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Relationship of clinic, ambulatory, and laboratory stress blood pressure to left ventricular mass in overweight men and women with high blood pressure.

Publication ,  Journal Article
Sherwood, A; Gullette, ECD; Hinderliter, AL; Georgiades, A; Babyak, M; Waugh, RA; Blumenthal, JA
Published in: Psychosom Med
2002

OBJECTIVE: This study was designed to evaluate the relationship between left ventricular (LV) mass and blood pressure (BP) recorded in the following contexts: in the clinic, using standard auscultatory procedures, during a typical day using ambulatory BP monitoring, and in the laboratory environment during behavioral stress testing. METHODS: Ninety-seven men and women with clinic systolic blood pressure (SBP) of 130 to 180 mm Hg and/or diastolic blood pressure (DBP) of 85 to 110 mm Hg and mild to moderate obesity were included in the study. Laboratory stressors included the following tasks: Public Speaking; Anger Interview; Mirror Trace; and Cold Pressor. LV mass was measured using echocardiography and adjusted for body size by dividing by height(2.7) to yield LV mass index (LVMI). RESULTS: LVMI was positively correlated with clinic SBP (r = 0.24, p <.05), ambulatory SBP (r = 0.34, p <.01), and aggregated laboratory stress SBP (r = 0.28, p <.01). Of the individual stressors, only SBP responses to the Mirror Trace and Cold Pressor tasks were independently correlated with LVMI (r = 0.35 and 0.34, respectively, p values <.01). Hierarchical regression analyses revealed that laboratory stress SBP remained a significant predictor of LVMI, after controlling for BMI and clinic pressure. CONCLUSIONS: These findings suggest that cardiovascular responses to behavioral stress are associated with individual differences in LVMI in men and women with high blood pressure who are overweight. Laboratory studies of behavioral stress may help promote our understanding of the pathophysiology of LVH.

Duke Scholars

Published In

Psychosom Med

DOI

ISSN

0033-3174

Publication Date

2002

Volume

64

Issue

2

Start / End Page

247 / 257

Location

United States

Related Subject Headings

  • Stress, Psychological
  • Social Environment
  • Psychiatry
  • Obesity
  • Middle Aged
  • Male
  • Hypertrophy, Left Ventricular
  • Hypertension
  • Humans
  • Female
 

Citation

APA
Chicago
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MLA
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Sherwood, A., Gullette, E. C. D., Hinderliter, A. L., Georgiades, A., Babyak, M., Waugh, R. A., & Blumenthal, J. A. (2002). Relationship of clinic, ambulatory, and laboratory stress blood pressure to left ventricular mass in overweight men and women with high blood pressure. Psychosom Med, 64(2), 247–257. https://doi.org/10.1097/00006842-200203000-00007
Sherwood, Andrew, Elizabeth C. D. Gullette, Alan L. Hinderliter, Anastasia Georgiades, Michael Babyak, Robert A. Waugh, and James A. Blumenthal. “Relationship of clinic, ambulatory, and laboratory stress blood pressure to left ventricular mass in overweight men and women with high blood pressure.Psychosom Med 64, no. 2 (2002): 247–57. https://doi.org/10.1097/00006842-200203000-00007.
Sherwood A, Gullette ECD, Hinderliter AL, Georgiades A, Babyak M, Waugh RA, et al. Relationship of clinic, ambulatory, and laboratory stress blood pressure to left ventricular mass in overweight men and women with high blood pressure. Psychosom Med. 2002;64(2):247–57.
Sherwood, Andrew, et al. “Relationship of clinic, ambulatory, and laboratory stress blood pressure to left ventricular mass in overweight men and women with high blood pressure.Psychosom Med, vol. 64, no. 2, 2002, pp. 247–57. Pubmed, doi:10.1097/00006842-200203000-00007.
Sherwood A, Gullette ECD, Hinderliter AL, Georgiades A, Babyak M, Waugh RA, Blumenthal JA. Relationship of clinic, ambulatory, and laboratory stress blood pressure to left ventricular mass in overweight men and women with high blood pressure. Psychosom Med. 2002;64(2):247–257.

Published In

Psychosom Med

DOI

ISSN

0033-3174

Publication Date

2002

Volume

64

Issue

2

Start / End Page

247 / 257

Location

United States

Related Subject Headings

  • Stress, Psychological
  • Social Environment
  • Psychiatry
  • Obesity
  • Middle Aged
  • Male
  • Hypertrophy, Left Ventricular
  • Hypertension
  • Humans
  • Female