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Martin S. Gizzi, PhD, MD; Bernard Gitler, MD
New Rochelle Hospital Medical Center New Rochelle, NY

JAMA. 1986;256(9):1138.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

In the search to identify risk factors for atherosclerosis and myocardial infarction, physicians since Osler¹ have been aware of the importance of psychological stress. The Western Collaborative Group Study² convincingly identified coronary-prone type A behavior, and more recent studies have concentrated on psychological stress as a risk factor.^3,4 Two cases we have seen in our coronary care unit exhibited a striking similarity that we feel singles out a particular source of stress as a contributing factor to myocardial infarction.

Report of Case.—

The first patient was a 53-year-old man who 11 years before had undergone coronary artery bypass surgery and who presented with angina that proved to be caused by an acute myocardial infarction. On the morning after admission he was visited by his wife in the coronary care unit. Shortly after her departure he was visited by his fiancee. The patient died shortly . . . [Full Text PDF of this Article]

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