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Having a highly demanding job, but little control over it, could be a deadly combination, UK researchers say. They analysed 13 existing European studies covering nearly 200,000 people and found "job strain" was linked to a 23% increased risk of heart attacks and deaths from coronary heart disease. The risk to the heart was much smaller than for smoking or not exercising, the Lancet medical journal report said. The British Heart Foundation said how people reacted to work stress was key. Job strain is a type of stress. The research team at University College London said working in any profession could lead to strain, but it was more common in lower skilled workers. Doctors who have a lot of decision-making in their jobs would be less likely to have job strain than someone working on a busy factory production line.