Cardiovascular responses to an active coping challenge as predictors of blood pressure patterns 10 to 15 years later

Bibliographic Data

ID19307459
AuthorsKathleen C Light (University of North Carolina at Chapel Hill), Carol A Dolan (University of North Carolina at Chapel Hill), Mark R Davis (0000-0002-0626-9030, University of North Carolina at Chapel Hill), Andrew Sherwood (0000-0001-9067-185X, University of North Carolina at Chapel Hill)
Year1992
Volume54
Issue2
Pages217-230
Publication date1992-03-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00006842-199203000-00007
PMID1565757
OpenAlexW2330745234
LanguageEN
Citations received22

To assess the long-term predictive importance of high cardiovascular reactivity in relation to subsequent blood pressure, 51 men from a pool of 204 men originally tested at age 18 to 22 years were recruited for blood pressure assessment 10 to 15 years later. Initial testing uniformly involved monitoring of systolic pressure, diastolic pressure, and heart rate during a reaction time task involving threat of shock. In 30 of the 51 men who participated at follow-up, initial testing had also included separate visits to obtain relaxation-only baseline levels of the cardiovascular indices. At follow-up, in addition to clinic-type stethoscopic determinations, blood pressure and heart rate were assessed during work and social and leisure activities via ambulatory monitoring. Men with higher levels of systolic pressure during the task showed higher stethoscopic and ambulatory systolic pressure at follow-up. Likewise, men with higher levels of diastolic pressure during the task showed higher diastolic levels at follow-up. In the 30 men with both good task and baseline data from initial testing, those with high heart rate reactivity (task minus baseline) showed higher systolic, diastolic, and heart rate levels at follow-up than low heart rate reactors, even though their baseline blood pressures had not differed at initial testing. Similarly, men with high systolic reactivity showed higher diastolic pressure at follow-up than low systolic reactors. Multiple regression analyses also demonstrated that systolic, diastolic, and heart rate reactivity improve prediction of follow-up blood pressure when added to models incorporating the standard risk factors, baseline blood pressure, and parental history of hypertension

Ambulatory · Ambulatory blood pressure · Blood pressure · Cardiology · Diastole · Heart rate · Pulse pressure · Heart Rate Variability and Autonomic Control · Internal Medicine · Medicine

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