Hypertension, Vol 22, 479-485, Copyright © 1993 by American Heart Association
KA Matthews, KL Woodall and MT Allen
Cardiovascular reactivity to stress may have a pathophysiological role in
neurogenic hypertension. We studied the value of measuring blood pressure
change during standardized mental and physical challenges to prediction of
resting blood pressure status 6.5 years later among 206 middle-aged adults
and their 164 children, with the latter group originally being tested while
enrolled in elementary through high school. After adjustment for age,
resting blood pressure, and body mass index at study entry, as well as
length of follow-up, larger systolic and diastolic blood pressure responses
to a combination of mental and physical challenges were associated with
higher subsequent resting diastolic blood pressure 6.5 years later among
adults. Among boys, but not among girls, larger systolic and diastolic
blood pressure responses to challenge were associated with higher
subsequent resting blood pressure. These data suggest that people who are
at high risk for elevated blood pressure might have an exaggerated
stress-induced cardiovascular response at a younger age.
ARTICLES
Cardiovascular reactivity to stress predicts future blood pressure status
Department of Psychiatry, University of Pittsburgh School of Medicine, PA 15213.
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