2022, Number 2
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CorSalud 2022; 14 (2)
Influence of the emotional disturbances on arterial stiffness index and cardiovascular risk in pre-hypertensive patients
López-Galán E, Sánchez-Mengana A, Pascau-Simón A, García-Céspedes ME, Abad-Araujo JC, Antúnez-Coca J, Sánchez-Hechavarría ME
Language: Spanish
References: 17
Page: 179-183
PDF size: 295.54 Kb.
ABSTRACT
Introduction: Psychological stress is a contributing cause of cardiovascular dis-ease and high blood pressure. Anxiety and depression are among the psychologi-cal factors more influencing blood pressure.
Objectives: To determine the influence of emotional disturbances on arterial stiffness index and cardiovascular risk of pre-hypertensive patients.
Method: A cross-sectional study was carried out with 48 pre-hypertensive pa-tients. Emotional disturbances, global cardiovascular risk and arterial stiffness index were evaluated. The photoplethysmography technique with an ANGIODIN digital plethysmograph was used to record the arterial pulse wave in the first toe of the right lower limb.
Results: Pre-hypertensive patients with emotional disturbances had higher body weight, body mass index, systolic and diastolic blood pressure and arterial stiff-ness index than those without these emotional disturbances. A positive Cornell test was found in 58.3% of pre-hypertensive patients: 39.6% of women and 18.8% of men. The relationship between the presence of emotional disturbances and mod-erate cardiovascular risk was highly significant (p<0.0001).
Conclusions: Emotional disturbances in pre-hypertensive patients are associated with an increase in arterial stiffness and an increased global cardiovascular risk.
REFERENCES
Sherwood A, Turner JR. Hemodynamic respons-es during psychological stress: implications for studying disease processes. Int J Behav Med. 1995;2(3):193-218. [DOI]
Jaén Águila F, Mediavilla García JD, Navarrete Navarrete N, Ramos Cortés JL, Fernández Torres C, Jiménez Alonso J. Ansiedad, depresión y su implicación en la hipertensión arterial resistente. Hipertens Riesgo Vasc. 2014;31(1):7-13. [DOI]
Schwartz CE, Durocher JJ, Carter JR. Neurovas-cular responses to mental stress in prehyperten-sive humans. J Appl Physiol (1985). 2011;110(1): 76-82. [DOI]
Wiener A, Rohr CS, Naor N, Villringer A, Okon-Singer H. Emotion Regulation in Essential Hyper-tension: Roles of Anxiety, Stress, and the Pulvi-nar. Front Behav Neurosci [Internet]. 2020 [citado 21 Feb 2021];14:80. Disponible en:https://doi. org/10. 3389/fnbeh. 2020. 00080
Whelton PK, Williams B. The 2018 European So-ciety of Cardiology/European Society of Hyper-tension and 2017 American College of Cardiolo-gy/American Heart Association Blood Pressure Guidelines: More Similar Than Different. JAMA. 2018;320(17):1749-50. [DOI]
Weider A, Brodman K, Mittelmann B, Wechsler D, Wolff HG. The Cornell Index; a method for quick-ly assaying personality and psychosomatic dis-turbances, to be used as an adjunct to interview. Psychosom Med. 1946;8(6):411-3.
Anderson KM, Odell PM, Wilson PW, Kannel WB. Cardiovascular disease risk profiles. Am Heart J. 1991;121(1 Pt 2):293-8. [DOI]
Sánchez-Hechavarría ME, Carrazana-Escalona R, Planas-Rodríguez M, Cala-Calviño L, Barrios-Deler R, Núñez-Bouron AI, et al. Evaluación del estado nutricional y vascular en estudiantes y atletas de beisbol de alto rendimiento. CorSalud [Internet]. 2017 [citado 24 Feb 2021];9(2):88-94. Disponible en: http://www. revcorsalud. sld. cu/index. php/cors/article/view/205/478
Pascau Simón A, Fernández-Britto Rodríguez JE, Allen J. Nuevos modelos conceptual y matemáti-co para el contorno de la onda de volumen de pulso arterial. Rev Cuban Invest Bioméd [Inter-net]. 2011 [citado 24 Feb 2021];30(4):487-500. Dis-ponible en:http://scielo. sld. cu/pdf/ibi/v30n4/ibi07411. pdf
Logan JG, Teachman BA, Liu X, Farber CR, Liu Z, Annex BH. Acute psychological stress, autonomic function, and arterial stiffness among women. Int J Psychophysiol. 2020;155:219-226. [DOI]
Midei AJ, Matthews KA. Social relationships and negative emotional traits are associated with cen-tral adiposity and arterial stiffness in healthy ado-lescents. Health Psychol. 2009;28(3):347-53. [DOI]
Almagiá E. Influencia del estado emocional en la salud física. Ter Psicol. 2003;21(1):55-60.
Björntorp P. Regional fat distribution--implications for type II diabetes. Int J Obes Relat Metab Dis-ord. 1992;160(Suppl 4):S19-27.
Gianaros PJ, Onyewuenyi IC, Sheu LK, Christie IC, Critchley HD. Brain systems for baroreflex suppression during stress in humans. Hum Brain Mapp. 2012;33(7):1700-16. [DOI]
Peltzer K, Pengpid S, Sychareun V, Ferrer AJG, Low WY, Huu TN, et al. Prehypertension and psy-chosocial risk factors among university students in ASEAN countries. BMC Cardiovasc Disord [Internet]. 2017 [citado 25 Feb 2021];17(1):230. Disponible en: https://doi. org/10. 1186/s12872-017-0666-3
Lang PJ, Bradley MM, Cuthbert BN. Emotion, mo-tivation, and anxiety: brain mechanisms and psy-chophysiology. Biol Psychiatry. 1998;44(12): 1248-63. [DOI]
Uceda I, Fernández J, López R, Vera MP. Perfil emocional y cognitivo de la hipertensión arterial esencial mantenida frente a la normotensión. Clí-nic Salud. 2013;24(2):67-76. [DOI]