Relation between coronary-prone behavior pattern, excretion of urinary catecholamines, heart rate, and heart rhythm

Backer, Guy De; Kornitzer, Marcel; Bogaert, Marcus; Durme, Jean-Pierre Van; Vincke, J.; Rustin, R. M.; Degre, C.; Schaepdrijver, A. de

doi:10.1016/0091-7435(79)90025-2

Cited by 15 publications

(8 citation statements)

References 29 publications

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“…Three of the studies yielding unequivocal evidence of differences of Types A and B in physiologic response were conducted in naturalistic situations-one in the workplace (Friedman, Byers, & Rosenman, 1960) and two involving cardiovascular responses of cardiac patients undergoing coronary bypass surgery (Kahn, Kornfeld, Frank, Heller, & Hoar, 1980;Krantz, Arabian, Davia, & Parker, 1982). However, the select nature of the cardiac samples, and the fact that a later study conducted with healthy subjects failed to replicate Friedman et al's (I960) findings of increased workday catecholamine output among extreme Type A subjects (DeBacker et al, 1979), suggests the need for further naturalistic studies in this area.…”

Section: Atherosclerosis and Its Clinical Complicationsmentioning

confidence: 99%

Acute psychophysiologic reactivity and risk of cardiovascular disease: A review and methodologic critique.

Krantz¹,

Manuck²

1984

Psychological Bulletin

950

504

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Recent behavioral and biomedical research has suggested that psychophysiologic responsiveness (reactivity) to emotional stress may be a marker of processes involved in the development of cardiovascular disorders. The assessment of reactivity focuses on acute changes in functioning as opposed to the sole assessment of resting levels of variables. This article reviews evidence linking behaviorally induced cardiovascular and endocrine changes to coronary heart disease and essential hypertension. Particular attention is given to methodologic issues involving measurement. It is concluded that reactivity to stress is a construct with multiple dimensions: Different tasks and situations appear to elicit different patterns of physiologic responses. Further, an evaluation of evidence reveals that reactivity per se should currently not be regarded as a proven risk factor. Promising evidence does, however, justify continued laboratory and naturalistic, hypothesis-testing research. Recommended are methodologic studies to identify (a) the psychologic dimensions of stimuli that elicit reactivity in different subject groups, and (b) the patterns of physiologic responses produced. Such research would set the stage for epidemiologic studies to further examine relations between behavior and disease processes.Research on cardiovascular disorders has become one of the most developed areas in study of behavioral influences on health. As more evidence has focused on mechanisms linking psychological and behavioral factors to disease, it has been suggested that physiologic responsiveness to emotional stress might be a marker of pathogenic processes involved in the etiology of coronary heart disease (CHD) or essential hypertension (EH; see

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Section: Atherosclerosis and Its Clinical Complicationsmentioning

confidence: 99%

Acute psychophysiologic reactivity and risk of cardiovascular disease: A review and methodologic critique.

Krantz¹,

Manuck²

1984

Psychological Bulletin

950

504

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“…The original 1960s studies by Friedman, Rosenman, and colleagues showed increased urinary catecholamine excretion in Type As (16,17). Since then, studies of urinary catecholamines have not confirmed any difference between Type As and Bs (18)(19)(20).…”

Section: Introductionmentioning

confidence: 99%

New markers for type A behavior: pupil size and platelet epinephrine.

Schneider

Julius

Moss

et al. 1987

Psychosomatic Medicine

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This study tested the hypothesis that the Type A behavior pattern and its components are associated with increased activity of the sympathetic nervous system. To do this, we employed two new markers of sympathetic tone-pupil size and platelet catecholamine content. Thirtythree healthy males were blindly rated for Type A behavior and verbal stylistic components by Structured Interview. Adrenergic tone to the pupils was assessed from pupil diameter recorded by infrared television pupillometry, and pupil alpha-adrenergic sensitivity was estimated from mydriatic response to ophthalmic phenylephrine. Platelet epinephrine and norepinephrine contents were assayed because these levels are associated with chronic, long-term circulating catecholamine levels. The results showed Type As had consistently larger pupil diameters than Type Bs (p = 0.03,0.03, and 0.01). There was no difference in pupillary response to phenylephrine instillation between groups, Platelet epinephrine content was greater in Type A subjects (x 2 = 4.25, p < 0.04, t = 1.6, p = 0.06). Only the component of explosiveness was modestly associated with resting pupil size, and no components significantly predicted platelet catecholamines. We conclude that the results of these two new markers of autonomic activity, namely, pupil size and platelet epinephrine, suggest that Type A behavior is characterized by increased sympathetic nervous system tone although we cannot rule out the possibility of decreased activity of the parasympathetic nervous system.

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“…Friedman et al (1960) observed a relation of Type A behaviour with urinary catecholamine excretion comparing 10 Type Al and 10 Type B4s. We compared 30 Type A2 and 30 Type Bs and observed no difference either in urinary catecholamine excretion or in arrhythmias on 24 hr Holter recording in the two groups (De Backer et al, 1979).…”

Section: Pathogenesis Of Relationship Of Type a Behaviour Pattern Andmentioning

confidence: 88%

Evaluation of Type A personality

Kittel¹,

Kornitzer²,

Dramaix³

1986

Postgraduate Medical Journal

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Relation between coronary-prone behavior pattern, excretion of urinary catecholamines, heart rate, and heart rhythm

Cited by 15 publications

References 29 publications

Acute psychophysiologic reactivity and risk of cardiovascular disease: A review and methodologic critique.

Acute psychophysiologic reactivity and risk of cardiovascular disease: A review and methodologic critique.

New markers for type A behavior: pupil size and platelet epinephrine.

Evaluation of Type A personality

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