| Hypertensive labeling: does it have therapeutic implications. | |
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MedLine Citation:
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PMID: 8357773 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Screening for hypertension within the proper setting potentially leads to the detection of numerous (mild) hypertensives, some of whom in due time may well qualify for treatment. One disadvantage of the procedure appears to be that hitherto unwitting hypertensives may develop some adverse psychological and physiological phenomena. Behavioral effects seem to be particularly obvious after screening on the worksite, where newly identified hypertensive employees tend to respond with increased absenteeism and allied symptoms of labeling. In the clinical setting, physiological studies in recently informed hypertensives have demonstrated a series of signs of increased sympathetic activity: heart rate, cardiac index, circulating catecholamines, and renin, and even blood pressure itself, tend to be higher in aware vs. unaware young hypertensives. Although some correlations between psychological and physiological sequelae have been observed, the true nature of such links is far from clear. Simple anxiety does not seem to be the main mechanism. Pending further research, the question is discussed as to whether these phenomena are harmful enough to warrant a need for counseling or treatment. |
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Authors:
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W H Birkenhäger |
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Publication Detail:
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Type: Editorial |
Journal Detail:
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Title: Cardiovascular drugs and therapy / sponsored by the International Society of Cardiovascular Pharmacotherapy Volume: 7 ISSN: 0920-3206 ISO Abbreviation: Cardiovasc Drugs Ther Publication Date: 1993 Apr |
Date Detail:
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Created Date: 1993-09-24 Completed Date: 1993-09-24 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8712220 Medline TA: Cardiovasc Drugs Ther Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 207-9 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Awareness Health Behavior* Humans Hypertension / diagnosis*, psychology |
| Comments/Corrections | |
Comment In:
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Cardiovasc Drugs Ther. 1993 Aug;7(4):727-9
[PMID:
8241016
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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