This study compared tonic and phasic cardiovascular and electrodermal activity in subjects having essential arterial hypertension (HT) with that of sex- and age-matched normotensive (NT) controls. Fourteen subjects of each group were subjected to 'sensory intake' (letter identification) and 'rejection' (mental arithmetic) tasks while recordings were made of: systolic and diastolic arterial blood pressure, hand and forearm blood flows, heart rate, skin conductance level and fluctuations. The rejection task affected more physiological variables in both groups than the intake task did. The reaction pattern was similar in both groups. Except for systolic and diastolic blood pressures tonic cardiovascular and electrodermal activity of the HT group was not different from that of the NT group. The same pattern, although less clear cut, was observed when reactivity was studied. According to analyses based on pressure levels both tasks raised the systolic blood pressure of the HT group, whereas only the rejection task raised systolic blood pressure in the NT group. In contrast, an analyses based on blood pressure changes from base to task indicated that both groups increased systolic blood pressure to both tasks. Since virtually no other differences in reactivity were found, this study offers weak support for the notion that subjects having essential arterial hypertension are pressor hyper-reactors.

Adult↗

PubMedDate not supplied

Cardiac risk in abdominal aortic surgery.

Seventy-eight patients were included in a prospective study of the cardiac risk in abdominal aortic surgery. The Goldman risk score and the American Society of Anesthesiologists (ASA) classification system were applied besides several individual clinical risk factors. Thirty-three patients developed some kind of cardiac event, 13 of which were myocardial infarctions leading to death in six patients. Computer aided stepwise logistic procedure was used to determine risk factors independently correlated with these complications. This study showed that the Goldman risk score, angina, hypertension and renal insufficiency were significantly correlated with postoperative cardiac complications while no correlations were demonstrated with history of myocardial infarction, chronic heart failure or the ASA score system. A high incidence of cardiac complications (32%) was also found in the low-risk category in the Goldman score system, which indicates the need for cardiac function tests before abdominal aortic surgery.

Aged↗

PubMedDate not supplied

Variation of maximal expiratory flow at exercise test in patients with bronchial asthma.

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Age Factors↗