Effect of Type A behavior on exercise test outcome in coronary artery disease.

Journal Article (Journal Article)

The outcome of the diagnostic exercise test depends on such patient-related factors as age, maximum exercise heart rate, exercise time and severity of the underlying coronary artery disease (CAD). This study examined the hypothesis that type A behavior would affect the amount of effort expended, as indicated by the exercise time and the maximum heart rate achieved, thereby resulting in differences in exercise test outcome. A total of 1,260 patients with suspected CAD, all of whom had coronary angiography, a structured interview to assess type A behavior and a treadmill exercise test, participated. Of these patients, 818 (65%) had significant CAD, and 852 (68%) were type A. There were no differences between type A and B patients in either maximum heart rate or total exercise time. Among both type A and B subjects, 36% of treadmill tests were positive. Exercise test sensitivity was similar for both groups (69% for type A vs 72% for type B, p = 0.39). Similarly, specificity was similar for both groups (87% for type A vs 80% for type B, p = 0.09). Results did not change after using logistic regression to control for potential confounding factors. Thus, type A behavior does not need to be taken into account when interpreting exercise test outcome.

Full Text

Duke Authors

Cited Authors

  • Siegel, WC; Hlatky, MA; Mark, DB; Barefoot, JC; Harrell, FE; Pryor, DB; Williams, RB

Published Date

  • July 15, 1990

Published In

Volume / Issue

  • 66 / 2

Start / End Page

  • 179 - 182

PubMed ID

  • 2196775

Pubmed Central ID

  • 2196775

International Standard Serial Number (ISSN)

  • 0002-9149

Digital Object Identifier (DOI)

  • 10.1016/0002-9149(90)90584-n


  • eng

Conference Location

  • United States