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Anger and Heart Attack — Rage, the Enemy Within

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The emotional trigger patients recognise immediately and clinicians almost never ask about — anger, acute stress, and cardiac events.

Description

A risk factor patients volunteer

Ask a patient after an infarct what they were doing beforehand and a striking number describe an argument. The association between acute anger and cardiac events is documented, plausible through several mechanisms, and almost never discussed in a cardiology consultation.

These 334 pages take it seriously without overstating it.

Why it lands with patients

Because they already suspect it. Unlike most risk-factor counselling, this one requires no persuasion — the patient usually raised it first and was politely moved past. Being told it is a real association, with a mechanism, is often the first time anyone has engaged with what they said.

What the fourteen chapters cover

The physiology: sympathetic surge, blood pressure and heart rate response, platelet activation, and plaque vulnerability. What the trigger studies actually measured and the size of the effect. Chronic hostility as distinct from acute rage, and why the evidence differs between them. Practical management — the techniques with reasonable support and honest treatment of those without.

Placement and caution

Patient-facing material. The book is careful not to imply patients caused their own infarct, and members should be too — the framing is a modifiable contributor among several, not blame.

PDF, lifetime access, from CardiologyBooks.com.

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