High Cardiovascular Reactivity to Stress

A Predictor of Later Hypertension Development
  • Kathleen C. Light
  • Andrew Sherwood
  • J. Rick Turner
Part of the Perspectives on Individual Differences book series (PIDF)

Abstract

Recently, considerable debate has been sparked concerning the strength of published evidence supporting what has been called “the Reactivity Hypothesis.” This hypothesis, as most broadly defined, is that greater cardiovascular reactivity to behavioral stressors may play some role in the development of sustained arterial hypertension. Thus, when focusing on the wide individual differences in blood pressure, heart rate, cardiac output, or any other cardiovascular responses that are evoked by a stressor, it is postulated that the high reactors will have an increased risk of becoming hypertensive over time. Some researchers (Pickering & Gerin, 1990) do not find the current evidence supporting this hypothesis to be compelling, citing, among other things, the lack of many prospective investigations showing that high reactivity is a significant independent risk factor. Other authorities (Manuck, Kasprowicz, & Muldoon, 1990) prefer to see the glass half full rather than half empty, and they find the combination of a great deal of consistently supportive indirect evidence and positive results from the relatively few prospective studies to encourage further, better-designed tests of the Reactivity Hypothesis.

Keywords

Blood Pressure Level Cold Pressor Mental Arithmetic Cardiovascular Reactivity Cold Pressor Test 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Armstrong, H. G., & Rafferty, J. A. (1950). Cold pressor test follow-up study for seven years on 166 officers. American Heart Journal 39, 484–490.PubMedCrossRefGoogle Scholar
  2. Bolli, P., Amann, F. W., Hulthen, L., Kiowski, W., & Buhler, F. R. (1981). Elevated plasma adrenaline reflects sympathetic overactivity and enhanced alpha-adrenoceptor-mediated vasoconstriction in essential hypertension. Clinical Science, 61, 161s–164s.PubMedGoogle Scholar
  3. Borghi, C., Costa, F. V., Boschi, S., Mussi, A., & Ambrosioni, E. (1986). Predictors of stable hypertension in young borderline subjects: A five-year follow-up study. Journal of Cardiovascvlar Pharmacology, 8(5), S138–S141.CrossRefGoogle Scholar
  4. Eich, R. H., & Jacobsen, E. C. (1967). Vascular reactivity in medical students followed for 10 years. Journal of Chronic Diseases, 20, 583–592.PubMedCrossRefGoogle Scholar
  5. Falkner, B., Kushner, H., Onesti, G., & Angelakos, E. T. (1981). Cardiovascular characteristics in adolescents who develop essential hypertension. Hypertension, 3, 521–527.PubMedCrossRefGoogle Scholar
  6. Harlan, W. R., Osborne, R. K., & Graybiel, A. (1964). Prognostic value of the cold pressor test and the basal blood pressure: Based on an eighteen-year follow-up study. American Journal of Cardiology, 13, 683–687.PubMedCrossRefGoogle Scholar
  7. Hines, E. A., Jr. (1940). Significance of vascular hyperreaction as measured by the cold pressor test American Heart Journal, 19, 408–416.CrossRefGoogle Scholar
  8. Hines, E. A., Jr., & Brown, G. E. (1936). The cold pressor test for measuring the reactibility of the blood pressure: Data concerning 571 normal and hypertensive subjects. American Heart Journal, 11, 1–9.CrossRefGoogle Scholar
  9. Horwitz, R. I. (1984). Methodologic standards and the clinical usefulness of the cold pressor test: Editorial. Hypertension, 6, 295–296.Google Scholar
  10. Lawler, J. E., Cox, R. H., Sanders, B. J., & Mitchell, V. P. (1988). The borderline hypertensive rat: A model for studying the mechanisms of environmentally induced hypertension. Health Psychology, 7, 137–147.PubMedCrossRefGoogle Scholar
  11. Light, K. C., Dolan, C. A., Davis, M. R., & Sherwood, A. (1992). Cardiovascular responses to an active coping challenge as predictors of blood pressure patterns 10–15 years later. Psychosomatic Medicine, 54, 217–230.PubMedGoogle Scholar
  12. Manuck, S. B., Kasprowicz, A. L., & Muldoon, M. F. (1990). Behaviorally evoked cardiovascular reactivity and hypertension: Conceptual issues and potential associations. Annals of Behavioral Medicine, 12, 17–29.CrossRefGoogle Scholar
  13. Menkes, M. S., Matthews, K. A., Krantz, D. S., Lundberg, V., Mead, L. A., Qaqish, B., Liang, K.-Y., Thomas, C. B., & Pearson, T. A. (1989). Cardiovascular reactivity to the cold pressor test as a predictor of hypertension. Hypertension, 14, 524–530.PubMedCrossRefGoogle Scholar
  14. Obrist, P. A., Gaebelein, C. J., Teller, E. S., Langer, A. W., Grignolo, A., Light, K. C., & McCubbin, J. A. (1978). The relationship among heart rate, carotid dP/dt, and blood pressure in humans as a function of the type of stress. Psychophysiology, 15, 102–115.PubMedCrossRefGoogle Scholar
  15. Parker, F. C., Croft, J. B., Cresanta, J. L., Freedman, D. S., Burke, G. L., Webber, L. S., & Berenson, G. S. (1987). The association between cardiovascular response tasks and future blood pressure levels in children: Bogalusa Heart Study. American Heart Journal, 113, 1174–1179.PubMedCrossRefGoogle Scholar
  16. Pickering, T. G., & Gerin, W. (1990). Cardiovascular reactivity in the laboratory and the role of behavioral factors in hypertension: A critical review. Annals of Behavioral Medicine, 12, 3–16.CrossRefGoogle Scholar
  17. Schanll, P. L., Pieper, C., Schwartz, J. E., Karasek, R. A., Schlussel, Y., Devereux, R. B., Ganau, A., Alderman, M., Warren, K., & Pickering, T. G. (1990). The relationship between “job strain,” work place diastolic blood pressure, and left ventricular mass index: Results of a case-control study. Journal of the American Medical Association, 263, 1919–1935.Google Scholar
  18. Sherwood, A., Allen, M. T., Obrist, P. A., & Langer, A. W. (1986). Evaluation of beta-adrenergic influences on cardiovascular and metabolic adjustments to physical and psychological stress. Psychophysiology, 23, 89–104.PubMedCrossRefGoogle Scholar
  19. Sherwood, A., Dolan, C. A., & Light, K. C. (1990a). Hemodynamics of blood pressure responses during active and passive coping. Psychophysiology, 27, 656–668.PubMedCrossRefGoogle Scholar
  20. Sherwood, A., Turner, J. R., Light, K. C., & Blumenthal, J. A. (1990b). Temporal stability of the hemodynamics of cardiovascular reactivity. International Journal of Psychophysiology, 10, 95–98.PubMedCrossRefGoogle Scholar
  21. Strogatz, D. S., & James, S. A. (1986). Social support and hypertension among blacks and whites in a rural, southern community. American Journal of Epidemiology, 124, 949–956.PubMedGoogle Scholar
  22. Turner, J. R., Sherwood, A., & Light, K. C. (1990). Generalization of cardiovascular response: Supportive evidence for the reactivity hypothesis. International Journal of Psychophysiology.11, 207–212.CrossRefGoogle Scholar
  23. Wood, D. L., Sheps, S. G., Elveback, L. R., & Schirger, A. (1984). Cold pressor test as a predictor of hypertension. Hypertension, 6, 301–306.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1992

Authors and Affiliations

  • Kathleen C. Light
    • 1
  • Andrew Sherwood
    • 1
  • J. Rick Turner
    • 1
  1. 1.Department of PsychiatryUniversity of North Carolina at Chapel HillChapel HillUSA

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