title: [Cardiovascular response to mental and physical stress in hyper-reactive normotensive subjects. Beta blockade effect].
abstract: 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<0.017). B showed a beneficial effect on the hyperreactivity in a significant number of s in relation with P and it could be useful for the prevention of a future hypertension.
authors.affiliation: Servicio de Cardiología, Hospital Municipal Ramos Mejía, Buenos Aires. przy@intramed.net
authors.forename: Julio
authors.initials: J
authors.lastname: Przybylski
authors.forename: Miguel
authors.initials: M
authors.lastname: Resnik
authors.forename: Miriam
authors.initials: M
authors.lastname: Corsi
authors.forename: Victor
authors.initials: V
authors.lastname: Suez
authors.forename: Roberto
authors.initials: R
authors.lastname: Dervich
authors.forename: Raul
authors.initials: R
authors.lastname: Bevacqua
authors.forename: Jorge
authors.initials: J
authors.lastname: Lachitiello
authors.forename: Marcelo
authors.initials: M
authors.lastname: Elizari
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000494:pharmacology*; D000328:Adult; D017298:Bisoprolol / Q000494:pharmacology*; D001794:Blood Pressure / Q000187:drug effects* / Q000502:physiology; D002319:Cardiovascular System / Q000187:drug effects; D004311:Double-Blind Method; D005080:Exercise Test; D005260:Female; D006339:Heart Rate / Q000187:drug effects* / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D011446:Prospective Studies; D013315:Stress, Psychological / Q000503:physiopathology*
chemical_list: D000319:Adrenergic beta-Antagonists; D017298:Bisoprolol