Research into the relationship between the Type A behavior pattern and coro
nary heart disease suggests that the anger-hostility-aggression (AHA!) synd
rome is directly related to total serum cholesterol and low-density lipopro
teins. The present study involved an investigation of the specific componen
ts of the AHA! syndrome related to blood lipid levels in 98 healthy men. Th
e disposition to experience and express anger when frustrated, criticized,
or treated unfairly (angry reaction, a component of trait anger) was relate
d to total serum cholesterol and to low-density lipoprotein levels. Age and
diet also predicted levels of these lipids, but each was unrelated to angr
y reaction. These results suggest that in healthy men, the experience of st
rong angry affect in reaction to perceived rejection, criticism, or unfair
treatment may be health-toxic because of its relationship to elevated unfav
orable serum lipids.