2015 | 46 | 2 | 223-227
Article title

Temperament, stress, and atrial fibrillation

Title variants
Languages of publication
In some patients with atrial fibrillation (AF), the causative agent of attack is stress (AF associated with adrenergic activity). In others, AF usually begins during relax or sleep (AF associated with vagal nerve dominance). This study aimed to investigate the individual factors associated with the adrenergic or vagal type of AF. This study included 138 patients with paroxysmal atrial fibrillation (AF). Sixty-eight patients reported that AF was frequently triggered by stress (sympathetic-type AF) and 70 patients reported that AF usually began during relaxation or sleep (vagal-type AF). Gender, age, ejection fraction, and temperament were compared across the two groups. Temperament was evaluated using the Formal Characteristics of Behaviour-Temperament Inventory. The groups differed only in temperament. Patients with sympathetic-type AF had a higher score for emotional reactivity (p = 0.002) and perseverance (p = 0.002) temperament traits and a lower score for endurance (p = 0.003) than patients with vagal-type AF and than the average in population.
Physical description
  • Department of Arrhythmia, Institute of Cardiology, Warsaw, Poland
  • Department of Arrhythmia, Institute of Cardiology, Warsaw, Poland
  • Department of Arrhythmia, Institute of Cardiology, Warsaw, Poland
  • Department of Arrhythmia, Institute of Cardiology, Warsaw, Poland
  • Camm, A.J., Obel, O.A. (1996). Epidemiology and mechanism of atrial fibrillation and atrial flutter. The American Journal of Cardiology, 78 (8A), 3-11.[Crossref][PubMed]
  • Chen, P.-S., Tan, A.Y. (2007). Autonomic nerve activity and atrial fibrillation. Heart Rhythm, 4 (3 Suppl), S61-S64.[Crossref][PubMed][WoS]
  • Cheng, Y.F., Leu, H.B., Su, C.C., Huang, C.C., Chiang, C.H., ... Huang, P.H. (2013). Association between panic disorder and risk of atrial fibrillation: a nationwide study. Psychosomatic Medicine, 75, 30-35.[WoS][Crossref][PubMed]
  • Eaker, E.D., Sullivan, L.M., Kelly-Hayes, M., D’Agostino, R.B., Benjamin, E.J. (2004). Anger and hostility predict the development of atrial fibrillation in menin the Framingham Offspring Study. Circulation, 109, 1267-1271.[Crossref]
  • Frasure-Smith, N., Lespèrance, F., Talajic, M., Khairy, P., Dorian, P., O’Meara, E., Roy, D. (2012). Anxiety Sensitivity moderates prognostic importance of rhythm-control versus rate-control strategies in patients with atrial fibrillation and congestive heart failure: insights from The Atrial Fibrillationand Congestive Heart Failure Trail. Circulation Heart Failure, 5, 322-330.[Crossref][WoS]
  • Hansson, A., Madsen-Härdig, B., Olsson, B.S. (2004). Arrhythmiaprovoking factors and symptoms at the onset of paroxysmal atrial fibrillation: A study based on interviews with 100 patients seeking hospital assistance. BMC Cardiovascular Disorders 2004, 4:13.[PubMed]
  • Huang, J.-L., Wen, Z.-C., Lee W.-L., Chang, M.-S., Chen, S.-A. (1998).
  • Changs of autonomic tone before the onset of paroxysmal atrial fibrillation. International Journal of Cardiology, 66, 275-283.
  • Krijthe, B.P., Kunst, A., Benjamin, E.J., Lip G.Y.H., Franco, O.H., ... Hofman, A. (2013). Projection on the number of individuals with atrial fibrillation in the European Union, from 2000 to 2060. European Heart Journal, 34, 2746-2751.[WoS]
  • Lane, D.A., Langam, C.M., Lip, G.Y.H., Nouwen, A. (2009). Illness perceptions, affective response, and health-related quality of life in patients with atrial fibrillation. Journal of Psychosomatic Research, 66, 203-201.[WoS][Crossref][PubMed]
  • Legallois, D., Gomes, S., Pellissier, A., Milliez, P. (2013). Medical emotional stress-induced atrial fibrillation: My own personal experience. International Journal of Cardiology, 67, (6):e182-3.[Crossref][WoS]
  • Lombardi, F., Tarricone, D., Tundo, F., Colombo, F., Belletti, S., Fiorentini, C. (2004). Autonomic nervous system and paroxysmal atrial fibrillation: a study based on the analysis of RR interval changes before, during and after paroxysmal atrial fibrillation. European Heart Journal, 25, 1242-48.[PubMed][Crossref]
  • Mandyam, M.C., Vedantham, V., Scheinman, M.M., Tseng, Z.H., Badhwar, N., ... Lee, B.K. (2012). Alcohol and vagal tone as triggers for paroxysmal atrial fibrillation. The American Journal of Cardiology, 110, 364-368.[Crossref][PubMed]
  • Maryniak, A., Walczak, F., Bodalski, R., Szumowski, L., Derejko, P., ... Urbanek, P. (2006). Atrial fibrillation onset circumstances and their relation to patient’s quality of life. Polish Cardiology, 64, 1102-1108.
  • Mattioli, A.V., Bonatti, S., Zennaro, M., Mattioli, G. (2005). The relationship between personality, socio-economic factors, acute life stress and the development, spontaneous converion and recurrences of acule lone atrial fibrillation. Europace, 7, 211-220.[Crossref]
  • Ong, L., Cribbie, R., Harris, L., Dorian, P., Newman, D., ... Mangat, I. (2006). Psychological correlates of quality od life in atrial fibrillation. Quality of Life Research, 15, 1323-1333.[Crossref]
  • Page, R.L., Wilkinson, W.E., Clair, W.K., McCarthy, E.A., Pritchett, E.L. (1994). Asymptomatic arrhythmias in patients with symptomatic paroxysmal atrial fibrillation and paroxysmal supraventricular tachycardia. Circulation, 89, 22-227.
  • Park, H.-W., Shen, M.J., Lin, S.-F., Fishbein, M.C., Chen, L.S., Chen, P.-S. (2012). Neural mechanism of atrial fibrillation. Current opinion in cardiology, 27, 24-28.[WoS][Crossref]
  • Savelieva, I., Camm, J.A. (2000). Clinical relevance of silent atrial fibrillation: prevalence, prognosis, quality of life, and management. Journal of Interventional Cardiac Electrophysiology, 4, 369-382.[Crossref]
  • Strelau, J. (2014). Różnice indywidualne. Historia - determinanty - zastosowania. [Individual differences. History - determinants - applications]. Warszawa: Scholar, SWPS.
  • Strelau, J. (2002). Psychologia temperamentu. [Psychology of temperament]. Warszawa: PWN.
  • Strelau, J. (1996). The Regulative Theory of Temperament: current status. Personality and Individual Differences, 20, 131 -142.[WoS][Crossref]
  • Strelau, J., Zawadzki, B. (1995). The Formal Characteristics of Behaviour-Temperament Inventory (FCB-TI): Validity studies. European Journal of Personality, 9, 207-229.[Crossref]
  • Wilbert-Lampen, U., Leistner, D., Greven, S., Pohl, T., Sper, S., ... Völker, Ch. (2008). Cardiovascular Events during World Cup Soccer. The New England Journal of Medicine, 358, 475-83.
  • Zawadzki, B. (2001). Temperamentalny czynnik ryzyka chorób somatycznych: raka płuc i zawału serca [Temperamental risk factor of somatic disease: lung cancer and heart attack]. W: W.Ciarkowska, A.Matczak (red.), Różnice indywidualne: wybrane badania inspirowane regulacyjną teorią temperamentu Profesora Jana Strelaua. [Individual differences: selected studies inspired by the Regulative Theory of Temperament by Professor Jan Strelau]. Warszawa: ICGZ UW.
Document Type
Publication order reference
YADDA identifier
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.