Antagonistic people, particularly those who are competitive and aggressive, may be increasing their risk of heart attack or stroke, researchers report in Hypertension: Journal of the American Heart Association. Researchers for the U.S. National Institute on Aging (NIA), a component of the National Institutes of Health (NIH), studied 5,614 Italians in four villages and found that those who scored high for antagonistic traits on a standard personality test had greater thickening of the neck (carotid) arteries compared to people who were more agreeable. Thickness of neck artery walls is a risk factor for heart attack and stroke. Three years later, those who scored higher on antagonism or low agreeableness - especially those who were manipulative and quick to express anger - continued to have thickening of their artery walls. These traits also predicted greater progression of arterial thickening. Those who scored in the bottom 10 percent of agreeableness and were the most antagonistic had about a 40 percent increased risk for elevated intima-media thickness, a measure of arterial wall thickness. The effect on artery walls was similar to having metabolic syndrome - a known risk factor for cardiovascular disease
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