Personality and Cardiovascular Disease

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Questions and Answers

Which lifestyle factor contributes the most to cardiovascular risk?

  • High Cholesterol
  • Diabetes
  • Obesity (correct)
  • Cigarette Smoking

A researcher aims to study the genetic component of CVD. Which study design would be most suitable based on the information?

  • A study contrasting Type A and Type B personalities.
  • A meta-analysis focused on 'Big 5' personality traits.
  • Family, twin, and genome-wide association studies. (correct)
  • An analysis of lifestyle factors like obesity and smoking.

According to research, which personality type is commonly observed in patients with coronary heart disease (CHD)?

  • Type B
  • Type C
  • Type A
  • Type D (Distressed) (correct)

A patient with a history of heart disease is described as frequently experiencing feelings of worry and sadness, and demonstrating a pessimistic outlook. Which personality type do these characteristics align with?

<p>Type D (C)</p> Signup and view all the answers

A meta-analysis of 'Big 5' personality traits and UK Biobank data indicated an increased risk of coronary heart disease (CHD) with which specific personality trait?

<p>Neurotic or nervous personality (D)</p> Signup and view all the answers

Which statement best reflects the current understanding of the relationship between Type A/Type B personality and CVD risk?

<p>The Type A versus Type B distinction is too simplistic. (A)</p> Signup and view all the answers

A researcher hypothesizes that personality influences cardiovascular health through behavioral choices. Which theoretical model aligns with this hypothesis?

<p>Dangerous behavior model (B)</p> Signup and view all the answers

A researcher is investigating the role of chronic stress and coping mechanisms in the relationship between personality and cardiovascular health. Which theoretical model would be most relevant to this research?

<p>Transactional stress moderation model (B)</p> Signup and view all the answers

Cardiovascular disease (CVD) heritability is estimated to be within what range?

<p>40-60% (B)</p> Signup and view all the answers

A patient is diagnosed with Type D personality. Which of the following emotional characteristics is LEAST likely to be present?

<p>Optimistic outlook (A)</p> Signup and view all the answers

Which theoretical model posits that an individual's genetic makeup directly predisposes them to both certain personality traits and an increased risk of cardiovascular disorders?

<p>Constitutional predisposition model (C)</p> Signup and view all the answers

Lifestyle factors account for a significant portion of CVD risk. Which combination of the top three factors contributes the most?

<p>Obesity, Physical Inactivity, High Blood Pressure (B)</p> Signup and view all the answers

According to the information, which study design showed increased risk of CHD with neurotic/nervous personality?

<p>Meta-analysis of 'Big 5' personality traits + UK biobank. (C)</p> Signup and view all the answers

Considering the listed lifestyle factors, which intervention would likely have the greatest impact on reducing overall CVD risk in a population?

<p>Addressing obesity through diet and exercise (C)</p> Signup and view all the answers

How does neuroticism increase risk of CHD based on the information provided?

<p>Neuroticism increases unhealthy behaviors, which in turn increases CHD risk. (C)</p> Signup and view all the answers

Which of the following models suggests that personality traits directly lead to increased activity levels which then impact cardiovascular health?

<p>Personality Induced Hyperactivity Model (C)</p> Signup and view all the answers

What percentage of lifestyle risks are attributed to physical inactivity?

<p>30% (C)</p> Signup and view all the answers

Which of the following best describes the Type D personality traits?

<p>Worried, sad, and pessimistic (D)</p> Signup and view all the answers

What is the relationship between personality, lifestyle, and theories related to CVD?

<p>Personality influences unhealthy behaviors. (C)</p> Signup and view all the answers

A cardiologist is reviewing a patient's risk factors for CVD. Which of the following lifestyle factors should be given the LEAST amount of immediate attention based on their listed contribution?

<p>Diabetes (A)</p> Signup and view all the answers

How does chronic exposure to high stress levels and aggression contribute to the increased risk of myocardial infarction (MI)?

<p>By leading to atherosclerosis and plaque formation. (A)</p> Signup and view all the answers

What is the primary physiological effect of increased sympathetic activity triggered by aggression and hostility?

<p>Elevated levels of adrenaline and cortisol. (A)</p> Signup and view all the answers

How does dysregulation of the autonomic nervous system (ANS) relate to depression and coronary heart disease (CHD)?

<p>Depression is linked to CHD through ANS dysregulation. (A)</p> Signup and view all the answers

In patients with CHD, how does autonomic nervous system (ANS) imbalance typically affect the threshold for myocardial ischemia and ventricular arrhythmias?

<p>It lowers the threshold by increasing sympathetic tone. (B)</p> Signup and view all the answers

What is heart rate variability (HRV) primarily used for in the context of cardiovascular health?

<p>Measuring cardiac autonomic activity. (D)</p> Signup and view all the answers

What is the key determinant of heart rate variability (HRV)?

<p>Autonomic nervous system (ANS) modulation of the sinoatrial node (SAN). (D)</p> Signup and view all the answers

How is heart rate variability (HRV) related to the risk of mortality in patients with coronary heart disease (CHD)?

<p>Low HRV is associated with high CHD mortality. (C)</p> Signup and view all the answers

What is the relationship between heart rate variability (HRV) and the balance between sympathetic and parasympathetic control of heart rate?

<p>HRV reflects the balance between sympathetic and parasympathetic control of heart rate. (A)</p> Signup and view all the answers

What are the potential causes of increased cardiovascular risk in relation to cardiac autonomic modulation?

<p>Excessive cardiac sympa modulation, inadequate cardiac para modulation, or both. (C)</p> Signup and view all the answers

How does heart rate variability (HRV) typically differ between depressed psychiatric patients and healthy controls?

<p>HRV is lower in depressed patients. (D)</p> Signup and view all the answers

What is the typical state of heart rate variability (HRV) in patients with stable coronary disease or a recent history of acute myocardial infarction (MI)?

<p>HRV is lower than in non-depressed patients. (C)</p> Signup and view all the answers

How does the relationship between personality, cardiovascular disease (CVD), and autonomic mechanisms primarily manifest?

<p>Personality influences CVD via autonomic mechanisms. (C)</p> Signup and view all the answers

What does beat-to-beat variability (R-R intervals) reflect in the context of heart rhythm analysis?

<p>The variability in time intervals between successive heartbeats. (B)</p> Signup and view all the answers

A patient with a history of aggression and hostility is likely to experience which of the following physiological responses that increases cardiovascular risk?

<p>Activation of the sympathetic nervous system (B)</p> Signup and view all the answers

Consider a person experiencing chronic stress who also exhibits aggressive behaviors. What is the most likely pathway by which this combination increases their risk of myocardial infarction (MI)?

<p>Development of atherosclerosis and subsequent plaque formation. (A)</p> Signup and view all the answers

How does a depressed mood potentially contribute to the development or progression of cardiovascular issues?

<p>Through dysregulation of the autonomic nervous system (ANS). (D)</p> Signup and view all the answers

Which of the following scenarios would MOST likely contribute to a DECREASE in heart rate variability (HRV)?

<p>Excessive sympathetic nervous system activity and inadequate parasympathetic modulation. (A)</p> Signup and view all the answers

What is the most likely outcome of an imbalance in the autonomic nervous system (ANS) characterized by decreased parasympathetic and increased sympathetic activity in a patient with existing coronary heart disease (CHD)?

<p>A lowered threshold for myocardial ischemia, ventricular tachycardia, ventricular fibrillation and sudden cardiac death. (D)</p> Signup and view all the answers

Which statement correctly describes the relationship between heart rate variability (HRV) and CHD mortality?

<p>Low HRV is correlated to high CHD mortality. (B)</p> Signup and view all the answers

How does the relationship between increased sympathetic activity and increased heart rate (HR) affect individuals experiencing aggression and hostility?

<p>It exacerbates myocardial ischemia and lowers the threshold for ventricular arrhythmias. (B)</p> Signup and view all the answers

What is the most detrimental impact of the plaques formed as a result of chronic exposure to high stress levels and aggression?

<p>Heightened risk of myocardial infarction (MI). (B)</p> Signup and view all the answers

What is the direct effect of dysregulation of the autonomic nervous system (ANS) caused by depression on cardiovascular health?

<p>Increased risk of arrhythmias and myocardial ischemia. (D)</p> Signup and view all the answers

In patients with coronary heart disease (CHD), how does an imbalance in the autonomic nervous system (ANS) affect the heart's vulnerability?

<p>It lowers the threshold for myocardial ischemia and ventricular tachycardia. (B)</p> Signup and view all the answers

What is the primary role of autonomic nervous system (ANS) modulation of the sinoatrial node (SAN) in heart function?

<p>Determining beat-to-beat variability (R-R intervals) in heart rhythm. (D)</p> Signup and view all the answers

According to the information, how does the balance between sympathetic and parasympathetic control of the heart relate to heart rate variability (HRV) and cardiovascular outcomes?

<p>A lower balance leads to high HRV and decreased CHD mortality. (C)</p> Signup and view all the answers

What are the potential cardiac risks associated with excessive sympathetic modulation and inadequate parasympathetic modulation?

<p>Increased risk of arrhythmias and increased blood pressure. (B)</p> Signup and view all the answers

How does heart rate variability (HRV) typically differ between depressed psychiatric patients and their healthy counterparts?

<p>Depressed patients usually exhibit lower HRV, indicating reduced cardiac autonomic flexibility. (C)</p> Signup and view all the answers

How is heart rate variability (HRV) typically observed in patients with stable coronary disease or a recent history of acute myocardial infarction (MI)?

<p>HRV is lower, reflecting reduced cardiac autonomic function. (D)</p> Signup and view all the answers

What does the concept 'beat-to-beat variability' (R-R intervals) primarily reflect in the analysis of heart rhythm?

<p>The degree of variation in the time interval between successive heartbeats. (A)</p> Signup and view all the answers

In an individual experiencing aggression and hostility, what immediate physiological responses are most likely to elevate their cardiovascular risk?

<p>Increased heart rate, increased blood pressure, and heightened sympathetic nervous system activity. (C)</p> Signup and view all the answers

How does chronic stress combined with aggressive behavior most likely increase the risk of myocardial infarction (MI)?

<p>By accelerating atherosclerosis through increased plaque formation and instability. (C)</p> Signup and view all the answers

How might a depressed mood contribute to the development or progression of cardiovascular issues?

<p>By leading to autonomic nervous system dysregulation, promoting cardiac instability. (B)</p> Signup and view all the answers

What situation would most likely lead to a DECREASE in heart rate variability (HRV)?

<p>Chronic stress coupled with sedentary behavior and poor dietary habits. (C)</p> Signup and view all the answers

What is the most probable consequence of autonomic nervous system (ANS) imbalance, marked by decreased parasympathetic and increased sympathetic activity, in an individual with established coronary heart disease (CHD)?

<p>Increased risk of myocardial ischemia, arrhythmias, and sudden cardiac death. (D)</p> Signup and view all the answers

Which is the most accurate description of the relationship between heart rate variability (HRV) and mortality in coronary heart disease (CHD)?

<p>Lower HRV is associated with higher mortality risk, indicating reduced cardiac resilience. (B)</p> Signup and view all the answers

An increased heart rate, increased blood pressure, and heightened sympathetic nervous system activity due to aggression and hostility trigger the release of which hormones?

<p>Adrenaline &amp; Cortisol (D)</p> Signup and view all the answers

According to Klicks et al. (1975), how does ANS imbalance impact individuals with CHD?

<p>Lowers threshold for myocardial ischemia, ventricular tachycardia, and cardiac death. (D)</p> Signup and view all the answers

What is heart rate variability (HRV) used for?

<p>Measuring cardiac autonomic activity. (D)</p> Signup and view all the answers

Elevated THR and IBP trigger which physiological responses?

<p>Activate sympathetic activation, causing hormonal responses in individuals with aggression/hostility. (B)</p> Signup and view all the answers

Flashcards

Type A vs. Type B Personalities

Meta-analyses suggest that the distinction between Type A and Type B personalities is too simplistic.

Heritability of CVD

Cardiovascular disease has a heritability of approximately 40-60%.

Type D Personality & CHD

Type D (distressed) personality is commonly found in patients with coronary heart disease (CHD).

Lifestyle Risk Factors for CVD

Factors such as obesity (36%), physical inactivity (30%), high blood pressure (29%), cigarette smoking (17%), high cholesterol (12%), and diabetes (9%).

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Neuroticism & CHD Risk

Increased risk of coronary heart disease (CHD) is associated with neurotic or nervous personality traits.

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Dangerous Behavior Model

This model suggests personality can directly trigger behaviors which then lead to cardiovascular disorders.

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Constitutional Predisposition Model

This model posits that personality traits influence bodily processes and lead to disease.

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Transactional Stress Moderation Model

This model suggests that personality influences how individuals respond to stress, which in turn affects cardiovascular health.

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Type D Personality Traits

Traits include feelings of worry, sadness, gloominess, negative self-talk, lack of self-confidence, pessimistic outlook, hopelessness and fear of rejection.

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Aggression & Sympathetic Activation

Aggression and hostility can trigger the activation of the sympathetic nervous system, leading to increased heart rate, blood pressure, and levels of adrenaline/cortisol.

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Stress, Aggression & MI Risk

Chronic exposure to high stress levels and aggression can promote atherosclerosis, leading to plaque formation and an increased risk of myocardial infarction (MI).

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Depression & ANS Dysregulation

Depression is associated with dysregulation of the autonomic nervous system (ANS) in individuals with Coronary Heart Disease (CHD).

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ANS Imbalance & Cardiac Events

An imbalance in the Autonomic Nervous System (ANS) can lower the threshold for myocardial ischemia, ventricular tachycardia, ventricular fibrillation, and sudden cardiac death in patients with CHD.

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HRV Measurement Use

Heart Rate Variability (HRV) is used to measure Cardiac Autonomic Activity.

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HRV Definition

Beat-to-beat variability, measured as R-R intervals, in heart rhythm is an indicator of heart rate variability.

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HRV Determinants

Heart Rate Variability (HRV) is determined primarily by Autonomic Nervous System (ANS) modulation of the Sinoatrial Node (SAN).

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HRV & CHD Mortality

HRV reflects the balance between sympathetic and parasympathetic control of heartbeats; Low HRV is associated with high CHD mortality.

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HRV Risks

Risk due to excessive cardiac sympa modulation, inadequate cardiac para modulation or both.

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HRV & Psychiatric Depression

HRV is lower in depressed psychiatric patients compared to controls.

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HRV & Coronary Disease

HRV is lower in depressed than non-depressed patients with stable coronary disease or with a recent history of acute MI.

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Personality & CVD effects

Personality plus cardiovascular disease can influence autonomic mechanisms.

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Aggression/Hostility effects

Triggers sympathetic activation, leading to increased heart rate, blood pressure, adrenaline, and cortisol.

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Study Notes

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