Psychological constructs involved in emotional blood pressure response and white coat phenomenon

Crippa, Giuseppe

doi:10.1016/s0895-7061(00)00745-7

Cited by 3 publications

(6 citation statements)

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“…Previous studies have also concluded that individuals with ICH did not show abnormal hostility, anxiety, or depression, when compared with subjects with sustained hypertension [9][10][11][12]. The study by Muneta et al [10] suggested that subjects with ICH tend to suppress their own emotions and become over-adaptive to their surroundings.…”

Section: Discussionmentioning

confidence: 96%

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Prevalence and determinants of isolated clinic hypertension in the Finnish population: the Finn-HOME study

Niiranen

Jula

Kantola

et al. 2006

Journal of Hypertension

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Section: Discussionmentioning

confidence: 96%

“…There is early evidence that ICH might be associated with healthcare-related fears, suppression of emotions and emotional instability, but not necessarily with anxiety or depression [9][10][11][12]. The findings of these studies have been conflicting and the sample sizes often small.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of isolated clinic hypertension in the Finnish population: the Finn-HOME study

Niiranen

Jula

Kantola

et al. 2006

Journal of Hypertension

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“…4,[15][16][17] This mechanism may also explain so-called "white coat hypertension," a condition characterized by high clinic BP values but normal BP values recorded during daytime ambulatory BP assessment. 18,19 The data suggest that the patients responding to hyperventilation with a decrease in BP have clinic BP values affected by the "white coat effect."…”

Section: Discussionmentioning

confidence: 99%

“…1 Because of their high and spontaneous variability, BP measurements performed in the clinic or physician's office cannot predict hypertensive fluctuations occurring during everyday life. 2,3 Although BP values measured during the doctor's visit may be affected by the patient's emotional reaction, 4 ambulatory BP monitoring provides more reliable measurements of BP values for better assessment of hypertensive patients. 2,[5][6][7] Previously, we showed that in healthy subjects 8 and in patients with mild or moderate hypertension, 9 a prolonged and forced hyperventilation induced different BP responses, dividing the subjects into 3 groups: the first responding with a decrease in BP, the second without any significant change, and the third with an increase.…”

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confidence: 99%

Blood Pressure Response to Hyperventilation Test Reflects Daytime Pressor Profile

et al. 2003

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Abstract-Recent studies show that healthy subjects and patients with moderate hypertension have different pressor responses to hyperventilation, depending on their sympathoadrenergic reactivity. In the present study, we investigated whether a different response to the hyperventilation test is related to differences in the daily blood pressure profiles recorded with noninvasive ambulatory monitoring. Forty-five healthy subjects and 67 patients with essential hypertension of grades 1 and 2 (Joint National Committee VI and World Health Organization) were investigated. Healthy subjects and hypertensive patients responding to hyperventilation with an increase in systolic blood pressure had, during daytime ambulatory blood pressure assessment Previously, we showed that in healthy subjects 8 and in patients with mild or moderate hypertension, 9 a prolonged and forced hyperventilation induced different BP responses, dividing the subjects into 3 groups: the first responding with a decrease in BP, the second without any significant change, and the third with an increase. The changes in BP response to the hyperventilation test were associated with corresponding changes in sympathoadrenergic tone. There is also evidence that the daily pressor spontaneous fluctuations of hypertensive patients are due to changes in sympathoadrenergic activity. 10,11 Moreover, in these patients, daily BP elevations recorded during ambulatory monitoring are closely related to the increase in BP found during standardized psychophysiological stress tests. 12 To establish whether hyperventilation can yield useful information on daytime pressor profiles, we evaluated the association of pressor responses to hyperventilation with particular pressor parameters recorded by ambulatory BP monitoring (daytime average ambulatory BP values, daytime peak BP values, average of the highest 5 BP values, and daytime fluctuations of BP values). Methods PatientsWe enrolled young healthy subjects (nϭ45, 21 women and 24 men; mean age, 30Ϯ6 years) and subjects with essential hypertension (nϭ67, 30 women and 37 men; mean age, 62Ϯ5 years) of grades 1 and 2 according to the Sixth Report of the Joint National Committee and the World Health Organization (JNC VI/WHO). 13 Healthy subjects were selected among young physicians and medical students at our university. No subject had a personal or family history of hypertension. All had resting systolic blood pressure (SBP) values Ͻ135 mm Hg and diastolic blood pressure (DBP) values Ͻ85 mm Hg.Hypertensive patients were recruited from 3 cohorts: (1) patients who underwent medical examination, (2) patients admitted to the hospital for other diseases in whom hypertension was found for the first time, (3) patients attending the hypertension clinic at our institution during a period of discontinuation of antihypertensive drugs. Patients were asymptomatic and had SBP within 158 and 190 mm Hg and DBP within 85 and 110 mm Hg. Routine laboratory

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“…This is clinically important, situational blood pressure responses are hard to predict because they do not correlate with the external appearance of anxiety. 11,12 This study investigates the effects on blood pressure of a potential cause of situational anxiety: anticipation of a blood test. Blood tests are among the most common of clinical investigations.…”

Section: Introductionmentioning

confidence: 99%

A randomised controlled trial of the effect of anticipation of a blood test on blood pressure

et al. 2002

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Blood pressure is affected by situational anxiety, such as the white coat effect. We hypothesised that blood pressure would also be affected by anticipation of a blood test. Volunteer subjects were recruited on the campus of Birmingham University. Subjects were randomly assigned to intervention and control groups. After a period of rest, three seated blood pressure measurements were taken at 1-min intervals using an electronic sphygmomanometer. Between the second and third measurements subjects in the intervention group were told that a blood test would be carried out after the last measurement. No blood test was carried out. Three blood pressure measurements were made in all 213 randomised subjects. Analysis was by intentionto-treat. In the control group mean systolic and diastolic

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Psychological constructs involved in emotional blood pressure response and white coat phenomenon

Cited by 3 publications

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Prevalence and determinants of isolated clinic hypertension in the Finnish population: the Finn-HOME study

Prevalence and determinants of isolated clinic hypertension in the Finnish population: the Finn-HOME study

Blood Pressure Response to Hyperventilation Test Reflects Daytime Pressor Profile

A randomised controlled trial of the effect of anticipation of a blood test on blood pressure

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