The objective of this study was to examine associations in youth betwe
en antisocial behavior and cardiovascular profile. Younger brothers of
adjudicated delinquents (N = 120) received a standardized psychiatric
assessment and an assessment of three factors often studied in behavi
oral cardiology research: family history of hypertension, resting bloo
d pressure, and obesity. As a group, relative to population norms, the
se youth exhibited signs of obesity and elevated blood pressure, with
30% of the sample appearing clinically obese and 24% having a blood pr
essure above the 90th percentile for national norms in their age cohor
t. Within the sample, score on the Child Behavior Checklist (CBCL) Del
inquency scale correlated with blood pressure (r = .29-.34) and an ind
ex of obesity, weight/height(3) (r = .20). Further, scores on the CBCL
Delinquency, Aggression, and Externalizing scales were elevated in bo
ys with a positive family history of hypertension. Among boys at risk
for delinquency, disruptive psychopathology relates to factors often s
tudied in behavioral cardiology research. Relationships between risk f
actors for ischemic cardiovascular disease and hostile behavior may be
manifested with measures of disruptive psychopathology.