| Can behavioural factors produce a sustained elevation of blood pressure? Some observations and a hypothesis. | |
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MedLine Citation:
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PMID: 1795207 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A major problem confronting behavioural theories of hypertension, such as the reactivity hypothesis, is that stress is likely to be intermittent, whereas the early stages of hypertension appear to be characterized by an increase in the tonic level of blood pressure and sympathetic activity. Furthermore, intermittent sympathetic arousal (e.g. exercise, thigh-cuff compression) does not necessarily raise tonic blood pressure. A worksite-based study of occupational stress has indicated that people in high-stress jobs have increased blood pressure throughout the day and night, which is at least consistent with a behaviourally mediated resetting of the tonic blood pressure level. There is evidence that adrenaline is preferentially released in response to behavioural stresses. According to the 'adrenaline hypothesis', adrenaline can raise tonic blood pressure while noradrenaline does not. We therefore propose that the different long-term effects of behavioural stress and exercise on blood pressure can be explained by their differing effects on catecholamine release. |
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Authors:
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T G Pickering; P L Schnall; J E Schwartz; C F Pieper |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S.; Review |
Journal Detail:
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Title: Journal of hypertension. Supplement : official journal of the International Society of Hypertension Volume: 9 ISSN: 0952-1178 ISO Abbreviation: J Hypertens Suppl Publication Date: 1991 Dec |
Date Detail:
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Created Date: 1992-04-09 Completed Date: 1992-04-09 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 8501422 Medline TA: J Hypertens Suppl Country: ENGLAND |
Other Details:
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Languages: eng Pagination: S66-8 Citation Subset: IM |
Affiliation:
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Cardiovascular Center, New York Hospital-Cornell University Center, New York, NY 10021. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Blood Pressure
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physiology* Blood Pressure Monitors Epinephrine / secretion Exercise / physiology Humans Hypertension / physiopathology, psychology* Occupational Diseases / psychology Stress, Psychological / complications* Sympathetic Nervous System / physiology |
| Grant Support | |
ID/Acronym/Agency:
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HL 30605/HL/NHLBI NIH HHS |
| Chemical | |
Reg. No./Substance:
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51-43-4/Epinephrine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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