Cardiovascular response to mental and physical stress in hyper-reactive normotensive subjects. Beta blockade effect

The aim of our study was to evaluate the cardiovascular reactivity in healthy normotensive subjects without medication, using mental and physical stress techniques: Stroop color word conflict test (SCWCT), anticipatory blood pressure response to exercise (ARE) and stress testing (ST). We analized th...

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Veröffentlicht in:Medicina (Buenos Aires) 2004, Vol.64 (5), p.390-394
Hauptverfasser: Przybylski, Julio, Resnik, Miguel, Corsi, Miriam, Suez, Victor, Dervich, Roberto, Bevacqua, Raul, Lachitiello, Jorge, Elizari, Marcelo
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container_end_page 394
container_issue 5
container_start_page 390
container_title Medicina (Buenos Aires)
container_volume 64
creator Przybylski, Julio
Resnik, Miguel
Corsi, Miriam
Suez, Victor
Dervich, Roberto
Bevacqua, Raul
Lachitiello, Jorge
Elizari, Marcelo
description The aim of our study was to evaluate the cardiovascular reactivity in healthy normotensive subjects without medication, using mental and physical stress techniques: Stroop color word conflict test (SCWCT), anticipatory blood pressure response to exercise (ARE) and stress testing (ST). We analized the effects of a selective beta 1 betablocker: bisoprolol (B) on cardiovascular reactivity in our subjects (s). We studied 42 s, but only 30 (21 females and 9 males) were included who were hyperreactives. The mean age was 42.5 years. The higher values of systolic (SBP) and diastolic blood pressure (DBP) during the mental stress (MS) were taken as a measure of reactivity considering hyperreactive response an increase of 30 mm Hg or more and/or 15 mm Hg or more respectively. A prospective, randomized and double blind study on the effects of an oral daily doses of B (5 mg) vs placebo (P) was performed. Statistical analysis was realized with the Fisher exact test. In the results, we could observed a lower sensitivity of ARE and ST vs SCWCT. The 15 s who recieved P followed hyperreactives but 6 of 15 s treated with B were non reactives (p
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subjects Adrenergic beta-Antagonists - pharmacology
Adult
Bisoprolol - pharmacology
Blood Pressure - drug effects
Blood Pressure - physiology
Cardiovascular System - drug effects
Double-Blind Method
Exercise Test
Female
Heart Rate - drug effects
Heart Rate - physiology
Humans
Male
Middle Aged
Neuropsychological Tests
Prospective Studies
Stress, Psychological - physiopathology
title Cardiovascular response to mental and physical stress in hyper-reactive normotensive subjects. Beta blockade effect
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