SCIENTIFIC LETTER

Hostility is an independent predictor of recurrent coronary heart disease events in men but not women: results from a population based study

D C Haas¹, W F Chaplin², D Shimbo³, T G Pickering³, M Burg³, K W Davidson^1,*

¹ The Zena and Michael A Wiener Cardiovascular Institute, Mount Sinai School of Medicine, New York, USA
² Department of Psychology, St John’s University, New York, USA
³ The Behavioral Cardiovascular Health and Hypertension Program, Columbia University Medical Center, New York, USA

Correspondence to:
Correspondence to:
Donald C Haas
MD, MPH, The Zena and Michael A Cardiovascular Institute, Mount Sinai School of Medicine, One Gustave L Levy Place, Box 1030, New York, NY 10029, USA; donald.haas@msnyuhealth.org

Accepted 30 March 2005

Abbreviations: BMI, body mass index; CHD, coronary heart disease; HDL, high density lipoprotein; LDL, low density lipoprotein; NSHS95, Nova Scotia Health Survey 1995

Keywords: hostility; recurrent coronary heart disease; men; women

The first 150 words of the full text of this article appear below.

Epidemiologic evidence suggests healthy individuals characterised by hostile personalities are at increased risk for coronary heart disease (CHD).¹ We tested if hostility predicts CHD recurrence differentially for men and women.

Using the Nova Scotia Health Survey 1995 (NSHS95), a population based, prospective survey of 3227 community dwelling, outpatient Nova Scotian adults,² we examined participants with CHD at survey baseline. Of the NSHS95 participants, 227 (139 men, 88 women), 7% of the NSHS95 sample, had baseline CHD, determined by query of the provincial health registry for previous CHD discharges (diagnoses of ICD-9-CM codes 410-414) during the five years preceding survey enrolment. Of these 227 participants, 206 (91%) had complete hostility data (Cook-Medley hostility scale³), constituting our sample (128 men, 78 women). Other variables measured at survey baseline included age, sex, smoking status (never smoked/abstinence > 1 year versus current/abstinence < 1 year), physical activity, family history of early CHD, alcohol . . . [Full text of this article]

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