Objective: The purpose of this study was to investigate the association bet
ween sudden cardiac arrest (SCA) and the behavioral factors exhaustion and
nonexpression of emotions. Methods: Case-control study of 99 victims of SCA
and 119 coronary controls, matched for Sender and age. Results: Victims of
SCA were more often assessed as exhausted and as closed by their family me
mbers than controls. A significant interaction between exhaustion and close
ness on the risk of SCA was observed. Those who were exhausted and did not
express their emotions had a sevenfold greater risk of SCA. Conclusion: The
behavioral factor of exhaustion and nonexpression of emotions may contribu
te to the identification of persons at elevated risk for SCA. (C) 2000 Else
vier Science Inc. All rights reserved.