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High Cardiovascular Reactivity to Stress

A Predictor of Later Hypertension Development

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Individual Differences in Cardiovascular Response to Stress

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.

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References

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Eich, R. H., & Jacobsen, E. C. (1967). Vascular reactivity in medical students followed for 10 years. Journal of Chronic Diseases, 20, 583–592.

    Article  PubMed  Google Scholar 

  • Falkner, B., Kushner, H., Onesti, G., & Angelakos, E. T. (1981). Cardiovascular characteristics in adolescents who develop essential hypertension. Hypertension, 3, 521–527.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Hines, E. A., Jr. (1940). Significance of vascular hyperreaction as measured by the cold pressor test American Heart Journal, 19, 408–416.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Horwitz, R. I. (1984). Methodologic standards and the clinical usefulness of the cold pressor test: Editorial. Hypertension, 6, 295–296.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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 

  • 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.

    Article  PubMed  Google Scholar 

  • Sherwood, A., Dolan, C. A., & Light, K. C. (1990a). Hemodynamics of blood pressure responses during active and passive coping. Psychophysiology, 27, 656–668.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Wood, D. L., Sheps, S. G., Elveback, L. R., & Schirger, A. (1984). Cold pressor test as a predictor of hypertension. Hypertension, 6, 301–306.

    Article  PubMed  Google Scholar 

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© 1992 Springer Science+Business Media New York

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Light, K.C., Sherwood, A., Turner, J.R. (1992). High Cardiovascular Reactivity to Stress. In: Turner, J.R., Sherwood, A., Light, K.C. (eds) Individual Differences in Cardiovascular Response to Stress. Perspectives on Individual Differences. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0697-7_15

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  • DOI: https://doi.org/10.1007/978-1-4899-0697-7_15

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-0699-1

  • Online ISBN: 978-1-4899-0697-7

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