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Biomedical subjects

C France

Publications and source records attributed to C France.

17 recordsLinked to original sources

Family history of hypertension and vasovagal symptoms during blood donation.

Vasovagal reactions during blood donation were assessed in 185 individuals with and 298 individuals without a parental history of hypertension. It was predicted that individuals at genetic risk for hypertension would be less likely to faint or suffer pronounced vasovagal reactions, presumably by virtue of altered baroreflex sensitivity. A relationship between a parental history of hypertension and vasovagal responses was observed, albeit modified by blood donation experience and sex. Nurses obtaining blood from inexperienced donors without a parental history of hypertension were significantly more likely to recline the subject's chair than those obtaining blood from inexperienced donors with a parental history of hypertension or experienced donors. Questionnaire data were consistent with these findings. These results may be an interesting reflection of group differences in baroreflex sensitivity and have implications for screening potential donors.

Arousal

Baroreflex sensitivity during noxious stimulation in vasovagal reactors to blood donation.

Baroreflex sensitivity was assessed at rest and during constrictive pain in healthy males with and without a history of vasovagal reactions to blood donation. Continuous recordings of cardiac inter-beat interval and finger arterial pressure were obtained at rest and during repeated presentations of constrictive thigh-cuff stimulation. Baroreflex sensitivity (in msec/mm Hg) was computed according to the spontaneous sequence analysis method. Results indicated that vasovagal reactors exhibited significantly lower descending baroreflex sensitivity across all periods, and significantly lower ascending baroreflex sensitivity at rest. Baseline differences in ascending baroreflex sensitivity were eliminated during thigh-cuff stimulation, as vasovagal reactors exhibited increases in ascending baroreflex sensitivity while non-reactors exhibited decreases. These findings suggest that susceptibility to vasovagal reactions may be associated with individual differences in baroreflex sensitivity.

Adult

Cardiovascular reactions to blood donation in offspring of hypertensives and normotensives.

Blood pressure and heart rate reactions of 182 confirmed offspring of normotensive (110 female, 72 male) and 112 offspring of hypertensive (66 female, 46 male) individuals to the stressor of blood donation were examined. Subjects were tested at two sites, one in the United States and one in Canada. Although influenced by site, young normotensive offspring of hypertensives generally exhibited significantly greater blood pressure levels in anticipation of donating blood than offspring of normotensives. The higher reactivity of offspring of hypertensives observed in stressful laboratory settings may generalize to more ecologically valid settings, even those which, like blood donation, require passive coping efforts.

Adolescent

Cardiovascular responses to the combination of caffeine and mental arithmetic, cold pressor, and static exercise stressors.

The present study examined cardiovascular responses to the combination of caffeine (250mg) and mental arithmetic, cold pressor, and static exercise stressors in 48 healthy males. Subjects were tested in a within-subject, placebo-controlled, double-blind design. Repeated measurements of heart rate, finger temperature, respiratory sinus arrhythmia, forearm blood flow, and blood pressure were obtained during a pre-drug resting baseline, a post-drug resting baseline, the three stressor tasks, and a recovery baseline. The primary analyses were 2(Drug) x 5(Period) x 6(Stress Order) MANCOVAs using pre-drug baseline values as covariates. Significant period main effects were observed for all measures. Significant drug main effects were observed for blood pressure, finger temperature, respiratory sinus arrhythmia, and forearm blood flow. The significant changes in blood pressure and finger temperature produced by caffeine combined in an additive fashion with the effects produced by the stressors. Significantly greater increases in forearm blood flow and heart rate during mental arithmetic on the caffeine day suggested a potentiation of sympathetic, beta-adrenergic activity. Questionnaires administered during baseline periods to assess psychological responses to stress and caffeine revealed a potentiation of anxiety and anger responses to stress on the caffeine day.

Adolescent

Pain sensitivity in offspring of hypertensives at rest and during baroreflex stimulation.

Healthy males with a parental history of hypertension (PH+) showed reduced pain sensitivity to a constrictive thigh-cuff pressure stimulus as compared to individuals without a parental history of hypertension. The protocol included eight trials in which a thigh-cuff was inflated until the subject reported the stimulus to be "painful." The PH+ group exhibited significantly lower pain sensitivity as indicated by (1) higher levels of constrictive pressure when pain was first reported and (2) lower subjective pain ratings at maximum constrictive pressure. To assess the role of baroreflex stimulation on pain sensitivity in these groups, four trials were administered concurrently with external carotid pressure stimulation. There were no significant differences in pain sensitivity in each group as a function of baroreflex stimulation. The results suggest that the hypoalgesia observed in hypertensives may predate the development of sustained elevations in blood pressure.

Adult

Baroreflex sensitivity at rest and during stress in individuals with a history of vasovagal syncope.

The baroreflex sensitivity of healthy young adult males who reported some history of vasovagal syncope during emotionally stressful situations (e.g. blood donation) was compared to a control group of individuals who reported no such history. The baroreflex, which induces compensatory bradycardia and vasodilation in response to acute elevations of blood pressure, was examined as a possible mechanism underlying predisposition to vasovagal reactions. Changes in heart rate and vasoconstriction in response to baroreflex stimulation (negative external cervical pressure) at rest and during administration of a mental arithmetic task and a constrictive pain stimulus were assessed. Individuals with a history of vasovagal reactions displayed greater baroreflex sensitivity during the pain stimulus and at rest, but not during mental arithmetic. These findings suggest one mechanism of risk for syncope reactions, particularly in situations involving the experience of pain.

Adult

Spouse and parent-offspring similarities in cardiovascular response to mental arithmetic and isometric hand-grip.

Thirty spouse pairs were recruited for a stress protocol consisting of alternating stress and relaxation periods. Repeated measurements of blood pressure, heart rate, and blood volume pulse were obtained. Spouse pairs were parents of young adult sibling pairs who had previously participated in a slightly different version of the protocol. Although spouses exhibited some behavioral similarities, there were no significant similarities in cardiovascular response to stress. However, despite the fact that parents and their offspring were tested on different occasions using somewhat different procedures, some similarities in cardiovascular reactivity were observed. Significant parent-offspring similarities in heart-rate response to mental arithmetic and diastolic blood pressure response to isometric hand-grip were observed, as well as several behavioral similarities. Assortative mating and the nature of one's current home environment seem to be less important in the familial aggregation of cardiovascular reactivity to stress than early environmental and/or genetic factors.

Adolescent

Caffeine effects on several indices of cardiovascular activity at rest and during stress.

The effects of caffeine on cardiovascular responses to a mental arithmetic task were assessed using a between-subjects, double-blind design. Thirty-six male undergraduates were randomly assigned to either a placebo group or a group which received 250mg of caffeine. Repeated measurements of systolic and diastolic blood pressure (SBP, DBP), heart rate (HR), digital blood volume pulse (DBVP), and finger pulse transit time (FPTT) were obtained during a predrug baseline, a postdrug resting period, and a mental arithmetic task. Significant Period (i.e., stress) effects were observed on all measures, except DBVP which revealed a marginally significant Period effect. Significant main effects of Drug were observed on DBP and DBVP. There were no significant Drug x Period interactions. These results indicate that the increases in DBP and the decreases in DBVP produced by caffeine were additive with effects produced by stress.

Adult

Voluntary ethanol consumption in rats: an examination of blood/brain ethanol levels and behavior.

The temporal pattern of food, water, and ethanol consumption was examined in rats maintained on a 24-hr ethanol access schedule. These data demonstrated that rats consume ethanol in discrete, short bouts mainly during the lights-out cycle. Simulation of a single ethanol drinking bout was carried out by limiting ethanol access to a short time period each day. Detectable levels of blood and brain ethanol were observed following these individual drinking bouts. Behavioral evidence is provided indicating that rats drink ethanol in quantities sufficient to produce pharmacological effects.

Alcohol Drinking

Cardiovascular responses to occupational stress and caffeine in telemarketing employees.

Cardiovascular responses to the combination of caffeine and a challenging occupational activity were examined using a within-subject, double-blind design. Seventeen female and 11 male telemarketing employees received drinks that did and did not contain 250 mg of caffeine on two consecutive days, with order of presentation counterbalanced across subjects. Repeated measurements of systolic and diastolic blood pressure, heart rate, and digital blood volume pulse were obtained during a pre-drug resting baseline and a post-drug working period on each day. Repeated measures analyses of variance revealed significant main effects of Period on all measures of cardiovascular activity, indicating that occupational demands elicited significant cardiovascular adjustments. Only systolic blood pressure revealed a significant Drug X Period effect, indicating that responses were significantly greater on the caffeine versus placebo day. The changes in diastolic blood pressure and heart rate, although not significant, were consistent in direction with the results from previous laboratory studies. There were no significant differences between males and females in cardiovascular response to the combination of stress and caffeine.

Adult

Similarities within young and middle-aged spouse pairs in behavioral and cardiovascular response to two experimental stressors.

The similarities of 30 young (X = 26 years) and 30 middle-aged (X = 52 years) spouse pairs in behavioral and cardiovascular response to two experimental stressors were compared to assess the importance of shared home experiences in determining cardiovascular responsivity to stress. Familial environmental influences on reactivity should produce increasing similarity among family members with number of years lived together. Although pair members exhibited a number of behavioral similarities, some of which appeared to increase with number of years lived together, there were few similarities in heart rate and blood pressure response to stress. However, both young and middle-aged pairs exhibited significant similarities in systolic blood pressure response to isometric handgrip. The fact that similarities were observed in young as well as middle-aged spouse pairs suggests that assortative mating in regards to cardiovascular reactivity to stress may occur in some instances. As a result, some previous estimates of the heritability of cardiovascular reactivity to environmental stress may have been artificially low.

Adult

Carotid baroreflex sensitivity at rest and during psychological stress in offspring of hypertensives and non-twin sibling pairs.

The baroreceptor reflexes of 38 young adult males were mechanically stimulated by negative external cervical pressure during a mental arithmetic task and pre-stress and post-stress relaxation periods. The subjects comprised 19 pairs of non-twin siblings. Baroreflex sensitivity was significantly less pronounced during arithmetic. Using non-invasive techniques, this finding replicates several others indicating a damping of the baroreceptor reflux during stress. More importantly, analyses of sibling similarities also revealed significant familiality of baroreflex sensitivity, independent of age, body mass, pressure applied and baseline heart rate. To examine the relationship between baroreflex sensitivity and parental history of hypertension, 21 young adult males with a parental history and 25 without participated in a second experiment. The two groups were not significantly different in resting baroreflex sensitivity. However, sensitivity was damped to a significantly greater degree during mental arithmetic in offspring of hypertensives, offering one possible explanation for their greater blood pressure reactivity to stress. These results suggest that familial influences may effect baroreflex sensitivity and, possibly as a result, blood pressure reactivity and risk for hypertension.

Adult

Family history of hypertension and pain during blood donation.

Parental history of hypertension was associated with significantly lower venipuncture pain ratings in women with little or no blood donation experience. Healthy men (N = 288) and women (N = 434) presenting at Red Cross blood donor clinics provided pain ratings in response to an initial blood sample and venipuncture for blood donation. Analyses were restricted to 460 individuals with and without a confirmed parental history of hypertension (N = 188 and 272, respectively). There were no significant gender or parental history effects on initial blood sample pain ratings. Significantly lower venipuncture pain ratings were observed 1) for men vs. women, 2) for more experienced blood donors, and 3) among subjects with 0-1 previous donations, for women with vs. women without a parental history of hypertension. Although pain ratings were positively correlated with subjective anxiety throughout donation, there were no significant differences in anxiety ratings between women with and without a parental history of hypertension. The results provide suggestive evidence of an association between genetic risk for hypertension and decreased pain sensitivity.

Adaptation, Psychological