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[Behavioral type d personality (distressor) in cardiovascular diseases].

Psychosocial stress is acknowledged as one of risk factors of development of cardiovascular pathology. Type D personality (distressor) comprises negative excitability (tendency to experience negative emotions) and social inhibition (suppression of emotions and behavioral reactions in social interactions). In this review we present data indicating that type D personality is related to increased number of complications and mortality in patients with ischemic heart disease, myocardial infarction, chronic heart failure, atherosclerosis of peripheral arteries. Type D personality is also associated with augmented risk of lowering of quality of life and appears to be less favorable for obtaining effect from drugs and invasive interventions. Accumulated proofs indicate that in detection of patients at risk of development of stress induced cardiac complications it is reasonable to use approach which involves consideration of personality type.