Scottish Daily Mail

Fabulous news: Sarcasm linked to heart attacks

- By Ben Spencer Medical Correspond­ent

‘Find healthy way to manage stress’

IT might feel good to get something off your chest with a withering put-down or an impatient comment.

These traits, however, can be bad for your health, warn researcher­s.

Heart attack survivors who displayed hostility with sarcasm, cynicism, resentment, impatience or irritabili­ty were at much greater risk of dying of a second attack within two years.

This could be because the emotional state of being consistent­ly negative puts a strain on their health, according to a US study.

Those who are hostile to others are also less likely to look after their own wellbeing and more likely to smoke, drink and have poor lifestyle and diet. Academics tracked 2,321 heart attack survivors, measuring their hostility at the beginning of the study using a personalit­y test.

After two years, their survival rates were compared to these scores. The team at the University of Tennessee found that hostility could be accurately used to predict a patient’s chance of dying of another heart attack.

They said character can affect the heart through behavioura­l and psychologi­cal mechanisms.

‘Hostile individual­s have increased clotting times, higher adrenaline levels, above normal cholestero­l and triglyceri­de levels, and increased cardiac reactivity,’ warned the study.

‘These known inflammato­ry factors may initiate cardiac events and increase poor clinical outrence comes.’ Study author Tracey Vitori said: ‘Hostility is a personalit­y trait that includes being sarcastic, cynical, resentful, impatient or irritable.

‘It’s not just a one-off occurbut characteri­ses how a person interacts with people.

‘We know that taking control of lifestyle habits improves the outlook for heart attack patients and our study suggests that improving hostile behaviours could also be a positive move.’

Philippa Hobson, senior cardiac nurse at the British Heart Foundation, described the report in the European Journal of Cardiovasc­ular Nursing as ‘interestin­g’.

She added: ‘A heart attack is life-changing and it’s common to feel angry after you’ve experience­d one. There’s no doubt that finding healthy ways to manage stress and feeling calmer will have a positive impact. Try doing something active like going for a walk or getting some fresh air when you’re feeling stressed.’

Previous research has found being optimistic aided cardiovasc­ular health by reducing stress hormones, pulse rate and blood pressure. Those with a sunny dispositio­n also eat better, do more exercise and are less likely to drink or smoke.

Scientists also say general mood alters the levels of harmful and beneficial hormones in the body.

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