发布时间： 2015-01-14 点击数： 803
根据首项针对此前有关极端情绪及所有心血管病变之关联的研究的系统评估，愤怒情绪爆发后两小时内即可诱发心脏病、中风及其他心血管疾病。
该项刊登于European Heart Journal一刊的系统综述与元分析研究文章表示，在愤怒情绪爆发后两小时内，研究对象患心脏病（心肌梗塞或急性冠脉综合症）的风险将比普通人群高5倍 （4.47%）左右，中风风险增加3倍（3.62%），心室性心律失常风险也比普通人群高出许多。
文章来源：European Heart Journal
原文链接：http://eurheartj.oxfordjournals.org/content/early/2014/03/03/eurheartj.ehu033.full
原文：Outbursts of anger as a trigger of acute cardiovascular events: a systematic review and meta-analysis
作者：Elizabeth Mostofsky, Elizabeth Anne Penner, Murray A. Mittleman
Abstract
Aim Short-term psychological stress is associated with an immediate physiological response and may be associated with a transiently higher risk of cardiovascular events. The aim of this study was to determine whether brief episodes of anger trigger the onset of acute myocardial infarction （MI）， acute coronary syndromes （ACS）， ischaemic and haemorrhagic stroke, and ventricular arrhythmia.
Methods and results We performed a systematic review of studies evaluating whether outbursts of anger are associated with the short-term risk of heart attacks, strokes, and disturbances in cardiac rhythm that occur in everyday life. We performed a literature search of the CINAHL, Embase, PubMed, and PsycINFO databases from January 1966 to June 2013 and reviewed the reference lists of retrieved articles and included meeting abstracts and unpublished results from experts in the field. Incidence rate ratios and 95% confidence intervals were calculated with inverse-variance-weighted random-effect models. The systematic review included nine independent case-crossover studies of anger outbursts and MI/ACS （four studies）， ischaemic stroke （two studies）， ruptured intracranial aneurysm （one study）， and ventricular arrhythmia （two studies）。 There was evidence of substantial heterogeneity between the studies （I2 = 92.5% for MI/ACS and 89.8% for ischaemic stroke）。 Despite the heterogeneity, all studies found that, compared with other times, there was a higher rate of cardiovascular events in the 2h following outbursts of anger.
Conclusion There is a higher risk of cardiovascular events shortly after outbursts of anger.