Nazzaro P, Manzari M, Merlo M, Mudoni A, Pirrelli A
Division of Hypertension, University of Bari, Italy.
Boll Soc Ital Biol Sper. 1992 May;68(5):293-300.
To identify relationships among hypertension, job and cardiovascular reactivity we studied 81 borderline hypertensives divided into labourers (L), white collars (W) and managers (M). After behavioral analysis, they underwent 4 tests: arithmetic, Sacks, acoustic, electric. Along the entire sitting, muscular contraction, skin conductance (SCL), peripheric temperature (THP), SBP, DBP and HR were taken, every 30". Depression, obsessive-compulsive, anxiety and neurotic traits were found in W. SBP, DBP and HR were not significantly different. Failed recovery curves of SCL were identified in M and W, but the presence of abnormal response profile, of both, SCL and THP, only in W. This autonomic dysreactivity, previously recognized as a possible characteristic of the prehypertensive condition, could uncover the role of certain work stressful condition to increase the sympathetic drive underlying hypertension.
为了确定高血压、工作与心血管反应性之间的关系，我们对81名临界高血压患者进行了研究，这些患者被分为体力劳动者（L）、白领（W）和管理人员（M）。在进行行为分析后，他们接受了4项测试：算术测试、萨克斯测试、听觉测试、电击测试。在整个坐姿过程中，每隔30秒测量一次肌肉收缩、皮肤电导（SCL）、外周温度（THP）、收缩压（SBP）、舒张压（DBP）和心率（HR）。在白领中发现了抑郁、强迫、焦虑和神经质特质。收缩压、舒张压和心率没有显著差异。在管理人员和白领中发现了皮肤电导恢复曲线异常，但只有白领同时存在皮肤电导和外周温度的异常反应特征。这种自主神经反应异常，先前被认为是高血压前期状态的一个可能特征，可能揭示了某些工作压力状况在增加高血压潜在交感神经驱动力方面的作用。
