Why the study?
Does the cardiac response to mental stress differ between normotensive and hypertensive adolescents?
Does the cardiac response to mental stress differ between normotensive and hypertensive adolescents?
Mental stress alters the natural rhythmic pattern of cardiac response in hypertensive adolescents compared to normotensive peers.
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May indicate autonomic dysregulation in hypertensive adolescents; hypothesis-generating and should not yet change practice.
In this paper, a statistical analysis is applied to the systolic (SBP) and diastolic blood pressure (DBP) and heart rate (HR) data of 23 normotensive (NT) and 24 hypertensive (HT) adolescents who underwent a 10-minute mental stress regimen. Readings were measured at one-minute intervals. The harmonic time series analysis is based on the data of an eight-minute interval of the stress phase. The NT group established a statistically significant (p less than .05) rhythmic variation described by a sinusoidal wave about a near pre-stress mean. The HT group exhibits for the three parameters a near constant response about a significantly elevated level. The consistent existence of a rhythmic pattern for the NT subjects under mental stress, in contrast to the constant response for the HT subjects, suggests that mental stress causes a change in the "natural" rhythmic pattern of cardiac response for the HT subject alone.
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Kushner et al. (1981) studied this question.
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