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STRESS AND HEART DISEASE
Stress is a highly complex and personal matter. It has been shown to contribute to both heart attacks and angina, but because it is difficult to measure stress, to what extent it contributes is not known exactly. How it is linked to heart disease is discussed here, although the following chapters describe stress in more detail.
Stress and heart attack
When people who have experienced a heart attack are asked what they think the cause of it was, most people will implicate stress in some way. Research supports that some types of stress have been shown to be associated with an increased incidence of coronary disease. This is not the same as saying stress causes heart attacks, however. There are three main areas of stress which have connections with heart attacks. These are work stress, home stress and personal style.
Work stress
Changing jobs frequently has been linked with heart attacks, as has shift work and low activity at work. However, it is not just the negative aspects of work which are harmful. Positive events, such as a recent promotion, can also have effects.
Domestic stress
The most consistent type of home stress which is linked with heart disease is the loss of a partner, either through death or divorce. Also, many large changes such as moving job and home, perhaps the birth of a child and/or death of a close relative, if occurring together have been associated with heart attacks.
Personal style
There is now a good deal of evidence which links the way we behave with heart disease. Recently, research has shown that more people of a character called Type A are likely to have heart disease than those of another type, called Type B. Type A is the behaviour pattern or set of characteristics which include being preoccupied with time, constantly running to deadlines, being overcompetitive, being hostile and aggressive and having a strong sense of achievement drive. Behaving in this way has been shown to be a risk factor for heart disease
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