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December 1, 1963Journal of Clinical Investigation47 citationsOpen Access

Patterns of Pressor Response to Noxious Stimuli in Normal, Hypertensive, and Diabetic Subjects*

ASAlvin P. ShapiroSMSpero E. MoutsosEKEmanuel Krifcher

Key Result

Hypertensive subjects exhibited a significantly greater mean blood pressure increase in response to intravenous angiotensin II compared to normotensive subjects (39.6 vs 26.2 mm Hg, p<0.001).

Study Design

Type

Cross-Sectional (n=113)

Multicenter

No

PICO

P
Population
113 subjects, comprising normotensive and hypertensive individuals with and without diabetes, were evaluated for their blood pressure responses to various noxious stimuli.
I
Intervention / Comparator
Intravenous angiotensin II vs Normotensive subjects (0.03 µg/kg)
O
Primary Outcome
Mean blood pressure response to angiotensin II, p=<0.001

Main Result

Absolute Event Rate: 39.6% vs 26.2%

p-value: p=<0.001

Limitations

  • Groups studied cannot be considered random samples of the populations under consideration.
  • Lack of simultaneous cardiac output measurements limits understanding of the exact hemodynamic mechanisms involved.

Abstract

In earlier studies, the influence of various host affecting the pressor responses to noxious stimuli in hypertensive and normotensive subjects was investigated. Information was obtained indicating that intrinsic factors predominate in determining the type and severity of such pressor responses (1). It also was demonstrated that lowering basal blood pressure in the hypertensive patient with therapeutic doses of reserpine and chlorothiazide did not decrease these responses (2). The present studies represent a continuing effort to define the factors determining patterns of pressor response to noxious stimuli, with particular attention to the physiologic mechanisms that mediate these responses. As in previous studies, the cold pressor test was assumed to measure the neurogenic component, and this response was

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Cite This Study

Shapiro et al. (1963) conducted a cross-sectional in Hypertension and Diabetes (n=113). Intravenous angiotensin II vs. Normotensive subjects was evaluated on Mean blood pressure response to angiotensin II (p=<0.001). Hypertensive subjects exhibited a significantly greater mean blood pressure increase in response to intravenous angiotensin II compared to normotensive subjects (39.6 vs 26.2 mm Hg, p<0.001).

synapsesocial.com/papers/6a6c7d24a528af2d65c283d5https://doi.org/10.1172/jci104874
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Pressor Responses to Noxious Stimuli in Hypertensive Patients1962 · 24 citations
  2. 2Pressor Responses to Noxious Stimuli in Hypertensive Patients1964 · 23 citations
  3. 3Evidence for the Existence of a Sensitizing Factor to Pressor Agents in the Plasma of Hypertensive Patients1972 · 39 citations
  4. 4THE NONSPECIFIC RÔLE OF PRESSOR SUBSTANCES IN THE PLASMA OF HYPERTENSIVE PATIENTS1936 · 3 citations
  5. 5Pressor effects from daily events and laboratory complex stimuli relating personality factors1987