The present case-control study investigated the association between di
mensions of hostility and myocardial infarction (MI) in adult males. H
ostility was measured with the Buss-Durkee Hostility Inventory (BDHI),
which assesses two distinct dimensions of hostility namely experienti
al and expressive hostility. Cases were 81 males who were admitted in
hospital because of a first MI. The reference group consisted of 168 a
ge-matched, healthy male neighbourhood controls. Analyses revealed tha
t especially experiential hostility (comprised of the subscales Resent
ment and Suspicion) was significantly associated with MI. These result
s are in contrast with the findings of previous studies, which showed
expressive hostility to be positively related to coronary heart diseas
e (CHD). Explanations for these contradictory findings are discussed.