cardiovascular events. Type D personality and depression, various forms of need, regardless of cardiovascular effects. Our results support the simultaneous use of measures of depression and Type D personality to identify the patients at higher risk, "says Johan Denollet, head of the study.
Type D patients seem to respond differently to cardiovascular load. This personality is temporarily associated with differences in cortisol, a hormone that can increase blood pressure and may be related to increased inflammation associated. In addition, cardiac patients with type D personality are less inclined to regular visits to their health or to check with their doctors.