Hidden Heart Attack Risk: Are Your Personality Traits a Factor?
"New study explores the link between personality and MINOCA, revealing surprising insights for heart health."
Heart attacks often conjure images of blocked arteries, but what happens when a heart attack occurs with seemingly clear arteries? This condition, known as myocardial infarction with non-obstructive coronary arteries (MINOCA), is gaining increased recognition in cardiology. A significant portion of heart attack cases fall into this category, and researchers are working to understand the underlying causes and risk factors.
While traditional risk factors like high cholesterol, smoking, and high blood pressure are well-established, emerging research suggests that psychological factors may also play a role in heart health. Personality traits, particularly those related to stress, anger, and behavior patterns, have been linked to an increased risk of cardiovascular events. But how do these traits specifically affect individuals with MINOCA?
A recent study published in The American Journal of Medicine delves into the connection between personality traits and MINOCA. Researchers investigated whether specific personality characteristics, such as type A behavior and trait anger, are more prevalent in MINOCA patients compared to those with traditional coronary artery disease and healthy controls. The findings offer valuable insights into the complex interplay between mind and heart, potentially paving the way for more holistic approaches to heart health.
Do Type A Personalities Face a Higher Risk of MINOCA?

The study, led by Daniella Nero and colleagues, involved a detailed assessment of personality traits in 100 MINOCA patients, 100 patients with coronary heart disease, and 100 healthy controls. Participants completed questionnaires designed to measure type A behavior patterns (using the Bortner rating scale) and trait anger (using the Spielberger trait anger scale). These assessments were conducted three months after the acute event to capture a more stable picture of personality.
- Type A Behavior: A personality pattern characterized by competitiveness, time urgency, and hostility.
- Trait Anger: A tendency to experience frequent and intense feelings of anger.
- Bortner Rating Scale: A tool used to measure type A behavior patterns.
- Spielberger Trait Anger Scale: A tool used to measure trait anger.
The Mind-Heart Connection: What's Next?
This study provides a valuable starting point for understanding the complex relationship between personality and MINOCA. While type A behavior and trait anger may not be primary drivers of MINOCA, other psychological factors, such as stress management skills, emotional regulation, and overall well-being, could still play a significant role. Further research is needed to explore these connections and develop more comprehensive strategies for preventing and managing MINOCA, taking both physical and psychological health into account.