German researchers have found that anxiety in MI patients increases the chances of a second attack, and causes them to occur earlier. A group of 76 patients had their anxiety levels measured within one week of MI and again 31 months later. During the in-between period, cardiac events were more common in anxious patients and occurred earlier. They were also more likely to keep smoking after their first cardiac event (Psychotherapy and Psychosomatics 2006; 75: 56- 61).
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