A True "Heartbreaker"

Yale University researchers have found cause to believe that an 'angry heart' can lead to sudden death. The latest research links changes brought on by anger or other strong emotions to future cardiac arrhythmia and sudden cardiac arrests.

Heart attacks are blamed for nearly 400,000 deaths every year, and the leader of the study - Rachel Lampert, M.D., associate professor of medicine at Yale School of Medicine - hopes that these findings help "to deepen our understanding of how anger and other types of mental stress can trigger potentially lethal ventricular arrhythmias".

The study, which was recently published in the Journal of the American College of Cardiology, followed 62 patients with implantable cardioverter-defibrillators (ICDs) and enlarged hearts. They were monitored three months after the ICD was implanted and then given a mental stress test requiring them to recall a stressful situation that angered them.

Lampert and her team sought to discover whether T-wave alternans (TWA), which monitor electrical instability in the heart induced by anger, would predict future ventricular arrhythmias. The team found that those in the group with more anger-induced electrical instability were more likely to experience arrhythmias one year after the study than those in the control group.

"Further studies are needed to determine whether there is a role for therapies which may reduce anger and the body's response to stress, thereby preventing arrhythmias in those at risk," said Lampert.

Lampert's work builds on past research linking strong emotion to sudden cardiac death. It has been found that devastating disasters, such as earthquakes, are linked to sudden death.

Other authors on the study included Vladimir Shusterman, M.D., Matthew Burg, Craig McPherson, M.D., William Batsford, M.D., Anna Goldberg and Robert Soufer, M.D.

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