By Thomas Moore, Health and Science Correspondent
People who have been recently bereaved really can die of a broken heart, new research shows.
Doctors at a British medical school found the chance of suffering a heart attack or stroke doubles after a partner's death.
They believe grief results in extra physical stress, and may also make people forget or lose interest in taking their medication.
Dr Sunil Shah, senior lecturer in public health at St George's University of London, and co-author of the study, said: "We often use the term 'a broken heart' to signify the pain of losing a loved one and our study shows bereavement can have a direct effect on the health of the heart."
According to research published in the journal Jama Internal Medicine, 16 of 10,000 patients aged 60 and over suffered a heart attack or stroke within 30 days of their partner's death - twice the normal rate.
However, the risk began to fall again after the first month.
"There is evidence, from other studies, that bereavement and grief lead to a range of adverse responses including changes in blood clotting, blood pressure, stress hormone levels and heart rate control," said Dr Shah.
"In addition, we have found, in another study, that in the first few months after bereavement, individuals may not consistently take their regular preventive medication, such as cholesterol lowering drugs or aspirin."
Dr Iain Carey, senior research fellow at St George's University of London, said grief seems to have a clear physiological effect.
"A better understanding of psychological and social factors associated with acute cardiovascular events may provide opportunities for prevention and improved clinical care," he said.
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