Bell C C, Hildreth C J, Jenkins E J, Carter C
J Natl Med Assoc. 1988 Mar;80(3):289-94.
An hypothesis is proposed that there exists a subgroup of African-American hypertensive patients whose hypertension could have been prevented by the early detection and treatment of easily recognizable symptoms that signal the initiation of the pathophysiologic processes that lead to essential hypertension.A pilot study of 31 patients with elevated blood pressure revealed that 41.9 percent had isolated sleep paralysis, 35.5 percent had panic attacks, and 9.7 percent had panic disorder. These proposed hyperadrenergic phenomena may be related to the development of hypertension in certain individuals.
提出了一种假说，即存在一部分非裔美国高血压患者亚组，他们的高血压本可通过早期发现并治疗一些易于识别的症状来预防，这些症状预示着导致原发性高血压的病理生理过程的开始。一项对31名血压升高患者的初步研究显示，41.9%的患者有孤立性睡眠麻痹，35.5%的患者有惊恐发作，9.7%的患者有惊恐障碍。这些推测的高肾上腺素能现象可能与某些个体高血压的发生有关。
